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      EUS-guided gastroenterostomy: the first U.S. clinical experience (with video).

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          Abstract

          There are limitations to enteral self-expandable metal stents and surgical gastrojejunostomy in the treatment of patients with gastric outlet obstruction (GOO). EUS-guided gastroenterostomy (EUS-GE) is a novel procedure that potentially offers long-lasting luminal patency without the risk of tumor ingrowth and/or overgrowth, while avoiding the morbidity of a surgical procedure. The aims of this study were to report the first U.S. clinical experience with EUS-GE in terms of technical success, clinical success, and adverse events and to detail the technical aspects of performing EUS-GE.

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          Author and article information

          Journal
          Gastrointest. Endosc.
          Gastrointestinal endoscopy
          Elsevier BV
          1097-6779
          0016-5107
          Nov 2015
          : 82
          : 5
          Affiliations
          [1 ] Department of Medicine and Division of Gastroenterology and Hepatology, The Johns Hopkins Medical Institutions, Baltimore, Maryland, USA.
          [2 ] Division of Gastroenterology and Hepatology, University of North Carolina, Chapel Hill, North Carolina, USA.
          Article
          S0016-5107(15)02544-4
          10.1016/j.gie.2015.06.017
          26215646
          8bae4dbb-fb80-47dc-9f5b-c162188d2871
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