A consensus among experts highlights vital technical practices for EUS-guided gastroenterostomy (EUS-GE) that can improve patient outcomes in gastric outlet obstruction.

• 31 key statements were approved, showing strong agreement on essentials like fluoroscopy and managing complications.
• Over 90% consensus on sedation, patient positioning, and saline use as a distension solution.

Surgeons should adopt these recommendations to enhance procedural safety and effectiveness.

• Areas with limited agreement signal future research needs to refine techniques.