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. 2019 Nov 27;5(2):48-50.
doi: 10.1016/j.vgie.2019.10.007. eCollection 2020 Feb.

EUS-guided gastroenterostomy: techniques from East to West

Shayan Irani  1 , Takao Itoi  2 , Todd H Baron  3 , Mouen Khashab  4
Affiliations

EUS-guided gastroenterostomy: techniques from East to West

Shayan Irani et al. VideoGIE. .
No abstract available

Keywords: DBE, double-balloon enteroscope; EPASS, EUS balloon-occluded GE bypass; EUS-GE, EUS-guided gastroenterostomy; GOO, gastric outlet obstruction.

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Figures

Figure 1
Figure 1
Fluoroscopic view of large dilating balloon inflated in the third portion of the duodenum, to target with a 19-gauge needle through a therapeutic linear echoendoscope.
Figure 2
Figure 2
Fluoroscopic view of guidewire having been secured through the scope and out of the mouth through the duodenal obstruction (previously treated with 2 duodenal stents).
Figure 3
Figure 3
Fluoroscopic view of gastric flange being deployed first and seen well because of the large gastric gas shadow by the “jejunogastrostomy technique.”
Figure 4
Figure 4
Echoendoscopic view of duodenum and jejunum distended with contrast material and methylene blue and seen well before direct puncture.
Figure 5
Figure 5
Final view after lumen-apposing metal stent is deployed, creating the gastroenterostomy with the direct technique.
See this image and copyright information in PMC

References

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    1. Irani S., Kozarek R.A. Gastrointestinal dilation and stent placement. In: Podolsky D.K., Camillera M., Fitz J.G., editors. Yamada’s textbook of gastroenterology. Sixth ed. John Wiley & Sons Ltd; West Sussex, UK: 2016.
    1. Holt A.P., Patel M., Ahmed M.M. Palliation of patients with malignant gastroduodenal obstruction with self-expanding metallic stents: the treatment of choice? Gastrointest Endosc. 2004;60:1010–1017. - PubMed
    1. Oh S.Y., Edwards A., Mandelson M. Survival and clinical outcome after endoscopic duodenal stent placement for malignant gastric outlet obstruction: comparison of pancreatic cancer and nonpancreatic cancer. Gastrointest Endosc. 2015;82:460–468. - PubMed
    1. Adler D.G., Baron T.H. Endoscopic palliation of malignant gastric outlet obstruction using self-expanding metal stents: experience in 36 patients. Am J Gastroenterol. 2002;97:72–78. - PubMed

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