More recently, endoscopic ultrasound (EUS)-guided GJ has emerged as a potential alternative to traditional surgical and endoscopic approaches. This review focuses on the new advances and technical aspects of EUS-GJ and clinical outcomes in the management of both benign and malignant disease.

2018年11月3日 · EUS-GJ involves obtaining access to the jejunum endoscopically and sonographically from the stomach, using a biflanged lumen apposing metal stent (LAMS). This is achieved through a newly formed fistulous tract. Thus creating a gastrojejunal bypass fully endoscopically. EUS-GJ has been validated in several animal studies and in some case series ...

Recently, the fully endoscopic creation of a gastrojejunal bypass (endoscopic ultrasound-guided gastrojejunostomy, or EUS-GJ) has emerged as a therapeutic option. This procedure involves locating the jejunum endosonographically from inside the stomach and placing a dedicated biflanged lumen-apposing metal stent (LAMS) across a newly formed ...

2017年12月4日 · Endoscopic ultrasound-guided gastrojejunostomy (EUS-GJ) is a procedure in which physicians use an endoscope equipped with an ultrasound, camera, and electrocautery-enhanced lumen-apposing, self-expanding metal stent to create an anastomosis between the stomach wall and part of the small bowel loop beyond the area of blockage.

2024年6月3日 · Endoscopic ultrasound-guided gastrojejunostomy (EUS-GJ) has been well utilized in treating malignant gastric outlet obstructions (GOO) given its efficacy and lower risk profile compared to surgery. However, its efficacy and potential for use in patients with benign GOO who are poor surgical candidates is not well documented.

2024年9月10日 · Endoscopic ultrasound-guided gastrojejunostomy (EUS-GJ) is an alternative to duodenal stenting and surgical GJ (SGGJ) in malignant gastric outlet obstruction (MGOO). European Society of Gastrointestinal Endoscopy guidelines restricted EUS-GJ for MGOO only, because of misdeployment. The aim was to evaluate its outcomes focusing on benign ...

To combat some of the limitations of ES and S-GJ, endoscopic ultrasound-guided GJ (EUS-GJ) has been developed as an additional application of lumen-apposing metal stents (LAMS). EUS-GJ involves the creation of a bypass around the obstructing lesion using a LAMS without subjecting patients to the high morbidity and mortality of surgery.

2018年11月3日 · EUS-GJ involves obtaining access to the jejunum endoscopically and sonographically from the stomach, using a biflanged lumen apposing metal stent (LAMS). This is achieved through a newly formed fistulous tract.

EUS-GJ is an emerging procedure that has efficacy and safety comparable with those of current therapies and should hold a place as a new minimally invasive option for patients with gastric outlet obstruction.

Endoscopic ultrasound guided gastrojejunostomy (EUS-GJ) with lumen apposing metal stents has recently emerged as a viable option, as an alternative to surgical gastrojejunostomy and endoscopic enteral stenting, for managing gastric outlet obstruction (GOO).