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Published · Updated · 1 min read

Endoscopic gastroenterostomy relieved symptoms of malignant gastric outlet obstruction: a clinical case

What it means for practice

EUS-guided gastroenterostomy may be considered a minimally invasive palliative option for malignant gastric outlet obstruction in frail patients. The reported outcome concerns a single clinical case.

Summary

Clinical presentation

The report describes a 91-year-old woman with a malignant pancreatic tumor causing gastric outlet obstruction. Given her age, comorbidities, and refusal of oncological treatment, a palliative approach was chosen. Severe digestive symptoms in this frail patient provided the clinical context for the endoscopic intervention described.

Intervention and outcome

The patient underwent endoscopic ultrasound-guided gastroenterostomy. The procedure was followed by rapid improvement in digestive symptoms and resumption of oral intake. The abstract characterizes the clinical improvement as rapid but does not specify the exact time to resumption of oral intake.

Relevance to practice

The authors present this case as an illustration of the effectiveness of endoscopic gastroenterostomy as a minimally invasive palliative option for relieving severe digestive symptoms in frail patients. The report concerns one patient; the abstract provides no comparison with other interventions, follow-up duration, or information on complications.

Source

  1. Gastro-entéro-anastomose endoscopique : une option palliative à connaître en cas d’occlusion digestive haute maligne.

    Original: jle.com

Reviewed by: DrugCard editorial team ·

This article does not replace clinical judgement. Disclaimer