Gastric outlet obstruction: Antroduodenal stenting, venting peg, eus guided gastrojejunostomy

Phillip S. Ge; Christopher C. Thompson

doi:10.1007/978-3-031-05724-3_15

Gastric outlet obstruction: Antroduodenal stenting, venting peg, eus guided gastrojejunostomy

Phillip S. Ge, Christopher C. Thompson

Gastroenterology Hepatology & Nutrition

Research output: Chapter in Book/Report/Conference proceeding › Chapter

Abstract

Malignant gastric outlet obstruction (mGOO) is a late complication of pancreatic malignancy and presents a therapeutic challenge for the gastroenterologist and oncologist. Traditionally mGOO was treated with surgical gastroenterostomy. Serial advancements in endoscopy have provided minimally invasive alternatives including enteral stent placement and endoscopic ultrasound (EUS)-guided gastroenterostomy (EUS-GE). This chapter reviews the various therapeutic modalities available in the management of mGOO and provides a management algorithm based on a combination of currently available scientific evidence and expert opinion. Ultimately, the management of mGOO is multidisciplinary in nature and personalized based on the patient's immediate clinical situation and long-term prognosis.

Original language	English (US)
Title of host publication	Pancreatic Cancer
Subtitle of host publication	A Multidisciplinary Approach
Publisher	Springer International Publishing
Pages	181-198
Number of pages	18
ISBN (Electronic)	9783031057243
ISBN (Print)	9783031057236
DOIs	https://doi.org/10.1007/978-3-031-05724-3_15
State	Published - Oct 22 2022

Keywords

Axios
Endoscopic ultrasound
Enteral stent placement
EUS-gastroenterostomy
Gastric outlet obstruction
Gastrojejunostomy
Lumen-apposing metal stent
Pancreatic cancer
Self-expanding metal stent
Therapeutic endoscopy
Therapeutic EUS

ASJC Scopus subject areas

General Medicine

Access to Document

10.1007/978-3-031-05724-3_15

Cite this

@inbook{edc34304748f4b50aa9eaaa7831efb54,

title = "Gastric outlet obstruction: Antroduodenal stenting, venting peg, eus guided gastrojejunostomy",

abstract = "Malignant gastric outlet obstruction (mGOO) is a late complication of pancreatic malignancy and presents a therapeutic challenge for the gastroenterologist and oncologist. Traditionally mGOO was treated with surgical gastroenterostomy. Serial advancements in endoscopy have provided minimally invasive alternatives including enteral stent placement and endoscopic ultrasound (EUS)-guided gastroenterostomy (EUS-GE). This chapter reviews the various therapeutic modalities available in the management of mGOO and provides a management algorithm based on a combination of currently available scientific evidence and expert opinion. Ultimately, the management of mGOO is multidisciplinary in nature and personalized based on the patient's immediate clinical situation and long-term prognosis.",

keywords = "Axios, Endoscopic ultrasound, Enteral stent placement, EUS-gastroenterostomy, Gastric outlet obstruction, Gastrojejunostomy, Lumen-apposing metal stent, Pancreatic cancer, Self-expanding metal stent, Therapeutic endoscopy, Therapeutic EUS",

author = "Ge, {Phillip S.} and Thompson, {Christopher C.}",

year = "2022",

month = oct,

day = "22",

doi = "10.1007/978-3-031-05724-3_15",

language = "English (US)",

isbn = "9783031057236",

pages = "181--198",

booktitle = "Pancreatic Cancer",

publisher = "Springer International Publishing",

}

TY - CHAP

T1 - Gastric outlet obstruction

T2 - Antroduodenal stenting, venting peg, eus guided gastrojejunostomy

AU - Ge, Phillip S.

AU - Thompson, Christopher C.

PY - 2022/10/22

Y1 - 2022/10/22

N2 - Malignant gastric outlet obstruction (mGOO) is a late complication of pancreatic malignancy and presents a therapeutic challenge for the gastroenterologist and oncologist. Traditionally mGOO was treated with surgical gastroenterostomy. Serial advancements in endoscopy have provided minimally invasive alternatives including enteral stent placement and endoscopic ultrasound (EUS)-guided gastroenterostomy (EUS-GE). This chapter reviews the various therapeutic modalities available in the management of mGOO and provides a management algorithm based on a combination of currently available scientific evidence and expert opinion. Ultimately, the management of mGOO is multidisciplinary in nature and personalized based on the patient's immediate clinical situation and long-term prognosis.

AB - Malignant gastric outlet obstruction (mGOO) is a late complication of pancreatic malignancy and presents a therapeutic challenge for the gastroenterologist and oncologist. Traditionally mGOO was treated with surgical gastroenterostomy. Serial advancements in endoscopy have provided minimally invasive alternatives including enteral stent placement and endoscopic ultrasound (EUS)-guided gastroenterostomy (EUS-GE). This chapter reviews the various therapeutic modalities available in the management of mGOO and provides a management algorithm based on a combination of currently available scientific evidence and expert opinion. Ultimately, the management of mGOO is multidisciplinary in nature and personalized based on the patient's immediate clinical situation and long-term prognosis.

KW - Axios

KW - Endoscopic ultrasound

KW - Enteral stent placement

KW - EUS-gastroenterostomy

KW - Gastric outlet obstruction

KW - Gastrojejunostomy

KW - Lumen-apposing metal stent

KW - Pancreatic cancer

KW - Self-expanding metal stent

KW - Therapeutic endoscopy

KW - Therapeutic EUS

UR - http://www.scopus.com/inward/record.url?scp=85153997146&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85153997146&partnerID=8YFLogxK

U2 - 10.1007/978-3-031-05724-3_15

DO - 10.1007/978-3-031-05724-3_15

M3 - Chapter

AN - SCOPUS:85153997146

SN - 9783031057236

SP - 181

EP - 198

BT - Pancreatic Cancer

PB - Springer International Publishing

ER -

Gastric outlet obstruction: Antroduodenal stenting, venting peg, eus guided gastrojejunostomy

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this