PMID- 37958205
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20231122
IS  - 2075-4418 (Print)
IS  - 2075-4418 (Electronic)
IS  - 2075-4418 (Linking)
VI  - 13
IP  - 21
DP  - 2023 Oct 25
TI  - The Role of Luminal Apposing Metal Stents on the Treatment of Malignant and 
      Benign Gastric Outlet Obstruction.
LID - 10.3390/diagnostics13213308 [doi]
LID - 3308
AB  - Gastric outlet obstruction (GOO) is a clinical syndrome traditionally managed by 
      surgical gastrojejunostomy or enteral stenting. The surgical approach is burdened 
      with a high rate of adverse events (AEs), while enteral stenting has a limited 
      long-term clinical effectiveness, with the need for repeat procedures. The 
      availability of lumen-apposing metal stents (LAMSs) has resulted a shift in the 
      treatment paradigm of GOO. Indeed, endoscopists are now able to create a stable 
      anastomosis between the stomach and small bowel under endosonographic guidance. 
      EUS-guided gastro-enteroanastomosis (EUS-GE) has the theoretical advantage of a 
      durable luminal patency resulting from stent placement away from the site of 
      obstruction, free from surgical-related AEs. This approach could be especially 
      valuable in terminally ill patients with a limited life expectancy. The present 
      paper reviews procedural techniques and clinical outcomes of EUS-GE in the 
      context of both malignant and benign GOOs.
FAU - Rimbas, Mihai
AU  - Rimbas M
AD  - Gastroenterology Department, Colentina Clinical Hospital, Carol Davila University 
      of Medicine, 020125 Bucharest, Romania.
FAU - Lau, Kar Wai
AU  - Lau KW
AUID- ORCID: 0000-0003-4399-7202
AD  - Department of Gastroenterology, Royal Stoke University Hospital, Stoke-on-Trent 
      ST4 6QG, UK.
FAU - Tripodi, Giulia
AU  - Tripodi G
AD  - Digestive Endoscopy Unit, Fondazione Policlinico Universitario A. Gemelli, IRCCS, 
      00168 Rome, Italy.
FAU - Rizzatti, Gianenrico
AU  - Rizzatti G
AUID- ORCID: 0000-0003-1876-7587
AD  - Digestive Endoscopy Unit, Fondazione Policlinico Universitario A. Gemelli, IRCCS, 
      00168 Rome, Italy.
FAU - Larghi, Alberto
AU  - Larghi A
AD  - Digestive Endoscopy Unit, Fondazione Policlinico Universitario A. Gemelli, IRCCS, 
      00168 Rome, Italy.
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20231025
PL  - Switzerland
TA  - Diagnostics (Basel)
JT  - Diagnostics (Basel, Switzerland)
JID - 101658402
PMC - PMC10648116
OTO - NOTNLM
OT  - LAMS
OT  - duodenal stenting
OT  - gastric outlet obstruction
OT  - lumen-apposing metal stents
OT  - surgical gastrojejunostomy
COIS- A.L. has been a consultant for Boston Scientific Corp., Pentax Medical, and M.I. 
      Tech, and has received teaching fees from Taewong Medical and research support 
      from Medtronic. The remaining authors declare no conflict of interest.
EDAT- 2023/11/14 06:42
MHDA- 2023/11/14 06:43
PMCR- 2023/10/25
CRDT- 2023/11/14 02:06
PHST- 2023/09/16 00:00 [received]
PHST- 2023/10/01 00:00 [revised]
PHST- 2023/10/24 00:00 [accepted]
PHST- 2023/11/14 06:43 [medline]
PHST- 2023/11/14 06:42 [pubmed]
PHST- 2023/11/14 02:06 [entrez]
PHST- 2023/10/25 00:00 [pmc-release]
AID - diagnostics13213308 [pii]
AID - diagnostics-13-03308 [pii]
AID - 10.3390/diagnostics13213308 [doi]
PST - epublish
SO  - Diagnostics (Basel). 2023 Oct 25;13(21):3308. doi: 10.3390/diagnostics13213308.