ASGE guideline on the role of endoscopy in the management of benign and malignant gastroduodenal obstruction

Terry L Jue,Deepak Agrawal,Suryakanth R Gurudu,Mouen A Khashab,Mandeep S Sawhney,Autumn J Mcree,Richard S Kwon,Mariam Naveed,Mark J Truty,Laith H Jamil,Bashar J Qumseya,Julie Yang,Mohammed Al-Haddad,Joanna K Law,Audrey H Calderwood,Stuart K Amateau,Douglas S Fishman,Andrew C Storm,Larissa L Fujii-Lau,Christopher J Dimaio,Swati Pawa,Jeffrey K Lee,Nirav Thosani ,James Buxbaum ,John M Dewitt ,Sachin Wani

doi:10.1016/j.gie.2020.07.063

ASGE guideline on the role of endoscopy in the management of benign and malignant gastroduodenal obstruction

Terry L Jue, Deepak Agrawal + Show 24 more

https://doi.org/10.1016/j.gie.2020.07.063

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Journal: Gastrointestinal Endoscopy	Publication Date: Nov 7, 2020
Citations: 59

Affiliation: Colorado Permanente Medical Group, The University of Texas at Austin, Mayo Clinic, Johns Hopkins University, Harvard University, Beth Israel Deaconess Medical Center, University of North Carolina at Chapel Hill, University of Michigan–Ann Arbor, Beaumont Health, University of Florida, Montefiore Medical Center, Albert Einstein College of Medicine, Indiana University – Purdue University Indianapolis, Virginia Mason Medical Center, Dartmouth–Hitchcock Medical Center, University of Minnesota, Texas Children's Hospital, Baylor College of Medicine, Winneshiek Medical Center, Queen's Medical Center, Wake Forest University, Kaiser Permanente San Francisco Medical Center, The University of Texas Health Science Center, University of Southern California, University of Colorado Anschutz Medical Campus

#Management Of Gastric Outlet Obstruction #Placement Of Self-expandable Metallic Stents + Show 8 more

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Abstract

This American Society for Gastrointestinal Endoscopy guideline provides evidence-based recommendations for the endoscopic management of gastric outlet obstruction (GOO). We applied the Grading of Recommendations, Assessment, Development and Evaluation methodology to address key clinical questions. These include the comparison of (1) surgical gastrojejunostomy to the placement of self-expandable metallic stents (SEMS) for malignant GOO, (2) covered versus uncovered SEMS for malignant GOO, and (3) endoscopic and surgical interventions for the management of benign GOO. Recommendations provided in this document were founded on the certainty of the evidence, balance of benefits and harms, considerations of patient and caregiver preferences, resource utilization, and cost-effectiveness.

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