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©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
Endoscopic ultrasound-guided gastroenterostomy for gastric outlet obstruction in Mexico
Massiel Madelin Rosario-Morel, Rodrigo Soto-Solis, Katia Picazo-Ferrera, Miriam Idalia Torres-Ruiz, José Alberto Estradas-Trujillo, Mario Alberto Gallardo-Ramírez, Gerardo Akram Darwich-del Moral, Luis Ariel Waller-González
Massiel Madelin Rosario-Morel, Rodrigo Soto-Solis, Luis Ariel Waller-González, Department of Endoscopy, Centro Médico Nacional “20 de Noviembre,” ISSSTE, Mexico City 03229, Mexico
Rodrigo Soto-Solis, Mario Alberto Gallardo-Ramírez, Gerardo Akram Darwich-del Moral, Department of Gastroenterology, Hospital Ángeles Pedregal, Mexico City 10700, Mexico
Katia Picazo-Ferrera, José Alberto Estradas-Trujillo, Department of Endoscopy, Centro Médico ABC, Mexico City 01120, Mexico
Miriam Idalia Torres-Ruiz, Department of Endoscopy, Hospital General de México “Dr. Eduardo Liceaga”, Mexico City 06720, Mexico
Author contributions: Rosario-Morel MM, Soto-Solis R, Picazo-Ferrera K, Torres-Ruiz MI, Estradas-Trujillo JA, Gallardo-Ramírez MA, and Darwich-del Moral GA contributed to the study conception and design, the literature review, and the manuscript drafting; Rosario-Morel MM acquired the data and figures; Soto-Solis R and Waller-González LA revised the manuscript for important intellectual content; All authors read and approved the final version of the manuscript.
Institutional review board statement: This study was reviewed and approved by the Ethics Committee of the “Centro Medico Nacional 20 de Noviembre” (ID No. 522.2023).
Informed consent statement: Patients were not required to give informed consent to the study because the analysis used anonymized clinical data that were obtained after each patient agreed to treatment by written consent.
Conflict-of-interest statement: The authors declare that they have no financial relationships to disclose.
Data sharing statement: No additional data are available.
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: Rodrigo Soto-Solis, MD, MHA, Department of Gastroenterology, Hospital Ángeles Pedregal, 1055 Camino a Santa Teresa, Torre Ángeles Consultorio 650, Héroes de Padierna, La Magdalena Contreras, Mexico City 10700, Mexico.rodrigosotomd@hotmail.com
Received: January 22, 2024
Revised: February 17, 2024
Accepted: April 16, 2024
Published online: May 28, 2024
Processing time: 122 Days and 9.7 Hours
BACKGROUND
Endoscopic ultrasound-guided gastroenterostomy (EUS-GE) has recently emer-ged as an alternative treatment for gastric outlet obstruction (GOO) in selected patients.
AIM
To report the initial experience of EUS-GE in patients with GOO.
METHODS
This study was a retrospective, observational, multicenter study in which the data from 10 patients who underwent EUS-GE due to GOO between September 2021 and May 2023 were collected. We analyzed technical success, clinical success, adverse events, and survival. Technical success was defined as adequate position-ing and deployment of the stent. Clinical success was defined as the patient’s ability to tolerate oral intake without vomiting 7 d after the procedure. Post-procedural adverse events were recorded.
RESULTS
Eleven procedures in 10 patients with GOO were included. The mean age of the patients was 67.5 years (range: 56-77 years). Malignant GOO was present in 9 patients. Technical success was achieved in 9/11 procedures (82%). Among them, clinical success was achieved in 9 patients (100%). Adverse events occurred in 1 patient (9%). The median survival was 3 months (n = 7; range: 1-8 months).
CONCLUSION
EUS-GE is a feasible therapeutic option in the treatment of GOO.
Core Tip: This study was a retrospective report of our initial experience with endoscopic ultrasound-guided gastroenterostomy in patients with gastric outlet obstruction from Mexico. We demonstrated that endoscopic ultrasound-guided gastroenterostomy was a feasible therapeutic alternative for gastric outlet obstruction. It was particularly useful in patients with malignancy.
