Endoscopic ultrasound guided-gastroenterostomy is the best choice in the treatment of gastric outlet obstruction

doi:10.4253/wjge.v16.i12.691

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World Journal of Gastrointestinal Endoscopy

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1948-5190

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Letter to the Editor

World J Gastrointest Endosc. Dec 16, 2024; 16(12): 691-693
Published online Dec 16, 2024. doi: 10.4253/wjge.v16.i12.691

Endoscopic ultrasound guided-gastroenterostomy is the best choice in the treatment of gastric outlet obstruction

Mateusz Jagielski

Mateusz Jagielski, Department of General, Gastroenterological and Oncological Surgery, Nicolaus Copernicus University, Toruń 87-100, Kujawsko-Pomorskie, Poland

Author contributions: Jagielski M was responsible for conceptualization; project administration; writing of original draft, review & editing; and final acceptance.

Conflict-of-interest statement: Dr. Jagielski has nothing to disclose.

Corresponding author: Mateusz Jagielski, MD, PhD, Doctor, Lecturer, Professor, Surgeon, Department of General, Gastroenterological and Oncological Surgery, Nicolaus Copernicus University, Sw.Jozef St. 53-59, Toruń 87-100, Kujawsko-Pomorskie, Poland. matjagiel@gmail.com

Received: July 24, 2024
Revised: November 3, 2024
Accepted: December 5, 2024
Published online: December 16, 2024
Processing time: 140 Days and 16 Hours

Core Tip

Core Tip: Gastric outlet obstruction (GOO) developed in up to 20% of patients with advanced hepatopancreatobiliary disease both in benign and malignant form. For this reason, the issue is very current. In this article I present various endoscopic techniques in treatment of patients with GOO. Technical aspects of the endoscopic procedures (surgeon’s view) often differ from the patient’s view (regarding such factors as cancer-related survival, overall survival, body mass composition, nutritional biomarkers, chemotherapy tolerance and patient-reported quality of life). The mentioned factors should be taken into account when interpreting the effectiveness of treatment modalities for malignant GOO, which should be also considered in the future studies in this subject.