Endoscopic Ultrasonography-guided Gastrojejunostomy for Patients with Gastric Outlet Obstruction and Pyloric Metal Stent Dysfunction

A 52-year-old woman with a gastric outlet obstruction (GOO) caused by pyloric cancer underwent pyloric endoscopic self-expandable metal stent (SEMS) insertion. She presented with abdominal distension 40 days later. The SEMS was dysfunctional, and endoscopic ultrasound-guided gastrojejunostomy (EUS-G...

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Bibliographic Details
Published inThe Korean journal of gastroenterology Vol. 79; no. 6; pp. 260 - 264
Main Authors Kim, Byung Sun, Yang, Sung Yeol, Lee, Won Dong, Song, Jae Sun, Yang, Min A, Jung, Gum Mo, Cho, Jin Woong, Kim, Ji Woong
Format Journal Article
LanguageEnglish
Published Jin Publishing & Printing Co 25.06.2022
대한소화기학회
Subjects
endosonography
gastric outlet obstruction
gastroenterostomy
pyloric stenosis
stents
내과학
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ISSN1598-9992
2233-6869
DOI10.4166/kjg.2022.045

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Summary:A 52-year-old woman with a gastric outlet obstruction (GOO) caused by pyloric cancer underwent pyloric endoscopic self-expandable metal stent (SEMS) insertion. She presented with abdominal distension 40 days later. The SEMS was dysfunctional, and endoscopic ultrasound-guided gastrojejunostomy (EUS-GJ) was performed using an endoscopic nasobiliary drainage tube. A 16 mm×31 mm Niti-S ™ HOT SPAXUS™ (TaeWoong Medical, Gimpo, Korea) was inserted successfully between the stomach and the adjacent jejunum. After the procedure, the patient had a good oral intake for more than seven months. GOO is a mechanical obstructive condition caused by various benign and malignant conditions. Traditionally, surgical GJ and SEMS insertion have been used to treat GOOs. EUS-GJ is a feasible treatment option for patients with GOO and a pyloric metal stent dysfunction.
ISSN:1598-9992
2233-6869
DOI:10.4166/kjg.2022.045