Comparative Efficacy and Safety of Treatments for Malignant Gastric Outlet Obstruction: A Systematic Review and Network Meta-analysis - PubMed
3 hours ago
- #malignant GOO
- #EUS-GJ
- #network meta-analysis
- The study compares treatments for malignant gastric outlet obstruction (GOO), including surgical gastrojejunostomy (GJ), stomach-partitioning GJ, endoscopic ultrasound-guided GJ (EUS-GJ), and enteral stent (ES).
- EUS-GJ showed superior clinical success compared to other treatments (GJ, partitioning GJ, and ES).
- ES was significantly inferior to EUS-GJ and surgical GJ in terms of reintervention rates.
- No significant differences were observed in technical success and severe adverse events (SAEs) among treatments.
- Surgical treatments (GJ and partitioning GJ) resulted in longer hospital stays compared to other methods.
- EUS-GJ is concluded as the best treatment for malignant GOO, with ES being a less expensive but higher reintervention alternative.