{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T14:17:54Z","timestamp":1783606674258,"version":"3.55.0"},"reference-count":44,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2025,7,17]],"date-time":"2025-07-17T00:00:00Z","timestamp":1752710400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,7,17]],"date-time":"2025-07-17T00:00:00Z","timestamp":1752710400000},"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":["Digestive Endoscopy"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aims<\/jats:title>\n                    <jats:p>Endoscopic ultrasound\u2010guided gastroenterostomy (EUS\u2010GE) is an established treatment for malignant gastric outlet obstruction (GOO). Data on EUS\u2010GE for benign GOO (bGOO) are limited. This study aimed to evaluate long\u2010term clinical outcomes of EUS\u2010GE in bGOO.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Retrospective study on consecutive patients who underwent EUS\u2010GE for bGOO using lumen apposing metal stents (LAMS) at 9 Spanish centers. The primary outcome was the ability to regain and maintain oral feeding. Secondary outcomes included technical success, immediate clinical success, LAMS dysfunction, and adverse event rates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Sixty\u2010two patients (75.8% male) with a median age of 65\u2009years (56.9\u201374) were included. Most cases of bGOO were related to chronic (35.5%) or acute (24.2%) pancreatitis. Technical success was achieved in 61 (98.4%), and immediate clinical success in 57 (91.9%) patients. Among patients reaching immediate clinical success, the median LAMS indwell time was 505 (201\u2013848) days. LAMS dysfunction developed in 7 (12.3%) patients after a median of 1200 (IQR: 94\u20131568) days. Oral feeding at 24\u2009months was maintained in 85.3% patients overall and in 93.6% patients among those with immediate clinical success. Seven adverse events, including a fatal aspiration pneumonia and a fatal delayed bleeding, occurred in 6 (9.7%) patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>EUS\u2010GE has a high immediate clinical success rate in patients with bGOO and a low risk of stent dysfunction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>Promotor center identification number: PI\u201024\u2010448\u2010H<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/den.15087","type":"journal-article","created":{"date-parts":[[2025,7,17]],"date-time":"2025-07-17T07:03:36Z","timestamp":1752735816000},"page":"1198-1206","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Long\u2010Term Clinical Success of Endoscopic Ultrasound\u2010Guided Gastroenterostomy in Benign Gastric Outlet Obstruction"],"prefix":"10.1111","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9099-6598","authenticated-orcid":false,"given":"Antonio","family":"Martinez\u2010Ortega","sequence":"first","affiliation":[{"name":"Gastroenterology Department Hospital Universatorio Rio Hortega  Valladolid Spain"},{"name":"Gastroenterology Department Hospital Universitario de Salamanca  Salamanca Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1425-8534","authenticated-orcid":false,"given":"F. 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Investigaci\u00f3n Sanitaria y Biom\u00e9dica de Alicante (ISABIAL) Hospital General Universitario Dr. Balmis de Alicante  Alicante Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos","family":"Abril Garc\u00eda","sequence":"additional","affiliation":[{"name":"Gastroenterology Department Hospital Cl\u00ednico Universitario de Valencia  Valencia Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6667-023X","authenticated-orcid":false,"given":"F\u00e9lix","family":"T\u00e9llez\u2010Avila","sequence":"additional","affiliation":[{"name":"Gastroenterology and Hepatology Division University of Arkansas for Medical Sciences, EEUU  Little Rock Arkansas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 Carlos","family":"Subtil \u00cd\u00f1igo","sequence":"additional","affiliation":[{"name":"Gastroenterology Department Cl\u00ednica Universitaria de Navarra  Navarra 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