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©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Endosc. Nov 16, 2024; 16(11): 587-594
Published online Nov 16, 2024. doi: 10.4253/wjge.v16.i11.587
Published online Nov 16, 2024. doi: 10.4253/wjge.v16.i11.587
Treatment of choice for malignant gastric outlet obstruction: More than clearing the road
Li Jiang, Department of Biliary-Pancreatic Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, Hubei Province, China
Xiao-Ping Chen, Hepatic Surgery Center, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430000, Hubei Province, China
Author contributions: Chen XP designed the study, reviewed and edited the manuscript; Jiang L performed the research and wrote the original draft.
Conflict-of-interest statement: The authors have no conflicts of interest to declare.
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: Xiao-Ping Chen, MD, PhD, Chief, Chief Doctor, Dean, Director, Professor, Hepatic Surgery Center, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, No. 1095 Jiefang Avenue, Wuhan 430000, Hubei Province, China. chenxpchenxp@163.com
Received: August 10, 2024
Revised: October 2, 2024
Accepted: October 20, 2024
Published online: November 16, 2024
Processing time: 80 Days and 11.5 Hours
Revised: October 2, 2024
Accepted: October 20, 2024
Published online: November 16, 2024
Processing time: 80 Days and 11.5 Hours
Core Tip
Core Tip: The original idea for malignant gastric outlet obstruction (mGOO) treatment involves bypassing the obstruction via surgical gastroenterostomy or reopening the passage via endoscopic stenting. Substantial morbidity and only partial relief from conventional procedures have prompted modified procedures, such as endoscopic ultrasound-guided gastroenterostomy and stomach-partitioning gastrojejunostomy, for which there is limited evidence for synthesis. Notably, mGOO is usually accompanied by a variety of pathological conditions that can result in presentations similar to or the same as those of mGOO. A multidisciplinary approach should be adopted for decision-making in treatment plans.