{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T14:09:47Z","timestamp":1790172587455,"version":"4.1.0"},"reference-count":54,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["DEN Open"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Benign gastric outlet obstruction (GOO) often results from intrinsic conditions like peptic strictures, caustic\u2010induced stricture, and surgical anastomoses, and extrinsic conditions like pancreatitis, hematoma, and superior mesenteric artery syndrome. While traditional management involved surgery or endoscopic balloon dilation, endoscopic ultrasound\u2010guided gastroenterostomy (EUS\u2010GE) has emerged as a minimally invasive alternative using lumen\u2010apposing metal stents (LAMS). We aimed to summarize the currently available literature on EUS\u2010GE in treating benign GOO. EUS\u2010GE demonstrates high technical success rates, ranging from 95% to 100%, and significant clinical success, typically exceeding 80% in patients with benign GOO. It offers advantages by bypassing the obstruction and potentially providing longer\u2010lasting relief compared to enteral stenting without the morbidity of surgery. Furthermore, it can serve as a bridge to definitive treatment, allowing for nutritional optimization before surgery or resolution of the underlying condition with subsequent stent removal in a notable proportion of patients. Despite the high efficacy, EUS\u2010GE is associated with multiple adverse events like maldeployment, bleeding, and ascites with or without infection. Thus, EUS\u2010GE is a promising and effective minimally invasive modality for managing benign GOO, particularly in patients who fail conventional endoscopic therapies or are poor surgical candidates. However, current evidence is limited by the retrospective nature of many studies, small sample sizes, and the need for longer\u2010term follow\u2010up to assess stent durability and the optimal management of indwelling LAMS. Larger prospective studies are warranted to further define the role of EUS\u2010GE in benign GOO and compare it with other treatment strategies.<\/jats:p>","DOI":"10.1002\/deo2.70170","type":"journal-article","created":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T07:29:44Z","timestamp":1751354984000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Role of Endoscopic Ultrasound\u2010guided Gastroenterostomy for Benign Gastric Outlet Obstruction"],"prefix":"10.1002","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9626-5243","authenticated-orcid":false,"given":"Suprabhat","family":"Giri","sequence":"first","affiliation":[{"name":"Department of Gastroenterology &amp; Hepatology Kalinga Institute of Medical Sciences  Bhubaneswar India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saroj Kanta","family":"Sahu","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology &amp; Hepatology Kalinga Institute of Medical Sciences  Bhubaneswar India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gaurav","family":"Khatana","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Medanta\u2010The Medicity  Gurugram India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prasanna","family":"Gore","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Renova Neelima Hospital  Hyderabad India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Preetam","family":"Nath","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology &amp; Hepatology Kalinga Institute of Medical Sciences  Bhubaneswar India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bipadabhanjan","family":"Mallick","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology &amp; Hepatology Kalinga Institute of Medical Sciences  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