Published online Jan 16, 2025. doi: 10.4253/wjge.v17.i1.100472
Revised: December 23, 2024
Accepted: January 15, 2025
Published online: January 16, 2025
Processing time: 151 Days and 23.2 Hours
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.