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CC BY-NC-ND 4.0 · Endosc Int Open 2021; 09(03): E421-E422
DOI: 10.1055/a-1339-1230
Letter to the editor

Can endoscopic ultrasound-guided gastroenterostomy be used as a first-line modality for endoscopic management of malignant gastric outlet obstruction?

Nicholas M. McDonald
1   Division of Gastroenterology and Hepatology, University of Minnesota Medical Center, Minneapolis, Minnesota, United States
2   Division of Gastroenterology and Hepatology, Minneapolis Veterans Affairs Medical Center, Minneapolis, Minnesota, United States
,
Mohammad Bilal
1   Division of Gastroenterology and Hepatology, University of Minnesota Medical Center, Minneapolis, Minnesota, United States
2   Division of Gastroenterology and Hepatology, Minneapolis Veterans Affairs Medical Center, Minneapolis, Minnesota, United States
,
Sunil Amin
3   Division of Digestive Health and Liver Diseases, Department of Medicine, University of Miami Miller School of Medicine, Miami, Florida, United States
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We congratulate Kastelijn et al. on their manuscript entitled, “Patency of endoscopic ultrasound-guided gastroenterostomy in the treatment of malignant gastric outlet obstruction” [1]. This is an international multicenter study to evaluate the feasibility and safety of a novel, minimally invasive endoscopic procedure, endoscopic ultrasound-guided gastroenterostomy (EUS-GE). Although the authors report both high rates of technical success and stent patency, they also note a relatively high number of adverse events (AEs) compared to prior reports [2]. Our comments address this high AE rate and attempt to clarify the role of EUS-GE in management of malignant gastric outlet obstruction (GOO).



Publication History

Article published online:
19 February 2021

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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Letter to this article:

Patency of endoscopic ultrasound-guided gastroenterostomy in the treatment of malignant gastric outlet obstructionEndosc Int Open 2020; 08(09): E1194-E1201
DOI: 10.1055/a-1214-5659

Letter to this article:

Reply to McDonald and colleagues: “Can endoscopic ultrasound-guided gastroenterostomy be used as first line modality for endoscopic management of malignant gastric outlet obstruction?”Endosc Int Open 2021; 09(03): E425-E426
DOI: 10.1055/a-1339-1459

 

  • References

  • 1 Kastelijn J, Moons L, Garcia-Alonso F. et al. Patency of EUS-guided gastroenterostomy in the treatment of malignant gastric outlet obstruction. Endosc Int Open 2020; 8: E1194-E1201
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