Therapeutic interventional endoscopic ultrasound in pancreato-biliary disorders: Does it really replace the surgical/percutaneous approach?

doi:10.4240/wjgs.v13.i6.537

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World Journal of Gastrointestinal Surgery

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1948-9366

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Gastrointest Surg. Jun 27, 2021; 13(6): 537-547
Published online Jun 27, 2021. doi: 10.4240/wjgs.v13.i6.537

Table 3 Summary of studies comparing endoscopic ultrasound-guided gastroenterostomy/endoscopic ultrasound-guided gastro-jejunostomy with surgical procedures in patients with gastric outlet obstruction

Ref.	Design	Cases	Number of patients	Technical success rate	Complication rate
Khashab et al[35]	Retrospective study	Patients with malignant gastric outlet obstruction who underwent EUS-GE or surgical gastrojejunostomy (SGJ)	93	Technical success rate: EUS-GE vs SGJ: 87% vs 100% (P = 0.009). Clinical success rate: EUS-GE vs SGJ: 87% vs 90% (P = 0.8)	Recurrence rate: EUS-GE vs SGJ: 3% vs 14% (P = 0.2). Adverse event rate: EUS-GE vs SGJ: 16% vs 25% (P = 0.3). Length of stay: EUS-GE vs SGJ: 11.6 ± 6.6 d vs 12 ± 8.2 d (P = 0.35)
Perez-Miranda et al[36]	Retrospective study	Patients with gastric outlet obstruction who underwent EUS-guided gastrojejunostomy (EUS-GJ) or laparoscopic gastrojejunostomy (Lap-GJ)	54	Technical success rate: EUS-GJ vs Lap-GJ: 88% vs 100% (P = 0.11). Clinical success rate: EUS-GJ vs Lap-GJ: 84% vs 90% (P = 0.11)	Adverse event rate: EUS-GJ vs Lap-GJ: 12% vs 41% (P = 0.0386)
Jayaraj et al[37]	Systematic review and meta-analysis	Patients with malignant gastric outlet obstruction who underwent EUS-GE and surgical GE	171	Technical success rate: pooled OR: 0.16 (P = 0.033). Clinical success rate: pooled OR: 0.98 (P = 0.984)	Overall adverse event rate: pooled OR: 0.35 (P = 0.014)
Kouanda et al[38]	Retrospective study	Patients with gastric outlet obstruction who underwent EUS-GE or open gastrojejunostomy (OGJ)	66	Technical success rate: EUS-GE vs OGJ: 92.5% vs 100% (P = 0.15)	Recurrence of the symptoms: EUS-GE vs OGJ: 17.5% vs 19.2% (P = 0.34). Re-intervention rate: EUS-GE vs OGJ: 20% vs 11.5% (P = 0.78). Resumption of oral intake: EUS-GE vs OGJ: 1.3 d vs 4.7 d (P < 0.001). Length of hospital stay: EUS-GE vs OGJ: 5 d vs 14.5 d (P < 0.001). 30-d readmission rate: EUS-GE vs OGJ: 17.5% vs 24.1% (P = 0.37)

EUS-GE: Endoscopic ultrasound-guided gastroenterostomy; OR: Odds ratio.

Citation: Lesmana CRA, Paramitha MS, Gani RA. Therapeutic interventional endoscopic ultrasound in pancreato-biliary disorders: Does it really replace the surgical/percutaneous approach? World J Gastrointest Surg 2021; 13(6): 537-547
URL: https://www.wjgnet.com/1948-9366/full/v13/i6/537.htm
DOI: https://dx.doi.org/10.4240/wjgs.v13.i6.537