{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T06:16:33Z","timestamp":1773296193271,"version":"3.50.1"},"reference-count":20,"publisher":"MDPI AG","issue":"8","license":[{"start":{"date-parts":[[2021,7,28]],"date-time":"2021-07-28T00:00:00Z","timestamp":1627430400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>Background: Malignant gastric outlet obstruction (MGOD) is an extremely rare expression of advanced extra-gastrointestinal cancer, such as squamous cell carcinoma (SCC) of the cervix, and only sixcases are described in the literature.Because of the short life expectancyand the high surgical risk involving these patients, less invasive approaches have been developed over time, such asthe use of an enteral stent or less invasive surgical techniques (i.e., laparoscopic gastrojejunostomy). However, MGOD could make it difficult to perform an endoscopic retrograde cholangio-pancreatography (ERCP) for standard endoscopic drainage, so in this case a combined endoscopic-percutaneous technique may be performed. This article, therefore, aims to highlight the presence in the doctor\u2019s armamentarium of the \u201crendezvous technique\u201d, few case reports of whichare described in the literature, and, moreover, this article aims to underline the technique\u2019sfeasibility. Case Presentation: The case is that of a 38-year-old woman who presented with MGOD three years after the diagnosis of SCC of the cervix, who successfully underwent the rendezvous technique with the resolution of duodenal obstruction. Endoscopic enteral stenting treatment with the placement of a metal stent (SEMSs) represents the mainstay of MGOD treatment compared withsurgery due to its lower morbidity, mortality, shorter hospitalization and earlier symptom relief. However, in patients with both duodenal and biliary obstruction, a combined endoscopic\u2013percutaneous approach may be necessary because of the difficulty in passing the duodenal stricture or in accessing the papilla through the mesh of the duodenal SEMS. Conclusion: The rendezvous procedure is a technicallyfeasible and minimally invasive approach to the double stenting of biliary and duodenal strictures. It achieves the desired therapeutic result while avoiding the need to perform more invasive procedures that could have a negative impact on the patient\u2019sprognosis.<\/jats:p>","DOI":"10.3390\/medicina57080765","type":"journal-article","created":{"date-parts":[[2021,7,28]],"date-time":"2021-07-28T11:12:52Z","timestamp":1627470772000},"page":"765","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Malignant Gastric Outlet Obstruction Caused by Duodenal Cervix Metastasis in a Young Woman: Rendezvous Technique"],"prefix":"10.3390","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3800-3218","authenticated-orcid":false,"given":"Ester","family":"Marra","sequence":"first","affiliation":[{"name":"Department of Surgery, University of Naples Federico II, 80138 Naples, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pasquale","family":"Quassone","sequence":"additional","affiliation":[{"name":"Department of Radiology, Universit\u00e0 degli Studi della Campania Luigi Vanvitelli, 80138 Naples, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1026-4208","authenticated-orcid":false,"given":"Pasquale","family":"Tammaro","sequence":"additional","affiliation":[{"name":"Department of Surgery, Ospedale del Mare, ASL NA1 Centro, 80147 Naples, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cinzia","family":"Cardalesi","sequence":"additional","affiliation":[{"name":"Department of Oncology, Ospedale del Mare, ASL NA1 Centro, 80147 Naples, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raffaele","family":"D\u2019Avino","sequence":"additional","affiliation":[{"name":"Department of Surgery, Ospedale del Mare, ASL NA1 Centro, 80147 Naples, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabio","family":"Cipolletta","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Ospedale del Mare, ASL NA1 Centro, 80147 Naples, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Del Prete","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Ospedale del Mare, ASL NA1 Centro, 80147 Naples, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angela","family":"Travaglino","sequence":"additional","affiliation":[{"name":"Department of Surgery, Ospedale del Mare, ASL NA1 Centro, 80147 Naples, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0455-0256","authenticated-orcid":false,"given":"Stefania","family":"Tamburrini","sequence":"additional","affiliation":[{"name":"Department of Radiology, Ospedale del Mare, ASL NA1 Centro, 80147 Naples, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giovanni","family":"Ferrandino","sequence":"additional","affiliation":[{"name":"Department of Radiology, Ospedale del Mare, ASL NA1 Centro, 80147 Naples, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giuseppe","family":"Sarti","sequence":"additional","affiliation":[{"name":"Department of Radiology, Ospedale del Mare, ASL NA1 Centro, 80147 Naples, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michele","family":"Iannuzzi","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Intensive Care, Ospedale del Mare, ASL NA1 Centro, 80127 Naples, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pietro","family":"Maida","sequence":"additional","affiliation":[{"name":"Department of Surgery, Ospedale del Mare, ASL NA1 Centro, 80147 Naples, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gianpaolo","family":"Santini","sequence":"additional","affiliation":[{"name":"Department of Radiology, Ospedale del Mare, ASL NA1 Centro, 80147 Naples, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2021,7,28]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Kanthan, R., Senger, J.L., Diudea, D., and Kanthan, S. 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