{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T16:25:19Z","timestamp":1791563119881,"version":"4.3.4"},"reference-count":14,"publisher":"The Korean Society of Gastrointestinal Endoscopy","issue":"2","license":[{"start":{"date-parts":[[2023,7,3]],"date-time":"2023-07-03T00:00:00Z","timestamp":1688342400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/"}],"content-domain":{"domain":["e-ce.org"],"crossmark-restriction":true},"short-container-title":["Clin Endosc"],"published-print":{"date-parts":[[2024,3,30]]},"abstract":"<jats:p>Background\/Aims: Endoscopic ultrasonography-guided gastrojejunostomy is a minimally invasive method for the management of gastric outlet obstruction. Conventionally, a lumen-apposing metal stent (LAMS) is used to create an anastomosis. However, LAMS is expensive and not widely available. In this report, we described a tubular fully covered self-expandable metallic stent (T-FCSEMS) for this purpose.Methods: Twenty-one patients (15 men [71.4%]; median age, 66 years; range, 40\u201387 years) were included in this study. A total of 19 malignant (12 pancreatic, 6 gastric, and 1 metastatic rectal cancer) and 2 benign cases were observed. The proximal jejunum was punctured with a 19 G needle. The stomach and jejunum walls were dilated with a 6 F cystotome, and a 20\u00d780 mm polytetrafluoroethylene T-FCSEMS (Hilzo) was deployed. Oral feeding was initiated after 12 to 18 hours and solid foods after 48 hours.Results: The median procedure time was 33 minutes (range, 23\u201355 minutes). After two weeks, 19 patients tolerated oral feeding. In patients with malignancy, the median survival time was 118 days (range, 41\u2013194 days). No serious complications or deaths occurred. All patients with malignancy tolerated oral food intake until they expired.Conclusions: T-FCSEMS is safe and effective. This stent should be considered as an alternative to LAMS for gastric outlet obstruction.<\/jats:p>","DOI":"10.5946\/ce.2023.022","type":"journal-article","created":{"date-parts":[[2023,7,3]],"date-time":"2023-07-03T07:04:35Z","timestamp":1688367875000},"page":"209-216","update-policy":"https:\/\/doi.org\/10.5946\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Endoscopic ultrasound-guided gastrojejunostomy with a direct technique without previous intestinal filling using a tubular fully covered self-expandable metallic stent"],"prefix":"10.5946","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2440-4478","authenticated-orcid":true,"given":"Hakan","family":"\u015eent\u00fcrk","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4513-6927","authenticated-orcid":true,"given":"\u0130brahim Hakk\u0131","family":"K\u00f6ker","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8150-6577","authenticated-orcid":true,"given":"Koray","family":"Ko\u00e7han","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7901-1412","authenticated-orcid":true,"given":"Sercan","family":"Kiremit\u00e7i","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3384-3197","authenticated-orcid":true,"given":"G\u00fclseren","family":"Seven","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1627-4829","authenticated-orcid":true,"given":"Ali T\u00fcz\u00fcn","family":"\u0130nce","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3961","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2009.09.042"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1016\/s0016-5107(04)02757-9"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2010.12.003"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1055\/a-1794-0635"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.4103\/eus.eus_47_17"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1097\/MOG.0000000000000389"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.5946\/ce.2020.151"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1055\/s-0043-121135"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2015.06.017"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2017.07.030"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-018-06636-3"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.4103\/eus.eus_70_19"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-020-08221-z"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1080\/13645706.2020.1792500"}],"container-title":["Clinical Endoscopy"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/e-ce.org\/upload\/pdf\/ce-2023-022.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/e-ce.org\/journal\/view.php?doi=10.5946\/ce.2023.022","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/e-ce.org\/upload\/pdf\/ce-2023-022.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,26]],"date-time":"2024-03-26T06:09:46Z","timestamp":1711433386000},"score":1,"resource":{"primary":{"URL":"http:\/\/e-ce.org\/journal\/view.php?doi=10.5946\/ce.2023.022"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3,30]]},"references-count":14,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2024,3]]}},"URL":"https:\/\/doi.org\/10.5946\/ce.2023.022","relation":{},"ISSN":["2234-2400","2234-2443"],"issn-type":[{"value":"2234-2400","type":"print"},{"value":"2234-2443","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,3,30]]},"assertion":[{"value":"2023-01-16","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-02-28","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-07-03","order":2,"name":"published","label":"Published online","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-03-30","order":3,"name":"published","label":"Print publication","group":{"name":"publication_history","label":"Publication History"}}]}}