Aims Endoscopic ultrasonography-guided gastroenterostomy (EUS-GE) was one of the emerging
methods to treat gastric outlet obstruction (GOO). The aim of this study was to review
the outcome of EUS-GE.
Methods This was a single-centre retrospective study of consecutive patients undergoing EUS-GE
for gastric outlet obstruction (GOO). The primary end point was the rate of technical
success (successful placement of stent). The secondary end points were the rate of
clinical success (one-point improvement in gastric outlet obstruction score within
three day), adverse event, the rate of unplanned reintervention within one year and
the possible factors affecting technical or clinical success.
Results Between Sep 2017 and Aug 2024, 65 EUS-GE procedures were included. It included 40
male and 25 female with mean (+ /-SD) age (year) of 68.23+/- 12.71. 61(93.85%) cases
presented with GOO were due to malignancy with palliative treatment intent. 53 (81.54%)
cases presented with complete obstruction that endoscope not able to pass, with 40
(61.54%) cases had the obstruction at duodenum. 27 (41.54%) cases performed EUS-GE
with double balloon occluder (E-PASS) technique, while the remaining 38 (58.46%) cases
was performed using the free hand direct puncture technique with the use of saline
infusion. Technical success rate was 96.92% and clinical success rate was 98.46%.
2 (3.08%) early adverse events were found to be related to stent puncture. Unplanned
reintervention due to recurrent GOO was performed in 4 (6.15%) cases. No factors were
found to have a significant result that affect the technical or clinical success.
Conclusions Endoscopic ultrasonography-guided gastroenterostomy is a feasible method to treat
gastric outlet obstruction.
