Gastrojejunostomy and endoscopic stenting effective for Gastric outlet obstruction: Study
Both Gastrojejunostomy (GJ) and endoscopic stenting (ES) are safe and effective intervention modalities for malignant Gastric outlet obstruction (GOO), according to a recent study published in the American Journal of Surgery.
Gastric outlet obstruction (GOO) is a recognized common complication in patients with upper gastrointestinal cancer. The incidence of pancreatic cancer is 7.1 cases per 100,000 people, and about 15–20% of these patients develop GOO.2 In addition, GOO is also one of the typical clinical symptoms of advanced gastric cancer. GOO is typically accompanied by severe nausea, vomiting, bloating, and malnutrition, significantly impacting patients' survival and quality of life.3 Since most patients suffer from locally advanced or metastatic cancers and have a poor prognosis, the main objectives of palliative treatment are to improve the general condition of patients, re-establish an oral intake quickly, with minimal complications, and without compromising survival.
This study aimed to determine the optimal intervention modality for malignant GOO by comparing clinical outcomes after Gastrojejunostomy and endoscopic stenting. Two authors independently searched Web of Science, PubMed, Embase, and the Cochrane Library for articles before February 2021 to compare the clinical outcomes of GOO patients undergoing GJ or ES.
The Results of the study are as follows:
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