Work

Comparative analysis of gastric emptying between patients undergoing EUS-guided gastroenterostomy and enteral stent placement: Pilot analysis

Year: 2025

Type: article

Abstract: Background and study aims: Previous studies show that endoscopic ultrasound-guided gastroenterostomy (EUS-GE) is better than enteral stents (ESs) in terms of clinical success and need for reintervention in the long term. Gastric atony and stent placement across a tumor can lead to poor gastric emptying after ES placement. We aimed to compare gastric emptying across ES and EUS-GE to assess the benefit of EUS-GE over ES in the short-term. Patients and methods: In this pilot study, patients who underwent ES or EUS-GE for palliation of gastric outlet obstruction were included. A gastric emptying study was performed 2 weeks after the procedure after consumption of a semisolid test-meal (Indian porridge) labelled with Tc-Sulphur. The primary outcome was gastric emptying t1/2 between ES and EUS-GE. Results: = 0.004). Clinical success at 2 weeks and reintervention at 6 months was no different. Conclusions: EUS-GE was associated with better gastric emptying compared with ES, suggesting a benefit that may translate into clinical benefit even in the short term.

Source: Endoscopy International Open

DOI: 10.1055/a-2586-6153