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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World Journal of Gastrointestinal Endoscopy

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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

Kazuya Koizumi, Chikamasa Ichita, Sakue Masuda

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.

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 22.2 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.