{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T21:27:45Z","timestamp":1789766865950,"version":"4.0.1"},"reference-count":20,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T00:00:00Z","timestamp":1753833600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100013058","name":"Jiangsu Provincial Key Research and Development Program","doi-asserted-by":"publisher","award":["no. BE2023655"],"award-info":[{"award-number":["no. BE2023655"]}],"id":[{"id":"10.13039\/501100013058","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004608","name":"Natural Science Foundation of Jiangsu Province","doi-asserted-by":"publisher","award":["no. BK20230136"],"award-info":[{"award-number":["no. BK20230136"]}],"id":[{"id":"10.13039\/501100004608","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100002858","name":"China Postdoctoral Science Foundation","doi-asserted-by":"publisher","award":["no. 2022M721571"],"award-info":[{"award-number":["no. 2022M721571"]}],"id":[{"id":"10.13039\/501100002858","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["no. 62306136"],"award-info":[{"award-number":["no. 62306136"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Gastro and Hepatol"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background and Aims<\/jats:title><jats:p>Endoscopic ultrasound\u2010guided coloenterostomy (EUS\u2010CE) using lumen\u2010apposing metal stents (LAMS) has emerged as a potential alternative for the palliative treatment of malignant small bowel obstruction (MSBO). However, the long\u2010term outcomes of EUS\u2010CE remain unclear. This study aimed to assess the efficacy and safety of EUS\u2010CE, focusing on long\u2010term outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This retrospective cohort study consecutively included patients who underwent EUS\u2010CE for the palliative treatment of MSBO between July 2022 and December 2023 at a tertiary care hospital in China. The longest follow\u2010up period was 362\u2009days. The primary outcomes were overall survival (OS) and symptom recurrence\u2010free survival (SRFS) period. Secondary outcomes included technique success, clinical success, and adverse events (AEs).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 15 patients underwent EUS\u2010CE for MSBO. Technical success was 100%, and clinical success was 93.3%. AEs occurred in 4 (26.7%) patients: one leak, one bleed, and two cases of diarrhea. The median OS period was 65\u2009days, with a 60.0% rate of 60\u2009days survival. The median SRFS period was 165\u2009days, with a 41.7% rate of symptom recurrence at 60\u2009days. All patients survived 30\u2009days, and no symptom recurrence was observed within 30\u2009days. A prolonged OS period was observed in patients without peritoneal carcinomatosis and those who received additional chemoradiotherapy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>EUS\u2010CE is an effective alternative for the palliative treatment of MSBO, demonstrating satisfactory patency and survival benefits based on a long\u2010term cohort.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jgh.70011","type":"journal-article","created":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T11:10:11Z","timestamp":1753873811000},"page":"2518-2525","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Long\u2010Term Outcomes of Endoscopic Ultrasound\u2010Guided Coloenterostomy With a Lumen\u2010Apposing Metal Stent for Malignant Small Bowel Obstruction"],"prefix":"10.1111","volume":"40","author":[{"given":"Ningjing","family":"Gao","sequence":"first","affiliation":[{"name":"Department of Gastroenterology Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University  Nanjing Jiangsu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muhan","family":"Ni","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University  Nanjing Jiangsu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9028-1106","authenticated-orcid":false,"given":"Dehua","family":"Tang","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University  Nanjing Jiangsu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiang","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University  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Jiangsu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yonghua","family":"Shen","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University  Nanjing Jiangsu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2681-012X","authenticated-orcid":false,"given":"Song","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University  Nanjing Jiangsu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lin","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University  Nanjing Jiangsu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hao","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University  Nanjing Jiangsu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ying","family":"Lv","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University  Nanjing Jiangsu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hua","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University  Nanjing Jiangsu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shanshan","family":"Shen","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology 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