Govindarajan KK. Revisiting malignant gastric outlet obstruction: Where do we stand? World J Gastrointest Endosc 2025; 17(1): 100472 [DOI: 10.4253/wjge.v17.i1.100472]
Corresponding Author of This Article
Krishna Kumar Govindarajan, FACS, FICS, MBBS, MCh, MNAMS, MS, Professor, Department of Pediatric Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Dhanvantri Nagar, Pondicherry 605006, India. sasisang@rediffmail.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Editorial
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Endosc. Jan 16, 2025; 17(1): 100472 Published online Jan 16, 2025. doi: 10.4253/wjge.v17.i1.100472
Revisiting malignant gastric outlet obstruction: Where do we stand?
Krishna Kumar Govindarajan
Krishna Kumar Govindarajan, Department of Pediatric Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry 605006, India
Author contributions: Govindarajan KK composed and reviewed.
Conflict-of-interest statement: No conflict of interest declared.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Krishna Kumar Govindarajan, FACS, FICS, MBBS, MCh, MNAMS, MS, Professor, Department of Pediatric Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Dhanvantri Nagar, Pondicherry 605006, India. sasisang@rediffmail.com
Received: August 20, 2024 Revised: December 23, 2024 Accepted: January 15, 2025 Published online: January 16, 2025 Processing time: 151 Days and 23.2 Hours
Abstract
The scope of management of malignant gastric outlet obstruction is ever-expanding. The therapeutic use of endoscopy is gaining popularity not just owing to its technical advancement and satisfactory patient outcomes. With technical success rates close to 96%, stent placement for palliating gastric obstruction has ensured a median survival of about 2 months post-deployment of gastro-duodenal stents. Understanding the correct concept of palliation is the need of the hour in management. Identifying the right patient for palliation, selecting the appropriate intervention and auditing the outcome are vital in delivering optimal care. Also, newer procedures such as endoscopic gastro-enterostomy offer promising outcomes in palliative care.
Core Tip: Decision on management of malignant gastric outlet obstruction needs to take into account the questions-why, when and how. The endoscopic management requires to be tailored to the patients’ needs to provide the optimal palliation.
