Endoscopic Ultrasound-Guided Gastroenterostomy for Malignant Distal Duodenal Obstruction from Pancreatic Adenocarcinoma

Abstract: Endoscopic ultrasound-guided gastroenterostomy (EUS-GE) has emerged recently as the minimally invasive procedure for gastric outlet obstruction due to malignancies. It has been preferred to surgical gastrojejunostomy (SGJ). We present a patient with distal duodenal obstruction due to pancreatic cancer who was palliated by this procedure. The reduced length of stay, time to oral intake, adverse events and least disruption to chemotherapy have helped to bring this procedure to the forefront in place of surgical alternative. Keywords: endoscopic ultrasound, gastroenterostomy, surgical gastrojejunostomy.