International multicenter comparative trial of endoscopic ultrasonography-guided gastroenterostomy versus surgical gastrojejunostomy for the treatment of malignant gastric outlet obstruction
| العنوان: | International multicenter comparative trial of endoscopic ultrasonography-guided gastroenterostomy versus surgical gastrojejunostomy for the treatment of malignant gastric outlet obstruction |
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| المؤلفون: | Vivek Kumbhari, Ahmad S. Alawad, Saowanee Ngamruengphong, Yen-I. Chen, Yamile Haito Chavez, Todd H. Baron, Takao Itoi, Mouen A. Khashab, Jose Nieto, Majidah Bukhari, Mohamad H. El Zein |
| المصدر: | Endoscopy International Open Endoscopy International Open, Vol 05, Iss 04, Pp E275-E281 (2017) |
| سنة النشر: | 2017 |
| مصطلحات موضوعية: | medicine.medical_specialty, Original article, business.industry, medicine.medical_treatment, Lumen (anatomy), Gastric outlet obstruction, Endoscopic ultrasonography, Comparative trial, medicine.disease, Gastroenterostomy, digestive system diseases, Surgery, Peritoneal carcinomatosis, 03 medical and health sciences, 0302 clinical medicine, 030220 oncology & carcinogenesis, medicine, lcsh:Diseases of the digestive system. Gastroenterology, 030211 gastroenterology & hepatology, Pharmacology (medical), In patient, lcsh:RC799-869, business, Adverse effect |
| الوصف: | Background and study aims EUS-guided gastroenterostomy (EUS-GE) is a novel procedure that potentially offers long-lasting luminal patency without the risk of tumor ingrowth/overgrowth. This study compared the clinical success, technical success, adverse events (AEs), length of hospital stay (LOHS) and symptom recurrence in EUS-GE versus SGJ. Methods This was a multicenter international retrospective comparative study of EUS-GE and SGJ in patients with malignant gastric outlet obstruction (GOO) who underwent either EUS-GE or SGJ. EUS-GE was performed using lumen apposing metal stents. Results A total of 93 patients with malignant GOO treated with either EUS-GE (n = 30) or SGJ (n = 63) were identified. Peritoneal carcinomatosis was present in 13 (43 %) patients in the EUS-GE group and 7 (11 %) patients in the SGJ group (P Conclusions EUS-GE is associated with equivalent efficacy and safety as compared to surgical GJ. This is the first comparative trial between both techniques and suggests EUS-GE as a non-inferior but less invasive alter to surgery. |
| تدمد: | 2364-3722 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::b6dd647e3db4f2df2bf46ec626d39cac https://pubmed.ncbi.nlm.nih.gov/28382326 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....b6dd647e3db4f2df2bf46ec626d39cac |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 23643722 |
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