Endoscopic magnetic gastroenteric anastomosis for palliation of malignant gastric outlet obstruction: a prospective multicenter study

Gastrointestinal Endoscopy
Jeanin E van HooftPaul Fockens

Abstract

Palliation of malignant gastric outlet obstruction remains challenging. Although there are 2 established treatment options, ie, surgical gastrojejunostomy and endoscopic duodenal stent insertion, there is an ongoing search for a technique that would combine the safety and rapid effect of duodenal stent placement with the long-term efficacy and low reintervention rate of a surgical gastrojejunostomy. To investigate the safety and success rate of endoscopic creation of a gastroenteric anastomosis formed by magnetic compression and stent placement. Prospective, multicenter cohort study. Four referral centers. The expected number of patients with symptomatic malignant gastric outlet obstruction to be included at the participating hospitals during a year was 40. Because of a serious adverse device event, the study was terminated after inclusion of 18 patients. Creation of an endoscopic gastroenteric anastomosis by using the Cook Magnetic Anastomosis Device with transanastomotic deployment of a self-expandable stent. Primary endpoints were safety and success rate associated with the creation of an endoscopic gastrojejunostomy by using a magnetic anastomotic device with transanastomotic deployment of a self-expandable stent. Because o...Continue Reading

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Citations

Jan 25, 2012·Pediatric Surgery International·Ibrahim UygunSelcuk Otcu
Feb 22, 2014·Annals of Surgical Oncology·Jung-Hoon ParkJeong Hwan Yook
Sep 24, 2013·Gastrointestinal Endoscopy·UNKNOWN ASGE Technology Committee
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Jun 28, 2018·World Journal of Surgery·Xue-Min LiuYi Lv
Dec 17, 2019·World Journal of Gastrointestinal Endoscopy·Bing Hu, Lian-Song Ye
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Jul 1, 2020·Gastrointestinal Endoscopy·Mohamad Kareem MarracheVivek Kumbhari

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