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1/9
👉 Some tips for a safer, faster, and easier EUS-gastroenterostomy (EUS-GE)

✴️an interventional EUS procedure used for malignant gastric outlet obstruction✴️

#EUS #AdvancedEndo #GITwitter

(All media posted with permission)
2/9
👉Patient selection is key
✔️If life expectancy is < 3 months, we believe risks of EUS-GE outweigh benefits ➡️choose duodenal stent
✔️ If > 3 months, go for EUS-GJ

@BilalMohammadMD @NickMcDonaldMD

ncbi.nlm.nih.gov/pmc/articles/P…
3/9
👉Study pre-procedural imaging carefully
✔️ You want to see a distended stomach with D3/D4 coursing immediately inferior to and adjacent to gastric body

In this CT slice, the IR placed GJ tube is a nice guide as to how D3/D4 courses in relation to the stomach
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