# Endoscopic Ultrasound-Guided Gastroenterostomy for Malignant Gastric Outlet Obstruction: A Minimally Invasive Alternative to Palliative Surgical Bypass

## TL;DR

This paper discusses a minimally invasive endoscopic treatment for malignant gastric outlet obstruction caused by cancers like pancreatic and gastric cancer.

## Contribution

The paper introduces endoscopic ultrasound-guided gastroenterostomy as a novel alternative to traditional surgical bypass for treating malignant gastric outlet obstruction.

## Key findings

- Endoscopic ultrasound-guided gastroenterostomy is presented as a minimally invasive treatment for malignant gastric outlet obstruction.
- The procedure is proposed as a palliative option with potential advantages over surgical gastrojejunostomy and endoscopic stenting.

## Abstract

Gastric outlet obstruction is a mechanical obstruction to the flow of gastric contents to the intestines. The most common causes of malignant gastric outlet obstruction (MGOO) are pancreatic and gastric cancers. MGOO is associated with reduced quality of life and poor prognosis due to malnourishment from the inability to tolerate oral intake. Surgical gastrojejunostomy and endoscopic placement of enteral stents are palliative options with different advantages and disadvantages. We present a case of MGOO treated with endoscopic ultrasound-guided gastroenterostomy, a minimally invasive alternative to palliative surgical bypass.