ASGE Annual Postgraduate Course: Clinical Challenges and Real-Time Decision Making in GI Endoscopy (Live and Virtual) | May 2023-ASGE Guideline on the Role of Endoscopy in the Management of Benign and Malignant Gastroduodenal Obstruction

ASGE Guideline on the Role of Endoscopy in the Management of Benign and Malignant Gastroduodenal Obstruction

Pdf Summary

The American Society for Gastrointestinal Endoscopy (ASGE) has released a guideline on endoscopic management of gastroduodenal obstruction. Key findings include: malignancy is the leading cause of obstruction, both self-expandable metallic stents (SEMS) and surgical gastrojejunostomy can be considered for palliative intervention in malignant obstruction, endoscopic management is an alternative for benign obstruction, there is insufficient evidence to recommend covered SEMS over uncovered SEMS, and more research is needed on EUS-guided gastroenterostomy. A systematic review found both covered and uncovered SEMS effective in relieving malignant obstruction, with no significant difference in outcomes. More research is needed on stent adverse events and the management of benign obstruction.

Meta Tag

Disease Gastric Outlet Obstruction

Disease Gastric Cancer

Disease Peptic Ulcer Disease

Disease Gastroduodenal Outlet Obstruction

Instrument & Accessory Used Self Expanding Metal Stent (SEMS)

Organ & Anatomy Stomach

Organ & Anatomy Small Intestine

Organ & Anatomy Duodenum

Organ & Anatomy Pancreatic Duct

Procedure EGD with Stent Placement

Procedure Surgical Gastrojejunostomy

Keywords

ASGE

endoscopic management

gastroduodenal obstruction

malignancy

SEMS

palliative intervention

benign obstruction

covered SEMS

uncovered SEMS

EUS-guided gastroenterostomy