Abstract
Endoscopic ultrasound-guided gastrojejunostomy (EUG-GJ) offers a safe and effective minimally-invasive approach for palliation of gastric outlet obstruction (GOO). Despite advances, EUS-GJ remains technically challenging with a steep learning curve [1] and the optimal technique is not yet standardized. Only one study has compared EUS-GJ techniques, studying direct infusion via the endoscope channel against use of balloon catheter as the target, with the latter taking longer without greater efficacy or safety [2].
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