Endoscopic ultrasound guided gastrojejunostomy for gastric outlet obstruction

作     者：Sebastian Stefanovic Peter V Draganov Dennis Yang 

作者机构：Department of Gastroenterology and HepatologyUniversity Medical Center LjubljanaLjubljana 1000Slovenia Division of GastroenterologyHepatologyand NutritionUniversity of Florida College of MedicineGainesvilleFL 32608United States 

出 版 物：《World Journal of Gastrointestinal Surgery》 (世界胃肠外科杂志（英文版）（电子版）)

年 卷 期：2021年第13卷第7期

页      面：620-632页

核心收录：

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Gastric outlet obstruction Interventional endoultrasonography Gastrojejunostomy Duodenal stenting Balloon dilatation 

摘      要：Gastric outlet obstruction(GOO)is a clinical syndrome secondary to luminal obstruction at the level of the stomach and/or *** can be caused by either benign or malignant etiologies,often resulting in early satiety,nausea,vomiting and poor oral *** is associated with decreased quality of life and has been shown to significantly impact survival in patients with advanced *** treatment options for GOO can be broadly divided into surgical[surgical gastrojejunostomy(GJ)]and endoscopic interventions(dilation and/or placement of luminal self-expanding metal stents).While surgical GJ has been shown to provide a more lasting relief of symptoms when compared to luminal stenting,it has also been associated with a higher rate of adverse ***,many patients with advanced metastatic disease are not good surgical *** recently,endoscopic ultrasound(EUS)-guided GJ has emerged as a potential alternative to traditional surgical and endoscopic *** review focuses on the new advances and technical aspects of EUS-GJ and clinical outcomes in the management of both benign and malignant disease.