Modified endoscopic ultrasound-guided double-balloon-occluded gastroenterostomy bypass (M-EPASS): a pilot study.
Endoscopy
; 54(2): 170-172, 2022 02.
Article
em En
| MEDLINE
| ID: mdl-33592629
ABSTRACT
INTRODUCTION:
We recently developed a double-balloon device, using widely available existing technology, to facilitate endoscopic ultrasound-guided gastroenterostomy (EUS-GE). Our aim is to assess the feasibility of this modified approach to EUS-guided double-balloon-occluded gastroenterostomy bypass (M-EPASS).METHODS:
This was a single-center retrospective study of consecutive patients undergoing M-EPASS from January 2019 to August 2020.âThe double-balloon device consists of two vascular balloons that optimize the distension of a targeted small-bowel segment for EUS-guided stent insertion. The primary end point was the rate of technical success.RESULTS:
11 patients (45â% women; mean [standard deviation (SD)] age 64.9 [8.6]) with malignant gastric outlet obstruction were included. Technical and clinical success (ability to tolerate an oral diet) were achieved in 91â% (10/11) and 80â% (8/10) of patients, respectively. There was one adverse event (9â%) due to stent migration. Two patients (18â%) required re-intervention for stent obstruction secondary to food impaction. The mean (SD) time to a low residue diet was 3.5 (2.4) days.CONCLUSION:
M-EPASS appears to facilitate the technique of EUS-GE, potentially enhancing its safety and clinical adoption. Larger studies are needed to validate this innovative approach to gastric outlet obstruction.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Obstrução da Saída Gástrica
/
Ultrassonografia de Intervenção
Tipo de estudo:
Etiology_studies
/
Observational_studies
Limite:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Endoscopy
Ano de publicação:
2022
Tipo de documento:
Article
País de afiliação:
Canadá