{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T02:59:08Z","timestamp":1790305148883,"version":"4.1.0"},"reference-count":58,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T00:00:00Z","timestamp":1788825600000},"content-version":"vor","delay-in-days":7,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"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":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Endoscopic ultrasound\u2010guided gastroenterostomy (EUS\u2010GE) is increasingly used for the management of malignant and benign gastric outlet obstruction because of its safety and efficacy. Although lumen\u2010apposing metal stents (LAMS) have improved technical success, misdeployment remains the most common adverse event and has traditionally been associated with the need for surgery. Misdeployment during EUS\u2010GE is classified into four types (Types I\u2013IV) based on stent position and associated defects. Emerging evidence from expert centers suggests that most misdeployments can be recognized early and are amenable for endoscopic salvage using contemporary rescue techniques, including defect closure, bridging stent placement, and natural orifice transluminal endoscopic surgery (NOTES) based approaches. In light of evolving procedural experience and expanding therapeutic options, we propose an updated, strategy\u2010oriented classification of EUS\u2010GE misdeployment. This includes subclassification of Type II and Type III based on guidewire access in the jejunal loop as well as the addition of Type V (complete intraperitoneal) and Type T (through\u2010and\u2010through) misdeployment. This review provides a comprehensive framework integrating misdeployment patterns with practical management strategies with focus on endoscopic rescue procedures. A structured, decision\u2010oriented approach to misdeployment may reduce the need for surgical intervention and improve the safety and outcomes of EUS\u2010GE.<\/jats:p>","DOI":"10.1111\/den.70285","type":"journal-article","created":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T04:15:04Z","timestamp":1788927304000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Updated Classification of\n                    <scp>EUS<\/scp>\n                    \u2010Guided Gastroenterostomy Misdeployment"],"prefix":"10.1111","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5363-597X","authenticated-orcid":false,"given":"Radhika","family":"Chavan","sequence":"first","affiliation":[{"name":"Department of Gastroenterology and Endoscopy Bharati Vidyapeeth  Pune 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