Malignant gastric outlet obstruction (mGOO) results in significant morbidity and decreased quality of life. Treatment options include surgical gastrojejunostomy (SGJ) and endoscopic ultrasound-guided gastroenterostomy (EUS-GE). This retrospective multicenter study aimed to compare the two treatment modalities by examining primary outcomes: oral intake resumption, length of stay (LOS), and mortality. Secondary outcomes were technical and clinical success, reintervention rates, adverse events (AEs), and resumption of chemotherapy. <\/p>\n\n\n\n
The study included 310 patients (187 underwent EUS-GE, and 123 received SGJ [77 open and 46 laparoscopic]). Compared with patients who underwent SGJ, patients who received EUS-GE were able to resume oral intake sooner (1.40 vs 4.06 days; P<\/em><.001) and had a shorter LOS (5.31 vs 8.54; P<\/em><.001). However, there was no difference in mortality (48.1% vs 50.4%; P<\/em>=.78) between both palliative techniques. <\/p>\n\n\n\n The EUS-GE and SGJ groups, respectively, had similar technical success rates (97.9% and 100%) and clinical success rates (94.1% vs. 94.3%). The reintervention rate was higher after EUS-GE than SGJ (15.5% vs 1.63%; P<\/em><.001), and patients who underwent EUS-GE resumed chemotherapy significantly sooner (16.6 vs 37.8 days; P<\/em><.001). Additionally, the interval time to resumption of oral intake was much shorter with EUS-GE than SGJ (1.4 vs 4.06 days; P<\/em><.001), and the adverse event rate was lower (13.4% vs 33.3%; P<\/em><.001).<\/p>\n","protected":false},"excerpt":{"rendered":" Malignant gastric outlet obstruction (mGOO) results in significant morbidity and decreased quality of life. Treatment options include surgical gastrojejunostomy (SGJ) and endoscopic ultrasound-guided gastroenterostomy (EUS-GE). This retrospective multicenter study aimed to compare the two treatment modalities by examining primary outcomes: oral intake resumption, length of stay (LOS), and mortality. Secondary outcomes were technical and clinical … Read more<\/a><\/p>\n","protected":false},"template":"","categories":[1768,2052],"tags":[3648,625,3211,3728,3729,3645,3725,3727,3726],"class_list":["post-14208","ec-news","type-ec-news","status-publish","hentry","category-asge-journal-scan","category-eus","tag-endoscopic-ultrasound-guided-gastroenterostomy","tag-eus","tag-eus-ge","tag-length-of-stay","tag-los","tag-malignant-gastric-outlet-obstruction","tag-mgoo","tag-sgj","tag-surgical-gastrojejunostomy"],"_links":{"self":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news\/14208","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news"}],"about":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/types\/ec-news"}],"wp:attachment":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/media?parent=14208"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/categories?post=14208"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/tags?post=14208"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}