← Issue №15/ week of Oct 11, 2026/Endoscopy

Endoscopic ultrasound-guided gastroenterostomy: an international consensus on current and expanding indications, techniques, periprocedural care, and institutional requirements.

From GI Signals issue №15: what this paper found, what it changes, and where it sits against the current standard of care, reviewed by Simon Mathews, MD.

Endoscopy guideline · Oct 9, 2026 · Endoscopy · IF 11.8

Endoscopic ultrasound-guided gastroenterostomy: an international consensus on current and expanding indications, techniques, periprocedural care, and institutional requirements.

New evidenceguideline
Clinical takeawayConsider EUS-GE as a preferred intervention for malignant gastric outlet obstruction in expert centers, particularly when durability and reduced reinterventions are priorities, and when surgical bypass is a potential alternative.
What it foundEUS-GE recommended over duodenal stenting for malignant GOO due to greater durability and fewer reinterventions, and suggested over surgical bypass with comparable efficacy and fewer overall adverse events.
ContextRefines current practice by providing expert consensus and GRADE-based recommendations for EUS-GE, addressing gaps in heterogeneous standards for GOO management in expert settings.
No standard claimed for this paper

Every paper is compared to the standard governing its question. This one is not: either no standard in the corpus matches it, or the comparison did not hold up on review and was withdrawn rather than published unverified. Both are logged.

Vanella G … i-EUS Working Group members · Endoscopy · IF 11.8 · PubMed ↗Permalink
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