ASGE Annual Postgraduate Course: Clinical Challenges and Real-Time Decision Making in GI Endoscopy (On-demand) | 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 endoscopy in the management of gastroduodenal obstruction. The guideline addresses the role of endoscopy in both benign and malignant cases, and provides evidence-based recommendations for treatment. For patients with incurable malignant obstruction, either self-expandable metal stents (SEMS) or surgical gastrojejunostomy (GJ) can be used based on patient characteristics and local expertise. There is no clear preference for covered or uncovered SEMS in palliative endoscopic stent placement. For benign obstruction, there is insufficient evidence to recommend endoscopic management over surgery. The review emphasizes the need for further research and individualized decision-making based on patient characteristics and preferences.

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

American Society for Gastrointestinal Endoscopy

endoscopy

management

gastroduodenal obstruction

guideline

benign cases

malignant cases

evidence-based recommendations

self-expandable metal stents

surgical gastrojejunostomy