EUS-guided gastrojejunostomy and hepaticogastrostomy for malignant duodenal and biliary obstruction

摘要

Malignancies in the upper abdomen can cause both biliary obstruction and gastric outlet obstruction (GOO), leading to acute illness and significant impairment in qual- ity of life. Surgical intervention is invasive and morbid, especially in the presence of malignant ascites. Recent ad- vances in therapeutic EUS-guided techniques have pro- vided minimally invasive approaches to offer these patients relief and palliation.