Download PDF
CC BY-NC-ND 4.0 · Endosc Int Open 2021; 09(03): E425-E426
DOI: 10.1055/a-1339-1459
Letter to the editor

Reply to McDonald and colleagues: “Can endoscopic ultrasound-guided gastroenterostomy be used as first line modality for endoscopic management of malignant gastric outlet obstruction?”

Janine B. Kastelijn
Department of Gastroenterology and Hepatology, University Medical Center Utrecht, Utrecht, The Netherlands
,
Leon M.G. Moons
Department of Gastroenterology and Hepatology, University Medical Center Utrecht, Utrecht, The Netherlands
,
Frank P. Vleggaar
Department of Gastroenterology and Hepatology, University Medical Center Utrecht, Utrecht, The Netherlands
› Author Affiliations
› Further Information
Also available at
   Permissions and Reprints

Letter to:

Can endoscopic ultrasound-guided gastroenterostomy be used as a first-line modality for endoscopic management of malignant gastric outlet obstruction?Endosc Int Open 2021; 09(03): E421-E422
DOI: 10.1055/a-1339-1230

We would like to thank Dr. McDonald and colleagues for their comments on our manuscript “Patency of endoscopic ultrasound-guided gastroenterostomy in the treatment of malignant gastric outlet obstruction” [1]. The authors raised several points, the first of which was regarding issues about the higher adverse event (AE) rate reported in our series compared with previous reports: 1) whether these rates were higher in earlier years; 2) whether AEs decreased over time; and 3) whether there was a substantial difference between the balloon-assisted technique and the direct technique.



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/)

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

  • References

  • 1 Kastelijn JB, Moons LMG, Garcia-Alonso FJ. et al. Patency of endoscopic ultrasound-guided gastroenterostomy in the treatment of malignant gastric outlet obstruction. Endosc Int Open 2020; 8: E1194-E1201
    Article in Thieme ConnectPubMedGoogle Scholar
  • 2 Itoi T, Ishii K, Ikeuchi N. et al. Prospective evaluation of endoscopic ultrasonography-guided double-balloon-occluded gastrojejunostomy bypass (EPASS) for malignant gastric outlet obstruction. Gut 2016; 65: 193-195
    CrossrefPubMedGoogle Scholar
  • 3 Jeurnink SM, Steyerberg EW, van Hooft JE. et al. Surgical gastrojejunostomy or endoscopic stent placement for the palliation of malignant gastric outlet obstruction (SUSTENT study): a multicenter randomized trial. Gastrointest Endosc 2010; 71: 490-499
    CrossrefPubMedGoogle Scholar