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Endoscopy 2021; 53(12): 1246-1249
DOI: 10.1055/a-1392-0904
Innovations and brief communications

Endoscopic ultrasound-guided gastroenterostomy using an oroenteric catheter-assisted technique: a retrospective analysis

Nam Q. Nguyen 
1   Interventional Endoscopy Services, California Pacific Medical Center, San Francisco, California, United States
2   Department of Gastroenterology, Royal Adelaide Hospital, Adelaide, South Australia
,
Christopher M. Hamerski
1   Interventional Endoscopy Services, California Pacific Medical Center, San Francisco, California, United States
,
Andrew Nett
1   Interventional Endoscopy Services, California Pacific Medical Center, San Francisco, California, United States
,
Rabindra R. Watson
1   Interventional Endoscopy Services, California Pacific Medical Center, San Francisco, California, United States
,
Morgan Rigopoulos
1   Interventional Endoscopy Services, California Pacific Medical Center, San Francisco, California, United States
,
Kenneth F. Binmoeller
1   Interventional Endoscopy Services, California Pacific Medical Center, San Francisco, California, United States
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Author commentary on Nam Q. Nguyen et al.Endoscopy 2021; 53(12): v61-v61
DOI: 10.1055/a-1431-0912

Abstract

Background This study evaluated an oroenteric catheter (OEC)-assisted technique to distend the enteric loop for endoscopic ultrasound-guided gastroenterostomy (EUS-GE) in patients with gastric outlet obstruction (GOO).

Methods Patient outcomes were reviewed. Proximal enteric loops were filled with water via an OEC (7 Fr or 8 Fr), providing a target for EUS-GE using a lumen-apposing metal stent (15-mm caliber). Clinical success was defined as toleration of a non-liquid diet by Day 3.

Results 42 patients (mean age 73.1 [SEM 2.8] years; 23 male) underwent EUS-GE for malignant (n = 37) and benign (n = 5) duodenal strictures. EUS-GE creation was successful in 41/42 (98 %), with mean procedure time of 36 (SEM 3) minutes and no serious complications. Clinical success was achieved in 39/42 (93 %) at 5.7 (SEM 2.6) months’ follow-up. Of 14 patients who died, 13 (93 %) maintained oral intake until death. EUS-GE provided good symptom relief in all 28 surviving patients until follow-up.

Conclusions OEC-assisted EUS-GE provided satisfactory relief of GOO symptoms, with high technical success (98 %) and no serious complications.



Publication History

Received: 05 August 2020

Accepted after revision: 11 January 2021

Article published online:
15 April 2021

© 2021. Thieme. All rights reserved.

Georg Thieme Verlag KG
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