EUS-Guided Gastroenterostomy Learning Curve

In a study of a single operator, 40 procedures were required to attain mastery.

Lumen-apposing metal stents (LAMSs) have entered widespread endoscopic use. Usually deployed under endoscopic ultrasound (EUS) guidance, LAMSs allow transmural conduits to be created to pseudocysts, areas of walled-off pancreatic necrosis, the gallbladder, and other hollow gastrointestinal organs. EUS-guided gastroenterostomy (EUS-GE) has recently emerged as a new technique to treat patients with benign or malignant gastric outlet obstruction. EUS-GE can potentially obviate the need for a surgical gastrojejunostomy or an enteral stent in these patients. In a recent retrospective study, investigators assessed the learning curve for EUS-GE in a single operator.

Among 73 patients, the operator achieved technical success in 68 (93%), among whom …

Reviewing Author

Douglas G. Adler, MD, FACG, AGAF, FASGE

Disclosures

Consultant/Advisory BoardBSC; Merit; Olympus

Speaker’s BureauAbbVie

Editorial BoardsGastrointestinal Endoscopy

Douglas G. Adler, MD, FACG, AGAF, FASGE

Disclosures

Consultant/Advisory BoardBSC; Merit; Olympus

Speaker’s BureauAbbVie

Editorial BoardsGastrointestinal Endoscopy

EUS-Guided Gastroenterostomy Learning Curve

Topics

Reviewing Author