본문 바로가기
KERD
논문KCI 등재

Gastric Outlet Obstruction: Current Status and Future Directions

Papanikolaou Ioannis S.|Siersema Peter D.
거트앤리버 소화기연관학회협의회|2022.09|Gut and Liver|제16권 제5호|pp. 667-675|DOI 10.5009/gnl210327

2

조회

0

다운로드

1

인용

0

참고문헌

키워드

Gastric outlet obstructionGastroenterostomySelf expandable metal stentGastric outlet stenosisEndoscopic ultrasound-guided gastroenterostomy

초록

Gastric outlet obstruction (GOO) is a relatively common condition in which mechanical obstruction of the pylorus, distal stomach, or duodenum causes severe symptoms such as nausea, vomiting, abdominal pain, and early satiety. Its etiology includes both benign and malignant disorders. Currently, GOO has many treatment options, including initial conservative therapeutic protocols and more invasive procedures, such as surgical gastroenterostomy, stent placement and, the most recently implemented procedure, endoscopic ultrasound-guided gastroenterostomy (EUSGE). Each procedure has its merits, with surgery often prevailing in patients with longer life expectancy and stents being used most often in patients with malignant gastric outlet stenosis. The newly developed EUS-GE combines the immediate effect of stents and the long-term efficacy of gastroenterostomy. However, this novel method is a technically demanding process that requires expert experience and special facilities. Thus, the true clinical effectiveness, as well as the duration of the effects of EUS-GE, still need to be determined.

Abstract

Gastric outlet obstruction (GOO) is a relatively common condition in which mechanical obstruction of the pylorus, distal stomach, or duodenum causes severe symptoms such as nausea, vomiting, abdominal pain, and early satiety. Its etiology includes both benign and malignant disorders. Currently, GOO has many treatment options, including initial conservative therapeutic protocols and more invasive procedures, such as surgical gastroenterostomy, stent placement and, the most recently implemented procedure, endoscopic ultrasound-guided gastroenterostomy (EUSGE). Each procedure has its merits, with surgery often prevailing in patients with longer life expectancy and stents being used most often in patients with malignant gastric outlet stenosis. The newly developed EUS-GE combines the immediate effect of stents and the long-term efficacy of gastroenterostomy. However, this novel method is a technically demanding process that requires expert experience and special facilities. Thus, the true clinical effectiveness, as well as the duration of the effects of EUS-GE, still need to be determined.

참고문헌 (41)

  1. Brimhall B, "Enteral stents for malignant gastric outlet obstruction", Gastrointest Endosc Clin N Am, 21, pp.389~403 (2011)
  2. Koop AH, "Gastric outlet obstruction : a red flag, potentially manageable", Cleve Clin J Med, 86, pp.345~353 (2019)
  3. Zheng B, "Endoscopic stenting versus gastrojejunostomy for palliation of malignant gastric outlet obstruction", Dig Endosc, 24, pp.71~78 (2012)
  4. Iqbal U, "EUS-guided gastroenterostomy for the management of gastric outlet obstruction : a systematic review and meta-analysis", Endosc Ultrasound, 9, pp.16~23 (2020)
  5. Chandan S, "EUS-guided gastroenterostomy versus enteral stenting for gastric outlet obstruction : systematic review and meta-analysis", Endosc Int Open, 9, pp.E496~E504 (2021)
  6. Kumar A, "Stat-Pearls" (2022), StatPearls Publishing
  7. Jeong SJ, "Management of gastric outlet obstruction : focusing on endoscopic approach", World J Gastrointest Pharmacol Ther, 11, pp.8~16 (2020)
  8. Tantillo K, "No way out : causes of duodenal and gastric outlet obstruction", Clin Imaging, 65, pp.37~46 (2020)
  9. Upchurch E, "Stent placement versus surgical palliation for adults with malignant gastric outlet obstruction", Cochrane Database Syst Rev, 5, pp.CD012506~ (2018)
  10. Potz BA, "Surgical palliation of gastric outlet obstruction in advanced malignancy", World J Gastrointest Surg, 8, pp.545~555 (2016)
  11. Dada SA, "Miscellaneous disorders and their management in gastric surgery : volvulus, carcinoid, lymphoma, gastric varices, and gastric outlet obstruction", Surg Clin North Am, 91, pp.1123~1130 (2011)
  12. Cheung Stephanie Lok Hang, "Optimal Management of Gastric Outlet Obstruction in Unresectable Malignancies", Gut and Liver, 16(2), pp.190~197 (2022), 거트앤리버 소화기연관학회협의회[DOI]
  13. Khashab MA, "International multicenter comparative trial of endoscopic ultrasonography-guided gastroenterostomy versus surgical gastrojejunostomy for the treatment of malignant gastric outlet obstruction", Endosc Int Open, 5, pp.E275~E281 (2017)
  14. Manuel-Vázquez A, "Laparoscopic gastrojejunostomy for gastric outlet obstruction in patients with unresectable hepatopancreatobiliary cancers : a personal series and systematic review of the literature", World J Gastroenterol, 24, pp.1978~1988 (2018)
  15. Tringali A, "Endoscopic management of gastric outlet obstruction disease", Ann Gastroenterol, 32, pp.330~337 (2019)
  16. Miyazaki Y, "Treatment of gastric outlet obstruction that results from unresectable gastric cancer : current evidence", World J Gastrointest Endosc, 8, pp.165~172 (2016)
  17. van Halsema EE, "Selfexpandable metal stents for malignant gastric outlet obstruction : a pooled analysis of prospective literature", World J Gastroenterol, 21, pp.12468~12481 (2015)
  18. Troncone E, "Malignant gastric outlet obstruction : which is the best therapeutic option", World J Gastroenterol, 26, pp.1847~1860 (2020)
  19. Pan YM, "Covered versus uncovered self-expandable metallic stents for palliation of malignant gastric outlet obstruction : a systematic review and meta-analysis", BMC Gastroenterol, 14, pp.170~ (2014)
  20. Hamada T, "Covered versus uncovered metal stents for malignant gastric outlet obstruction : systematic review and meta-analysis", Dig Endosc, 29, pp.259~271 (2017)
  21. Tringali A, "Covered versus uncovered metal stents for malignant gastric outlet obstruction : a systematic review and metaanalysis", Gastrointest Endosc, 92, pp.1153~1163 (2020)
  22. Minata MK, "Stents and surgical interventions in the palliation of gastric outlet obstruction : a systematic review", Endosc Int Open, 4, pp.E1158~E1170 (2016)
  23. Nakai Y, "Endoscopic management of combined malignant biliary and gastric outlet obstruction", Dig Endosc, 29, pp.16~25 (2017)
  24. McCarty TR, "Efficacy and safety of EUS-guided gastroenterostomy for benign and malignant gastric outlet obstruction : a systematic review and meta-analysis", Endosc Int Open, 7, pp.E1474~E1482 (2019)
  25. Chen YI, "EUS-guided gastroenterostomy : a multicenter study comparing the direct and balloon-assisted techniques", Gastrointest Endosc, 87, pp.1215~1221 (2018)
  26. Rimbas M, "Endoscopic ultrasound-guided gastroenterostomy : are we ready for prime time", Endosc Ultrasound, 6, pp.235~240 (2017)
  27. Carbajo AY, "Clinical review of EUSguided gastroenterostomy(EUS-GE)", J Clin Gastroenterol, 54, pp.1~7 (2020)
  28. Fiori E, "Endoscopic stenting for gastric outlet obstruction in patients with unresectable antro pyloric cancer. Systematic review of the literature and final results of a prospective study : the point of view of a surgical group", Am J Surg, 206, pp.210~217 (2013)
  29. Nagaraja V, "Endoscopic stenting versus operative gastrojejunostomy for malignant gastric outlet obstruction : a systematic review and meta-analysis of randomized and non-randomized trials", J Gastrointest Oncol, 5, pp.92~98 (2014)
  30. Bian SB, "Palliative therapy for gastric outlet obstruction caused by unresectable gastric cancer: a meta-analysis comparison of gastrojejunostomy with endoscopic stenting", Chin Med J(Engl), 129, pp.1113~1121 (2016)
  31. Mintziras I, "Palliative surgical bypass is superior to palliative endoscopic stenting in patients with malignant gastric outlet obstruction : systematic review and meta-analysis", Surg Endosc, 33, pp.3153~3164 (2019)
  32. Chang KB, "Outcomes of enteral metallic stent in patients with pancreatic carcinoma and gastric outlet obstruction : a single center experience", J Formos Med Assoc, 119(1 Pt 2), pp.238~246 (2020)
  33. Jeurnink SM, "Surgical gastrojejunostomy or endoscopic stent placement for the palliation of malignant gastric outlet obstruction(SUSTENT study) : a multicenter randomized trial", Gastrointest Endosc, 71, pp.490~499 (2010)
  34. Perez-Miranda M, "EUS-guided gastrojejunostomy versus laparoscopic gastrojejunostomy : an international collaborative study", J Clin Gastroenterol, 51, pp.896~899 (2017)
  35. Fan W, "Clinical outcomes of endoscopic ultrasound-guided gastroenterostomy for gastric outlet obstruction : a systematic review and meta-analysis", Minim Invasive Ther Allied Technol, 31, pp.159~167 (2022)
  36. Chen YI, "EUS-guided gastroenterostomy is comparable to enteral stenting with fewer reinterventions in malignant gastric outlet obstruction", Surg Endosc, 31, pp.2946~2952 (2017)
  37. Ge PS, "EUS-guided gastroenterostomy versus enteral stent placement for palliation of malignant gastric outlet obstruction", Surg Endosc, 33, pp.3404~3411 (2019)
  38. Fiori E, "Palliative management of malignant antro-pyloric strictures : gastroenterostomy vs. endoscopic stenting : a randomized prospective trial", Anticancer Res, 24, pp.269~271 (2004)
  39. Mehta S, "Prospective randomized trial of laparoscopic gastrojejunostomy versus duodenal stenting for malignant gastric outflow obstruction", Surg Endosc, 20, pp.239~242 (2006)
  40. Johnsson E, "Palliation of malignant gastroduodenal obstruction with open surgical bypass or endoscopic stenting : clinical outcome and health economic evaluation", World J Surg, 28, pp.812~817 (2004)
  41. Schmidt C, "A prospective observational study examining quality of life in patients with malignant gastric outlet obstruction", Am J Surg, 198, pp.92~99 (2009)

관련 논문AI추천

Optimal Management of Gastric Outlet Obstruction in Unresectable MalignanciesCheung Stephanie Lok Hang, Teoh Anthony Yuen Bun거트앤리버 소화기연관학회협의회 · Gut and Liver2022 · 제16권 제2호Endoscopic ultrasound-guided gastroenterostomy, with focus on technique and practical tipsChi-Ying Yang, Hsing-Hung Cheng, Wen-Hsin Huang대한소화기내시경학회 · Clinical Endoscopy2025 · 제58권 제2호Recent developments in endoscopic ultrasonography-guided gastroenterostomyKenjiro Yamamoto, Takao Itoi소화기인터벤션의학회 · International Journal of Gastrointestinal Intervention2020 · 제9권 제4호Endoscopic ultrasound-guided gastroenterostomy (gastroenteric anastomosis)Bruno Costa Martins, Fauze Maluf-Filho, Gustavo Rodela, Joel Fernandez de Oliveira, Matheus Cavalcante Franco소화기인터벤션의학회 · International Journal of Gastrointestinal Intervention2022 · 제11권 제3호Endoscopic stenting for malignant gastric outlet obstruction: focusing on comparison of endoscopic stenting and surgical gastrojejunostomyChan Gyoo Kim, Sun Gyo Lim대한소화기내시경학회 · Clinical Endoscopy2024 · 제57권 제5호Endoscopic Ultrasonography-Guided Gastroenterostomy Techniques for Treatment of Malignant Gastric Outlet ObstructionRyosuke Tonozuka, Shuntaro Mukai, Takao Itoi, Takayoshi Tsuchiya, Yuichi Nagakawa대한소화기내시경학회 · Clinical Endoscopy2020 · 제53권 제5호

이 간행물의 다른 논문 (17건)

What Is the Optimal Surrogate Indicator for a Miss Rate of Adenoma in Colonoscopy?Hong Seung Wook, Byeon Jeong-Sikpp. 661-662Do We Have an Opportunity to Avoid Opportunistic Infections in Asian Patients with Inflammatory Bowel Disease?Park Suhyun, Park Sang Hyoungpp. 663-664Assessment of Medication Adherence and Pharmacist Intervention Are Important for the Care of Patients with Inflammatory Bowel DiseaseKim Eun Sil, Kang Benpp. 665-666What Are the Different Phenotypes of Inflammatory Bowel Disease in Asia?Park Su Bee, 윤진영, 차재명pp. 676-685The Role of Gut Microbiota and Genetic Susceptibility in the Pathogenesis of PancreatitisLiu Kaijun, Chen Xiao, Wang Ming, Xu Fumin, Yang Chunmei, Tang Mingcheng, Cheng Zhenhao, Chen Dongfengpp. 686-696
원문 보기