Opinion Review
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Jul 27, 2021; 13(7): 620-632
Published online Jul 27, 2021. doi: 10.4240/wjgs.v13.i7.620
Endoscopic ultrasound guided gastrojejunostomy for gastric outlet obstruction
Sebastian Stefanovic, Peter V Draganov, Dennis Yang
Sebastian Stefanovic, Department of Gastroenterology and Hepatology, University Medical Center Ljubljana, Ljubljana 1000, Slovenia
Peter V Draganov, Dennis Yang, Division of Gastroenterology, Hepatology, and Nutrition, University of Florida College of Medicine, Gainesville, FL 32608, United States
Author contributions: Stefanovic S, Draganov PV and Yang D have been involved in literature search and writing the manuscript; Draganov PV and Yang D conceived the idea of the manuscript and performed the final revision of the manuscript; all authors read and approved the final manuscript.
Conflict-of-interest statement: Sebastian Stefanovic has no conflict of interests to declare. Dr Draganov is a consultant for Olympus, Boston Scientific, Cook Medical, Fuji, Merit, Steris, MicroTech and Medtronic. Dr Yang is a consultant for Boston Scientific, Steris, and Lumendi.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (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/
Corresponding author: Dennis Yang, MD, Doctor, Division of Gastroenterology, Hepatology, and Nutrition, University of Florida College of Medicine, 1329 SW 16th Street, Room #5252, Gainesville, FL 32608, United States. dennis.yang@medicine.ufl.edu
Received: January 30, 2021
Peer-review started: January 30, 2021
First decision: May 10, 2021
Revised: May 11, 2021
Accepted: June 23, 2021
Article in press: June 23, 2021
Published online: July 27, 2021
Core Tip

Core Tip: Gastric outlet obstruction (GOO) can significantly decrease the quality of life and also significantly impact survival of patients with malignant etiology. Endoscopic luminal stenting and surgery are considered standard therapy; however, issues remain. Luminal stenting is minimally invasive but often requires reinterventions whereas longer-lasting surgical bypass procedures are associated with higher morbidity. Endoscopic ultrasonography-guided gastroenterostomy has emerged as an alternative to these established therapies. We aim to analyze the technical aspects of endoscopic ultrasonography-guided gastroenterostomy, review its clinical outcomes and propose a treatment algorithm for patients with malignant GOO.