Teoh Anthony Yuen Bun, Chan Shannon Melissa, Yip Hon Chi
Surgery Centre, Hong Kong Sanatorium and Hospital, Hong Kong SAR, China.
Department of Surgery, Prince of Wales Hospital, Chinese University of Hong Kong, Hong Kong SAR, China.
Dig Endosc. 2025 Jan;37(1):77-84. doi: 10.1111/den.14929. Epub 2024 Oct 6.
Gastrojejunostomy is a critical procedure for managing gastric outlet obstruction. While surgical gastrojejunostomy has traditionally been the standard approach, endoscopic ultrasound (EUS)-guided gastroenterostomy has emerged as a promising endoscopic alternative. This comprehensive review aims to explore the development, techniques, outcomes, and comparative effectiveness of EUS-guided gastroenterostomy in comparison to duodenal stenting and surgical gastrojejunostomy.
A comprehensive literature search was conducted using electronic databases to identify relevant studies published up to April 2024. The search included keywords related to EUS-guided gastrojejunostomy, surgical gastrojejunostomy, and duodenal stenting. Studies reporting on technical success, clinical success, complications, recurrence rates, quality of life, and long-term outcomes were included for analysis.
The development of EUS-guided gastroenterostomy has evolved significantly over the years, driven by device advancements and improved endoscopic techniques. Comparative studies have shown that the technique offers several advantages, including the ability to create an anastomosis without the need for surgery, reduced invasiveness, shorter hospital stays, and potentially improved patient outcomes as compared to duodenal stenting and surgical gastrojejunostomy.
Endoscopic ultrasound-guided gastroenterostomy represents a promising alternative to surgical gastrojejunostomy and duodenal stenting for the management of gastric outlet obstruction. The technique has evolved significantly, offering a less invasive and more effective treatment option.
胃空肠吻合术是治疗胃出口梗阻的关键手术。传统上，外科胃空肠吻合术一直是标准术式，而内镜超声（EUS）引导下胃肠吻合术已成为一种有前景的内镜替代方法。本综述旨在探讨EUS引导下胃肠吻合术与十二指肠支架置入术和外科胃空肠吻合术相比的发展、技术、结果及比较有效性。
利用电子数据库进行全面的文献检索，以识别截至2024年4月发表的相关研究。检索词包括与EUS引导下胃肠吻合术、外科胃空肠吻合术和十二指肠支架置入术相关的关键词。纳入报告技术成功率、临床成功率、并发症、复发率、生活质量和长期结果的研究进行分析。
多年来，在设备进步和内镜技术改进的推动下，EUS引导下胃肠吻合术有了显著发展。比较研究表明，该技术具有多种优势，包括无需手术即可创建吻合口、侵入性降低、住院时间缩短，与十二指肠支架置入术和外科胃空肠吻合术相比，患者预后可能改善。
内镜超声引导下胃肠吻合术是治疗胃出口梗阻的外科胃空肠吻合术和十二指肠支架置入术的一种有前景的替代方法。该技术已取得显著进展，提供了一种侵入性较小且更有效的治疗选择。
