EUS Guided Gastroenterostomy for Gastric Outlet Obstruction: A Valid Therapeutic Option

Abstract Gastric outlet obstruction (GOO) can occur to different etiologies that cause distal stomach narrowing and eventually occlusion. Management of these cases is usually by endoscopic stenting or surgical alimentary diversion. However these options may not always feasible due patient conditions or many other reasons. In our manuscript we describe two cases of GOO due to advanced cancer disease. Both patients had complete occlusion and were not medical fit for any surgical intervention. They underwent endoscopic ultrasound guided gastroenterostomy with uneventful peri-procedure period. EUS guided gastroenterostomy can be considered as potential alternative to traditional surgery or endoscopic approach mainly in terminally ill patients with gastric outlet obstruction. Keywords: Gastric Outlet Obstruction (GOO); Endoscopic Ultrasound (EUS); Gastrojejunostomy (GJ); Gastroenterostomy (GE).