EUS-guided gastroenterostomy (EUS-GE) shows superior outcomes for malignant gastric outlet obstruction (MGO) compared to traditional surgical approaches.
- EUS-GE has a re-intervention rate of just 17% compared to 30% for surgical gastrojejunostomy (SGJ) and significantly lower than enteral stenting.
- Clinical success rates are higher with EUS-GE (20% more successful than enteral stenting).
- EUS-GE shortens hospital stay by an average of 6 days and time to oral intake by 2 days compared to SGJ.
Surgeons should consider EUS-GE as the preferred option for MGO to improve patient outcomes and reduce recovery times.
- Technical success rates were similar across all methods, with minor inconsistencies noted.
Review by Peng YN, Faucher-Jabado G (…) Chen YI et 13 al. in Gastrointest Endosc
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