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World J Gastroenterol. May 14, 2018; 24(18): 1978-1988
Published online May 14, 2018. doi: 10.3748/wjg.v24.i18.1978
Laparoscopic gastrojejunostomy for gastric outlet obstruction in patients with unresectable hepatopancreatobiliary cancers: A personal series and systematic review of the literature
Alba Manuel-Vázquez, Raquel Latorre-Fragua, Carmen Ramiro-Pérez, Aylhin López-Marcano, Roberto De la Plaza-Llamas, José Manuel Ramia
Alba Manuel-Vázquez, Raquel Latorre-Fragua, Carmen Ramiro-Pérez, Aylhin López-Marcano, Roberto De la Plaza-Llamas, José Manuel Ramia, Department of General and Digestive Surgery, University Hospital of Guadalajara, Guadalajara 19002, Spain
Author contributions: Manuel-Vázquez A designed the study, performed the research, analyzed data, and wrote the paper; Latorre-Fragua R, Ramiro-Pérez C, López-Marcano A performed the research, analyzed and interpreted of data; De la Plaza-Llamas R critically reviewed; Ramia JM critically reviewed, finally approved and supervised the report.
Conflict-of-interest statement: We have no financial relationships to disclose. Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Alba Manuel-Vázquez, MD, PhD, Doctor, Department of General and Digestive Surgery, University Hospital of Guadalajara, Calle Donante de sangre s/n, Guadalajara1 9002, Spain. alba_manuel_vazquez@hotmail.com
Telephone: +34-949-209200 Fax: +34-949-209218
Received: April 6, 2018
Peer-review started: April 8, 2018
First decision: April 21, 2018
Revised: April 26, 2018
Accepted: May 6, 2018
Article in press: May 6, 2018
Published online: May 14, 2018
Processing time: 34 Days and 18.4 Hours
Core Tip

Core tip: Both non-operative endoscopic approach and surgical treatment are available for palliative treatment of gastric outlet obstruction due to advanced hepatopancreatic-biliary cancer. Stent is usually preferred in patients with poor general condition or short life expectancy. Laparoscopic gastrojejunostomy is a feasible, safe and efficient technical option. Given the limited studies, we performed a systematic review of laparoscopic gastrojejunostomy in patients with advanced hepatopancreatic-biliary malignancy. Clinical prospective trials comparing different approaches with adequate sample size are warranted.