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

ASGE Standards of Practice Committee, (ASGE Standards of Practice Committee Chair, 2017-2020)

Research output: Contribution to journalArticlepeer-review

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.

Original languageEnglish (US)
Pages (from-to)309-322.e4
JournalGastrointestinal endoscopy
Volume93
Issue number2
DOIs
StatePublished - Feb 2021

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Gastroenterology

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