Endoscopic ultrasound-guided gastroenterostomy (EUS-GE) is emerging as a compelling alternative to surgical bypass and enteral stenting. By deploying a lumen-apposing stent under ultrasound guidance, the technique mimics a surgical gastrojejunostomy—without the scalpel.
A January 2025 Translational Gastroenterology and Hepatology review reports pooled success rates above 90%, with fewer complications than surgery and lower recurrence than stenting. Could EUS-GE soon redefine the standard of care for gastric outlet obstruction?