EUS-guided gastroenterostomy: Less is more! The wireless EUS-guided gastroenterostomy simplified technique
Michiel Bronswijk, Giuseppe Vanella, Maria Chiara Petrone, Hannah van Malenstein, Wim Laleman, Paolo Giorgio Arcidiacono, Van der Merwe
Abstract
For patients with either benign or malignant gastric outlet obstruction, surgical gastroenterostomy, the standard of care for many years, seems to be losing ground to EUS-guided gastroenterostomy.1-3 Various technical approaches to this endoscopic technique have been described, although the direct method, using only a nasojejunal catheter, 19-gauge needle, and lumen-apposing metal stent, has been suggested as the preferred method.4 In the February issue of VideoGIE, Irani et al5 gave their expert overview of 5 different EUS-guided gastroenterostomy techniques in their technical review “EUS-guided gastroenterostomy: techniques from East to West.” Although we completely agree with the authors that superiority of 1 of 5 techniques has not been proven to date, we would like to add a sixth approach, which may also potentially improve cost effectiveness and time efficiency.