Nasojejunal tube-assisted endoscopic ultrasound-guided gastrojejunostomy for the management of gastric outlet obstruction is safe and effective

被引:8
作者
Rai, Praveer [1 ]
Kumar, Pankaj [1 ]
Goel, Amit [1 ]
Singh, Thakur Prashant [1 ]
Sharma, Malay [2 ]
机构
[1] Sanjay Gandhi Postgrad Inst Med Sci, Dept Gastroenterol, Lucknow 226014, Uttar Pradesh, India
[2] Aryavrat Hosp, Dept Gastroenterol, Meerut, Uttar Pradesh, India
来源
DEN OPEN | 2023年 / 3卷 / 01期
关键词
endoscopic ultrasound; gastroenterostomy; gastrojejunostomy; lumen apposing metal stent; therapeutic endoscopic ultrasound; EXPANDING METAL STENTS; SURGICAL GASTROJEJUNOSTOMY; GASTROENTEROSTOMY; PALLIATION; MULTICENTER; EXPERIENCE;
D O I
10.1002/deo2.210
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Background and aims: Endoscopic ultrasound-guided gastrojejunostomy (EUS-GJ) is a therapeutic option for patients with gastric outlet obstruction (GOO), which provides long-term luminal patency without the risk of tumor ingrowth and/or overgrowth and avoids surgical morbidity. The goal of this study was to assess technical success, clinical success, and adverse events associated with a nasojejunal tube-assisted EUS- GJ technique. Methods: This was a retrospective study conducted at a single tertiary care center. The nasojejunal tube (14F) was used to perform the EUS-GJ (device-assisted method). During the study period, consecutive GOO patients who underwent EUS-GJ between August 2018 and December 2021 were included. Technical success was defined as adequate positioning and deployment of the stent. The patient's ability to tolerate a normal oral diet without vomiting was defined as clinical success. Results: Thirty patients underwent EUS-GJ during this study period. Twenty-six patients had malignant GOO, while four had a benign obstruction. EUS-GJ was successfully performed in 29 patients, and technical success was 96.67% (29/30). Nasojejunal tube-assisted EUS-GJ technique was used in all patients. Clinical success was achieved in all patients who had technical success (29/29, 100%). The adverse events rate was 6.6%. During the procedure, the median procedure time was 25 min (interquartile range 15-42.5), and the average hospitalization was 4.4 days. Normal meals were tolerated by all patients. After 210 days of median follow-up (range 5-880 days), no recurrence of symptoms was observed. Conclusion: The nasojejunal tube-assisted EUS-GJ is a safe and effective technique to treat GOO symptoms.
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页数:7
相关论文
共 21 条
[1]  
Adler DG, 2002, AM J GASTROENTEROL, V97, P72
[2]   Gastric outlet obstruction with ascites: EUS-guided gastro-enterostomy is feasible [J].
Basha, Jahangeer ;
Lakhtakia, Sundeep ;
Yarlagadda, Raghavendra ;
Nabi, Zaheer ;
Gupta, Rajesh ;
Ramchandani, Mohan ;
Chavan, Radhika ;
Jagtap, Nitin ;
Asif, Shujaath ;
Rao, Guduru Venkat ;
Reddy, Nageshwar .
ENDOSCOPY INTERNATIONAL OPEN, 2021, 09 (12) :E1918-E1923
[3]   EUS-guided gastroenterostomy: a multicenter study comparing the direct and balloon-assisted techniques [J].
Chen, Yen-I ;
Kunda, Rastislav ;
Storm, Andrew C. ;
Aridi, Hanaa Dakour ;
Thompson, Christopher C. ;
Nieto, Jose ;
James, Theodore ;
Irani, Shayan ;
Bukhari, Majidah ;
Gutierrez, Olaya Brewer ;
Agarwal, Amol ;
Fayad, Lea ;
Moran, Robert ;
Alammar, Nuha ;
Sanaei, Omid ;
Canto, Marcia I. ;
Singh, Vikesh K. ;
Baron, Todd H. ;
Khashab, Mouen A. .
GASTROINTESTINAL ENDOSCOPY, 2018, 87 (05) :1215-1221
[4]  
Chen YI, 2018, ENDOSC INT OPEN, V6, pE363, DOI 10.1055/s-0043-123468
[5]   EUS-guided gastroenterostomy is comparable to enteral stenting with fewer re-interventions in malignant gastric outlet obstruction [J].
Chen, Yen-I ;
Itoi, Takao ;
Baron, Todd H. ;
Nieto, Jose ;
Haito-Chavez, Yamile ;
Grimm, Ian S. ;
Ismail, Amr ;
Ngamruenphong, Saowanee ;
Bukhari, Majidah ;
Hajiyeva, Gulara ;
Alawad, Ahmad S. ;
Kumbhari, Vivek ;
Khashab, Mouen A. .
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2017, 31 (07) :2946-2952
[6]   A lexicon for endoscopic adverse events: report of an ASGE workshop [J].
Cotton, Peter B. ;
Eisen, Glenn M. ;
Aabakken, Lars ;
Baron, Todd H. ;
Hutter, Matt M. ;
Jacobson, Brian C. ;
Mergener, Klaus ;
Nemcek, Albert, Jr. ;
Petersen, Bret T. ;
Petrini, John L. ;
Pike, Irving M. ;
Rabeneck, Linda ;
Romagnuolo, Joseph ;
Vargo, John J. .
GASTROINTESTINAL ENDOSCOPY, 2010, 71 (03) :446-454
[7]   Endoscopic ultrasound guided gastrojejunostomy [J].
Dawod, Enad ;
Nieto, Jose M. .
TRANSLATIONAL GASTROENTEROLOGY AND HEPATOLOGY, 2018, 3
[8]   Self-expanding metal stents for gastroduodenal malignancies: Systematic review of their clinical effectiveness [J].
Dormann, A ;
Meisner, S ;
Verin, N ;
Lang, AW .
ENDOSCOPY, 2004, 36 (06) :543-550
[9]   Endoscopic ultrasound-guided entero-enterostomy for the treatment of afferent loop syndrome: a multicenter experience [J].
Gutierrez, Olaya I. Brewer ;
Irani, Shayan S. ;
Ngamruengphong, Saowanee ;
Aridi, Hanaa D. ;
Kunda, Rastislav ;
Siddiqui, Ali ;
Dollhopf, Markus ;
Nieto, Jose ;
Chen, Yen-I ;
Sahar, Nadav ;
Bukhari, Majidah A. ;
Sanaei, Omid ;
Canto, Marcia I. ;
Singh, Vikesh K. ;
Kozarek, Richard ;
Khashab, Mouen A. .
ENDOSCOPY, 2018, 50 (09) :891-895
[10]   Technical review of endoscopic ultrasonography-guided gastroenterostomy in 2017 [J].
Itoi, Takao ;
Baron, Todd H. ;
Khashab, Mouen A. ;
Tsuchiya, Takayoshi ;
Irani, Shayan ;
Dhir, Vinay ;
Teoh, Anthony Yuen Bun .
DIGESTIVE ENDOSCOPY, 2017, 29 (04) :495-502