Title

ASGE guideline on the role of endoscopy in the management of benign and malignant gastroduodenal obstruction.

Document Type

Article

Publication Date

2-2021

Publication Title

Gastrointestinal Endoscopy

Abstract

This American Society for Gastrointestinal Endoscopy guideline provides evidence-based recommendations for the endoscopic management of gastric outlet obstruction (GOO). We applied the Grading of Recommendations, Assessment, Development and Evaluation methodology to address key clinical questions. These include the comparison of (1) surgical gastrojejunostomy to the placement of self-expandable metallic stents (SEMS) for malignant GOO, (2) covered versus uncovered SEMS for malignant GOO, and (3) endoscopic and surgical interventions for the management of benign GOO. Recommendations provided in this document were founded on the certainty of the evidence, balance of benefits and harms, considerations of patient and caregiver preferences, resource utilization, and cost-effectiveness.

Volume

93

Issue

2

First Page

309

Last Page

322

DOI

10.1016/j.gie.2020.07.063

ISSN

1097-6779

PubMed ID

33168194

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