Stefanovic S, Draganov PV, Yang D. Endoscopic ultrasound guided gastrojejunostomy for gastric outlet obstruction. World J Gastrointest Surg 2021; 13(7): 620-632 [PMID: 34354796 DOI: 10.4240/wjgs.v13.i7.620]
Corresponding Author of This Article
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
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Opinion Review
Open-Access Policy of This Article
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/
Table 3 Types of lumen-apposing metal stents[27-29]
Stent
Flange diameter (mm)
Length (mm)
Lumen diameter (mm)
Electrocautery enhanced option
Material
AXIOSTM (Boston Scientific Corp., Marlborough, MA, United States)
21, 24, 29
10
10, 15, 20
Yes
Silicone-covered, nitinol-braided stent
NAGITM (Taewoong Medical Co., Ltd., Goyang, South Korea)
20
10, 20, 30
10, 12, 14, 16
No
Silicone-covered, Nitinol stent
Niti-S SpaxusTM stent (Taewoong Medical Co., Ltd.)
23, 25, 31
20
8, 10, 16
Yes
Silicone-covered, Nitinol stent
HANAROTM stent (M.I.Tech, Pyeongtaek, South Korea)
22 - 28
10, 30
10, 12, 14, 16
No
Silicone-covered, Nitinol stent
Table 4 Outcomes of endoscopic ultrasonography-guided gastroenterostomy using a lumen-apposing self-expandable metal stent in benign and malignant gastric outlet obstruction[27,30,35-40]
Direct n = 3, Balloon-assisted n = 13, Nasobiliary n = 3, Ultraslim scope n = 5, NOTES n = 2
Direct n =52
Balloon-assisted n = 22
Direct n = 57
Direct n = 24
Direct n = 73
Direct n = 22, Nasobiliary n = 10, other = 3
Direct n = 9, Orojejunal = 5, Balloon-assisted = 8
Technical success (%)
90
92
94.2
90.9
92.9
100
93
80
95.4
Clinical success (%)
NA
85
92.3
90.9
89.5
95.8
97
74.3
NA
Adverse events (%)
10
11.5
5.8
9.1
3.5
20.8
7.4
14.3
19
Recurrence/need for Reintervention (%)
NA
3.8
5.8
18.2
15.1
8
15
NA
23.8
Table 5 Outcomes of endoscopic ultrasonography-guided gastroenterostomy using a lumen-apposing self-expandable metal stent as compared to surgery[41,42]
Table 6 Outcomes of endoscopic ultrasonography-guided gastroenterostomy using a lumen-apposing self-expandable metal stent as compared to duodenal stenting[37,43]
