{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T14:43:18Z","timestamp":1787064198354,"version":"build-2736575974"},"reference-count":9,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Endoscopy"],"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Introduction\u2002We recently developed a double-balloon device, using widely available existing technology, to facilitate endoscopic ultrasound-guided gastroenterostomy (EUS-GE). Our aim is to assess the feasibility of this modified approach to EUS-guided double-balloon-occluded gastroenterostomy bypass (M-EPASS).<\/jats:p>\n                  <jats:p>Methods\u2002This was a single-center retrospective study of consecutive patients undergoing M-EPASS from January 2019 to August 2020.\u200aThe double-balloon device consists of two vascular balloons that optimize the distension of a targeted small-bowel segment for EUS-guided stent insertion. The primary end point was the rate of technical success.<\/jats:p>\n                  <jats:p>Results\u200211 patients (45\u200a% women; mean [standard deviation (SD)] age 64.9 [8.6]) with malignant gastric outlet obstruction were included. Technical and clinical success (ability to tolerate an oral diet) were achieved in 91\u200a% (10\/11) and 80\u200a% (8\/10) of patients, respectively. There was one adverse event (9\u200a%) due to stent migration. Two patients (18\u200a%) required re-intervention for stent obstruction secondary to food impaction. The mean (SD) time to a low residue diet was 3.5 (2.4) days.<\/jats:p>\n                  <jats:p>Conclusion\u2002M-EPASS appears to facilitate the technique of EUS-GE, potentially enhancing its safety and clinical adoption. Larger studies are needed to validate this innovative approach to gastric outlet obstruction.<\/jats:p>","DOI":"10.1055\/a-1392-4546","type":"journal-article","created":{"date-parts":[[2021,2,16]],"date-time":"2021-02-16T19:25:25Z","timestamp":1613503525000},"page":"170-172","source":"Crossref","is-referenced-by-count":15,"title":["Modified endoscopic ultrasound-guided double-balloon-occluded gastroenterostomy bypass (M-EPASS): a pilot study"],"prefix":"10.1055","volume":"54","author":[{"given":"Amanda","family":"Marino","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, McGill University Health Centre, McGill University, Montreal, Quebec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali","family":"Bessissow","sequence":"additional","affiliation":[{"name":"Division of Interventional Radiology, McGill University Health Centre, McGill University, Montreal, Quebec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Corey","family":"Miller","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, Jewish General Hospital, McGill University, Montreal, Quebec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Valenti","sequence":"additional","affiliation":[{"name":"Division of Interventional Radiology, McGill University Health Centre, McGill University, Montreal, Quebec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louis","family":"Boucher","sequence":"additional","affiliation":[{"name":"Division of Interventional Radiology, McGill University Health Centre, McGill University, Montreal, Quebec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prosanto","family":"Chaudhury","sequence":"additional","affiliation":[{"name":"Department of Surgery, McGill University Health Centre, McGill University, Montreal, Quebec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey","family":"Barkun","sequence":"additional","affiliation":[{"name":"Department of Surgery, McGill University Health Centre, McGill University, Montreal, Quebec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6966-3908","authenticated-orcid":false,"given":"Nauzer","family":"Forbes","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, University of Calgary, Calgary, Alberta, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mouen A.","family":"Khashab","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, Johns Hopkins Hospital, Johns Hopkins University, Baltimore, Maryland, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Myriam","family":"Martel","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and 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