Management of gastric outlet obstruction: Focusing on endoscopic approach

doi:10.4292/wjgpt.v11.i2.8

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World Journal of Gastrointestinal Pharmacology and Therapeutics

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2150-5349

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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 Pharmacol Ther. Jun 9, 2020; 11(2): 8-16
Published online Jun 9, 2020. doi: 10.4292/wjgpt.v11.i2.8

Table 2 Treatment of gastric outlet obstruction based upon the underlying cause

Underlying cause	Treatment
Benign
Peptic ulcer disease	PPI ± HPE (1^st option)	EBD or surgery (2^nd option)
Crohn disease	Corticosteroid (1^st option)	EBD or surgery (2^nd option)
Caustic ingestion	EBD or surgery
Bouveret syndrome	Surgery or endoscopic removal
Large gastric polyp	Endoscopic resection
Malignant
Palliative	Endoscopic stent (covered or uncovered)
	EUS-guided gastroenterostomy
	Surgical resection, surgical bypass (gastrojejunostomy)
	Radiation therapy
Curative	Surgery
Curative	Chemotherapy (for lymphoma)

PPI: Proton pump inhibitor; HPE: Helicobacter pylori eradication; EBD: Endoscopic balloon dilatation; EUS: Endoscopic ultrasound.

Citation: Jeong SJ, Lee J. Management of gastric outlet obstruction: Focusing on endoscopic approach. World J Gastrointest Pharmacol Ther 2020; 11(2): 8-16
URL: https://www.wjgnet.com/2150-5349/full/v11/i2/8.htm
DOI: https://dx.doi.org/10.4292/wjgpt.v11.i2.8