Current status and perspective of endoscopic ultrasonography-guided gastrojejunostomy: endoscopic ultrasonography-guided double-balloon-occluded gastrojejunostomy (with videos)

J Hepatobiliary Pancreat Sci. 2015 Jan;22(1):3-11. doi: 10.1002/jhbp.148. Epub 2014 Aug 24.


Surgical intervention and, more recently, endoscopic intervention have been performed for the treatment of malignant gastric outlet obstruction. Recently, endoscopic ultrasonography (EUS)-guided gastrojejunostomy using special devices has been established. In line with this, we have developed a novel EUS-guided double-balloon-occluded gastrojejunostomy (EBOG) using a lumen-apposing biflanged metal stent. Herein, we describe the technique and outcome of EBOG.

Keywords: Biflanged metal stent; Double-balloon tube; Endoscopic ultrasonography; Endoscopic ultrasonography-guided gastrojejunostomy.

Publication types

  • Review
  • Video-Audio Media

MeSH terms

  • Endosonography / methods*
  • Equipment Design
  • Gastric Bypass / instrumentation*
  • Gastric Outlet Obstruction / diagnostic imaging
  • Gastric Outlet Obstruction / surgery*
  • Gastroscopes*
  • Humans
  • Palliative Care
  • Surgery, Computer-Assisted / methods*