Can endoscopic ultrasound-guided gastroenterostomy be used as a first-line modality for endoscopic management of malignant gastric outlet obstruction?

Abstract

We congratulate Kastelijn et al. on their manuscript entitled, “Patency of endoscopic ultrasound-guided gastroenterostomy in the treatment of malignant gastric outlet obstruction” [1]. This is an international multicenter study to evaluate the feasibility and safety of a novel, minimally invasive endoscopic procedure, endoscopic ultrasound-guided gastroenterostomy (EUS-GE). Although the authors report both high rates of technical success and stent patency, they also note a relatively high number of adverse events (AEs) compared to prior reports [2]. Our comments address this high AE rate and attempt to clarify the role of EUS-GE in management of malignant gastric outlet obstruction (GOO). Publication Date: 19 February 2021 (online) © 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/) Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, Germany