Practical guide to duodenal stenting for gastric outlet obstruction: Clinical outcomes, selection criteria, placement techniques, and management strategies

doi:10.4253/wjge.v17.i6.107189

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Jun 16, 2025 (publication date) through Jun 11, 2025

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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

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World J Gastrointest Endosc. Jun 16, 2025; 17(6): 107189
Published online Jun 16, 2025. doi: 10.4253/wjge.v17.i6.107189

Practical guide to duodenal stenting for gastric outlet obstruction: Clinical outcomes, selection criteria, placement techniques, and management strategies

Sakue Masuda, Chikamasa Ichita, Kazuya Koizumi

Sakue Masuda, Chikamasa Ichita, Kazuya Koizumi, Department of Gastroenterology, Shonan Kamakura General Hospital, Kanagawa 247-8533, Japan

Author contributions: Masuda S was major contributors to writing the manuscript; Ichita C and Koizumi K designed the outline and coordinated the writing of the manuscript; Ichita C and Koizumi K provided input for writing the paper.

Conflict-of-interest statement: The authors declare no conflict of interests for this article.

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: Sakue Masuda, MD, Department of Gastroenterology, Shonan Kamakura General Hospital, 1370-1 Okamoto, Kanagawa 247-8533, Japan. sakue.masuda@tokushukai.jp

Received: March 18, 2025
Revised: April 18, 2025
Accepted: May 16, 2025
Published online: June 16, 2025
Processing time: 85 Days and 20.1 Hours

Core Tip

Core Tip: Duodenal stenting is a widely used palliative treatment for gastric outlet obstruction (GOO), offering early oral intake and shorter hospitalization compared to surgical bypass. However, long-term outcomes are impacted by stent occlusion, migration, and other complications. This review comprehensively compares duodenal stenting with surgical gastrojejunostomy and endoscopic ultrasound-guided gastroenterostomy, providing insights into optimal stent selection, placement techniques, post-procedural management, and troubleshooting strategies. By addressing key clinical challenges and areas requiring further research, this review serves as a practical guide to optimizing duodenal stenting for GOO in real-world practice.