Evidence map›Paper›PMID 42253008›Full record

ArticleClinical endoscopy2026

Comparative retrospective outcomes of endoscopic ultrasound-guided gastroenterostomy in patients with gastric outlet obstruction and post-surgical anatomy.

Michiel Bronswijk, Jan Clerick, Giuseppe Vanella, Jayanta Samanta, Roy L J van Wanrooij, Schalk Van der Merwe

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Article in Clinical endoscopy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Michiel BronswijkDepartment of Gastroenterology and Hepatology, University Hospital Gasthuisberg, University of Leuven, Belgium.
Jan ClerickDepartment of Gastroenterology and Hepatology, University Hospital Gasthuisberg, University of Leuven, Belgium.
Giuseppe VanellaPancreatobiliary Endoscopy and Endosonography Division, Pancreas Translational and Clinical Research Center, IRCCS San Raffaele Scientific Institute and University, Milan, Italy.
Jayanta SamantaDepartment of Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Roy L J van WanrooijDepartment of Gastroenterology and Hepatology, Amsterdam UMC, location Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Schalk Van der MerweDepartment of Gastroenterology and Hepatology, University Hospital Gasthuisberg, University of Leuven, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundData on endoscopic ultrasound (EUS)-guided gastroenterostomy (EUS-GE) are mainly derived from patients with naïve anatomy. This study aimed to evaluate the outcomes of EUS-GE in patients with post-surgical anatomy and compare these findings with those from a cohort of patients with naïve anatomy.

methodsA retrospective tertiary center analysis was performed of consecutive EUS-GE procedures. The wireless-EUS-GE-simplified technique (WEST) was employed for EUS-GE. Clinical success was defined as achieving a postprocedural gastric outlet obstruction scoring system score of ≥2.

resultsOverall, 10 patients with post-surgical anatomy and 63 sequential historical controls with naïve anatomy were included from the same time frame (2019-2022). Surgery consisted predominantly of Whipple resection (n=3) or partial gastrectomy (n=2). Clinical success was achieved in 90.0% and 90.5% of patients in the post-surgical and naïve anatomy groups, respectively (p=1.000). Technical success (90.0% vs. 96.8%, p=0.362), median hospital stay (8 vs. 6 days, p=0.397), adverse event rate (10.0% vs. 7.9%, p=1.000), and median follow-up duration (186 vs. 136 days, p=0.303) were comparable between the two groups. However, the median procedure duration was significantly longer in the post-surgical anatomy group compared to that in the naïve group (61 vs. 45 minutes, p=0.037).

conclusionsAlthough increased technical complexity and a limited sample size should be considered, our comparative data suggest that EUS-GE was equally effective in patients with post-surgical anatomy.

Indexed as

Endoscopic ultrasound-guided gastrojejunostomyLumen-apposing metal stentPostoperative anatomySurgically altered anatomy

Identifiers

PMID42253008
PMCPMC13254639

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.