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Five-year Progress of Gastric MALT Lymphoma Presenting as Gastric Outlet Obstruction

Gu H, Cheung DY, Seo YJ, Lee E, Lee HH, Kim JI, Park SH, Kim TJ

This paper reports a 70-year-old female with gastric extranodal marginal zone B cell lymphoma of mucosa-associated lymphoid tissue (gastric MALT lymphoma) as a rare case of gastric outlet obstruction. Five...
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No difference in outcomes with 15 mm vs. 20 mm lumen-apposing metal stents for endoscopic ultrasound-guided gastroenterostomy for gastric outlet obstruction: a meta-analysis

Vedantam S, Shah R, Bhalla S, Kumar S, Amin S

Background/Aims: We compared outcomes between use of 15 vs. 20 mm lumen-apposing metal stents (LAMSs) in endoscopic ultrasound-guided gastroenterostomy (EUS-GE) for gastric outlet obstruction. Methods: Databases were queried for studies that...
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New frontiers for therapeutic endoscopic ultrasound in children

Balassone V, Faraci S, Imondi C, Angelis PD, Caldaro T, Dall’Oglio L

Therapeutic endoscopic ultrasound is a well-established tool for several gastrointestinal disorders in adults. Diffusion in children is still limited but it can represent an effective, non-invasive option. A selection of...
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Gastric Outlet Obstruction: Current Status and Future Directions

Papanikolaou IS, Siersema PD

Gastric outlet obstruction (GOO) is a relatively common condition in which mechanical obstruction of the pylorus, distal stomach, or duodenum causes severe symptoms such as nausea, vomiting, abdominal pain, and...
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Endoscopic ultrasound-guided gastroenterostomy (gastroenteric anastomosis)

Oliveira JFd, Franco MC, Rodela G, Maluf-Filho F, Martins BC

Endoscopic ultrasound-guided gastroenterostomy (EUS-GE) has emerged as a promising minimally invasive technique for patients with gastric outlet obstruction (GOO), regardless of whether a benign or malignant condition impedes gastric emptying....
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Endoscopic Ultrasonography-guided Gastrojejunostomy for Patients with Gastric Outlet Obstruction and Pyloric Metal Stent Dysfunction

Kim BS, Yang SY, Lee WD, Song JS, Yang MA, Jung GM, Cho JW, Kim JW

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...
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Annular Pancreas: A Rare Cause of Upper Gastrointestinal Bleeding in Adults

Kweun JA, Kang HM, Kim JE, Park SJ

Annular pancreas is a rare congenital anomaly in which a thin band of pancreatic tissue partially or completely surrounds the duodenum. It is challenging to diagnose due to its variable clinical...
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Optimal Management of Gastric Outlet Obstruction in Unresectable Malignancies

Cheung SLH, Bun Teoh AY

The aim of this article is to review the different treatment options for malignant gastric outlet obstruction (GOO) and compare their safety and efficacy. We describe the history and evolution...
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Pediatric Crohn’s disease with severe morbidity manifested by gastric outlet obstruction: two cases report and review of the literature

Kim ES, Park JH, Choe YH, Kim MJ

Crohn’s disease (CD) presenting as gastric outlet obstruction is rare but serious clinical presentation of CD causing severe morbidity. However, there have been few case reports concerning this disorder in...
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Early Lumen-Apposing Metal Stent Dysfunction Complicating Endoscopic Ultrasound-Guided Gastroenterostomy: A Report of Two Cases

Kastelijn JB, Van der Voort V, Bijlsma A, Moons LMG, Schwartz MP, Vleggaar FP

Endoscopic ultrasonography-guided gastroenterostomy using a lumen-apposing metal stent has emerged as a novel technique in the palliative treatment of malignant gastric outlet obstruction. Endoscopic ultrasonography-guided gastroenterostomy seems to have the...
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Fluoroscopy-guided gastrojejunostomy: A work in progress

Li J, Gong T, Tsauo J

Surgical gastrojejunostomy (GJ) has traditionally been the mainstay of treatment for malignant gastric outlet obstruction (GOO). However, most patients preferentially choose to undergo self-expandable metal stent (SEMS) placement due to...
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Surgical Outcomes and Survival Prognostic Factors for Palliative Gastrectomies in Stage IV Resectable Gastric Cancer Outlet Obstruction Patients

Choi WY, Kim HI, Park SH, Yeom JH, Jeon WJ, Kim MG

Purpose: Currently, there is no clear evidence to support any specific treatment as a principal therapy for stage IV gastric cancer outlet obstruction (GCOO) patients. This study evaluated the outcomes...
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Recent developments in endoscopic ultrasonography-guided gastroenterostomy

Yamamoto K, Itoi T

Gastric outlet obstruction (GOO) can be caused by benign and malignant diseases. GOO often leads to a decreased quality of life, because of nausea, vomiting, and problems with oral food...
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Eosinophilic gastroenteritis in a child with gastric outlet obstruction mimicking superior mesenteric artery syndrome

Jin JY, Hwang SM, Kim JW, Cho KY

Eosinophilic gastroenteritis (EGE) is known to have a low incidence among the pediatric population, but it can result in serious complications, such as gastric outlet obstruction. In previously published EGE...
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Endoscopic Ultrasonography-Guided Gastroenterostomy Techniques for Treatment of Malignant Gastric Outlet Obstruction

Tonozuka R, Tsuchiya T, Mukai S, Nagakawa Y, Itoi T

Gastric outlet obstruction (GOO) can be caused by periampullary malignancies and often leads to a reduction in a patient’s quality of life. Recently, endoscopic ultrasonography-guided gastroenterostomy (EUS-GE) using a lumen-apposing...
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Gastric Adenocarcinoma Arising from Heterotopic Pancreas Presenting as Gastric Outlet Obstruction 10 Years after the First Diagnosis

Jung HS, Lee J, Nam KH, Jeong SJ, Oh EH, Park YE, Park J, Kim TO

Gastric heterotopic pancreas is a relatively uncommon incidental finding. On the other hand, the presentation of gastric adenocarcinoma arising from a heterotopic pancreas is rare. This paper reports a case...
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A Man with Dysphagia after Cervical Esophagogastrostomy: A Case Report

Sung WJ, Hong BY, Kim JS, Lee JJ, Yoo JW, Lim SH

Dysphagia caused by a functional gastric outlet obstruction is rare and the natural course of a functional gastric outlet obstruction is unclear. This paper reports a patient with dysphagia and...
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Endoscopic Management of Combined Biliary and Duodenal Obstruction

Nabi Z, Reddy DN

Combined obstruction of the bile duct and duodenum is a common occurrence in periampullary malignancies. The obstruction of gastric outlet or duodenum can follow, occur simultaneously, or precede biliary obstruction....
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Endoscopic Balloon Dilation for Treatment of Congenital Antral Web

Peck J, Khalaf R, Marth R, Phen C, Sosa R, Cordero FB, Wilsey M

Congenital antral webs are a rare but relevant cause of gastric outlet obstruction in infants and children. The condition may lead to feeding refusal, vomiting, and poor growth. Due to...
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The vanishing stent: Repeated fracture and dissolution of nitinol gastric stents in a long term cancer survivor

Randle Lunt C, Najaran P, Edwards DE, Bell JK, Mullan D, Laasch HU

Nitinol self expandable metal stents are increasingly utilised for malignant obstruction in the proximal gastrointestinal tract. We describe a case in which repeated fracture of proximal duodenal stents with dissolution...
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