{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T23:02:24Z","timestamp":1784847744630,"version":"3.55.0"},"reference-count":13,"publisher":"Georg Thieme Verlag KG","issue":"CP","license":[{"start":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T00:00:00Z","timestamp":1783728000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Endosc Int Open"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Background and Aims EUS-guided gastroenterostomy (EUS-GE) is an effective option to palliate symptoms of gastric outlet obstruction (GOO). While the jejunum is conventionally targeted (EUS-GJ), targeting the duodenum (EUS-GD) may offer clinical advantages. Outcomes were compared for EUS-GJ and EUS-GD.<\/jats:p>\n                  <jats:p>Methods Adult patients who underwent EUS-GE for GOO between 2020 and 2024 were included and categorized as an EUS-GD if the stent entered the transverse or ascending duodenum or an EUS-GJ if the stent entered more distally. The primary outcome was clinical success (soft diet tolerance at 7 days). Secondary outcomes included adverse events (AEs), stent misdeployment, and unplanned endoscopic reintervention. Baseline demographic variables and outcomes were compared with statistical significance at p &lt; 0.05.<\/jats:p>\n                  <jats:p>Results Of the 139 included patients (median age 67 years (IQR 61\u201374); 41% female), 105 underwent EUS-GJ and 34 underwent EUS-GD. Clinical success was 98% for EUS-GJ and 94% for EUS-GD (p = 0.25). The misdeployment rate was 7% for EUS-GJ and 0% for EUS-GD (p = 0.19). The AE rate was 22% for EUS-GJ and 12% for EUS-GD (p = 0.23). There were no significant differences for stent obstruction (EUS-GJ 12% vs. EUS-GD 6%), bleeding (2% vs. 6%), perforation (4% vs. 0%), stent migration (1% vs. 0%), infection (3% vs. 0%), and unplanned reintervention (14% vs. 9%).<\/jats:p>\n                  <jats:p>Conclusion Both EUS-GJ and EUS-GD demonstrate high clinical success with no significant differences in adverse event rates. These data can support intraprocedural decision-making for endoscopists performing EUS-GE.<\/jats:p>","DOI":"10.1055\/a-2913-6628","type":"journal-article","created":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T22:30:20Z","timestamp":1783809020000},"source":"Crossref","is-referenced-by-count":0,"special_numbering":"S","title":["Endoscopic Ultrasound-Guided Gastroenterostomy for Gastric Outlet Obstruction: A Comparison of Duodenal Versus Jejunal Placement on Patient Outcomes"],"prefix":"10.1055","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5090-7685","authenticated-orcid":false,"given":"Rishad","family":"Khan","sequence":"additional","affiliation":[{"name":"Mayo Clinic, Minnesota, United States","place":["Rochester"],"department":["Division of Gastroenterology and Hepatology"]},{"name":"University of Calgary, Alberta, Canada","place":["Calgary"],"department":["Division of Gastroenterology and Hepatology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan J.","family":"Law","sequence":"additional","affiliation":[{"name":"Mayo Clinic, Minnesota, United States","place":["Rochester"],"department":["Division of Gastroenterology and Hepatology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0278-7938","authenticated-orcid":false,"given":"Chinmay","family":"Guralwar","sequence":"additional","affiliation":[{"name":"Mayo Clinic, Minnesota, United States","place":["Rochester"],"department":["Division of Gastroenterology and Hepatology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacob","family":"Bauss","sequence":"additional","affiliation":[{"name":"Mayo Clinic, Minnesota, United States","place":["Rochester"],"department":["Division of Gastroenterology and Hepatology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jad P.","family":"AbiMansour","sequence":"additional","affiliation":[{"name":"Mayo Clinic, Minnesota, United States","place":["Rochester"],"department":["Division of Gastroenterology and Hepatology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Garima","family":"Suman","sequence":"additional","affiliation":[{"name":"Mayo Clinic, Minnesota, United States","place":["Rochester"],"department":["Department of Radiology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel","family":"Han","sequence":"additional","affiliation":[{"name":"Mayo Clinic, Minnesota, United States","place":["Rochester"],"department":["Division of Gastroenterology and Hepatology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8886-0376","authenticated-orcid":false,"given":"Eric J.","family":"Vargas","sequence":"additional","affiliation":[{"name":"Mayo Clinic, Minnesota, United States","place":["Rochester"],"department":["Division of Gastroenterology and Hepatology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barham K.","family":"Abu Dayyeh","sequence":"additional","affiliation":[{"name":"Cedars-Sinai Medical Center, California, United States","place":["Los Angeles"],"department":["Division of Gastroenterology and Hepatology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Navtej","family":"Buttar","sequence":"additional","affiliation":[{"name":"Mayo Clinic, Minnesota, United States","place":["Rochester"],"department":["Division of Gastroenterology and Hepatology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louis-Michel","family":"Wong Kee Song","sequence":"additional","affiliation":[{"name":"Mayo Clinic, Minnesota, United States","place":["Rochester"],"department":["Division of Gastroenterology and Hepatology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0619-5235","authenticated-orcid":false,"given":"Andrew C.","family":"Storm","sequence":"additional","affiliation":[{"name":"Mayo Clinic, Minnesota, United States","place":["Rochester"],"department":["Division of Gastroenterology and Hepatology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6209-9905","authenticated-orcid":false,"given":"Vinay","family":"Chandrasekhara","sequence":"additional","affiliation":[{"name":"Mayo Clinic, Minnesota, United States","place":["Rochester"],"department":["Division of Gastroenterology and Hepatology"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,7,23]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1016\/j.amjsurg.2008.09.030","article-title":"A prospective observational study examining quality 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