A novel technique for enhancing EUS-guided gastrojejunostomy: the dual-scope method.

ABSTRACT:

Background and aims

EUS-guided gastrojejunostomy (GJ) is an emerging alternative to surgical bypass or enteral stenting in malignant gastric outlet obstruction. The conventional nasobiliary technique poses challenges such as scope exchange and loss of target bowel distension. We describe a novel "dual-scope" technique using an ultraslim gastroscope for direct bowel infusion during EUS-GJ.

Methods

Thirteen consecutive patients underwent EUS-GJ using the dual-scope technique between June 2020 and April 2024. An ultraslim endoscope was advanced beyond the obstruction to instill fluid continuously, while the echoendoscope was introduced alongside it to perform EUS-guided lumen-apposing metal stent placement. Outcomes included technical success, procedural feasibility, and advers

SUBMITTER: Dang F 

PROVIDER: S-EPMC12624227 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature