Surgical Endoscopy · 12 March 2026

Effective Strategies for Malignant Gastric Outlet Obstruction

Endoscopic ultrasound-guided gastrojejunostomy (eus-gj) outperforms surgical methods for malignant gastric outlet obstruction, impacting patient outcomes.

EUS-gj shows a clinical success rate significantly higher than surgical gastrojejunostomy (rr 0.82) and enteral stents (rr 0.91).
Surgical options are linked to longer hospital stays and increased reintervention rates compared to EUS-gj.

Consider recommending EUS-gj as the primary treatment for better patient outcomes in malignant gastric outlet obstruction.

Enteral stents, though less expensive, carry a higher risk for reintervention (rr 7.69 vs EUS-gj).

Review by Brigida M, Crinò SF (…) Facciorusso A et 10 al. in Gastrointest Endosc

read the whole article in Gastrointest Endosc

open it in PubMed

Summaries are written to help you decide what to read. They do not replace the full paper.

Free · 5 minutes a day

Get every new paper in Surgical Endoscopy.

Plus the Daily Selection: the five most relevant papers of the day, each cut to its key points.

The latest stitches

Surg Endosc30 Oct 2026

Enhanced recovery after gastrointestinal lesion resection

An enhanced-recovery pathway after endoscopic removal of small upper gastrointestinal lesions shortened hospital stays without increasing complications.

Gastrointest Endosc28 Oct 2026

Cancer blockage: endoscopic bypass cuts repeat procedures

For cancer-related stomach blockage, endoscopic ultrasound-guided bypass was linked to fewer repeat procedures than stents or surgery, and a shorter hospital stay than surgery.

Surg Endosc27 Oct 2026

On-demand necrosectomy holds up in pancreatic necrosis

After EUS-guided drainage for infected necrotizing pancreatitis, immediate necrosectomy showed no clear clinical advantage over waiting to intervene as needed—and may expose more patients to the procedure.

All papers in Surgical Endoscopy →