Table of contents

Gastric outlet obstruction


Key sources

The following summarized guidelines for the evaluation and management of gastric outlet obstruction are prepared by our editorial team based on guidelines from the American Gastroenterological Association (AGA 2021) and the American Society for Gastrointestinal Endoscopy (ASGE 2021,2010). ...
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Diagnostic investigations

Diagnostic endoscopy: as per ASGE 2010 guidelines, perform endoscopy for the evaluation of gastric outlet obstruction in patients with peptic ulcer disease.
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Therapeutic procedures

General principles: as per AGA 2021 guidelines, decide on specific interventions in patients with alimentary tract obstruction in a multidisciplinary setting including oncologists, surgeons and endoscopists and take into account the characteristics of the obstruction, patient's expectations, prognosis, expected subsequent therapies and functional status.

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  • Endoscopic balloon dilation

  • Endoscopic gastroduodenal stenting

Surgical interventions

Gastrojejunostomy: as per AGA 2021 guidelines, consider performing surgical gastrojejunostomy in patients with gastric outlet obstruction with a life expectancy > 2 months, having good functional status and being surgically fit.
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