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Medical and Endoscopic Management of Gastric Outlet Obstruction

  • Cheyenne C. Sonntag
  • Eric M. PauliEmail author
Chapter

Abstract

This chapter discusses the evaluation, medical management, and diagnosis of GOO, as well as explores endoscopic management options for both benign and malignant disease. Endoscopic therapies discussed include through-the-scope balloon dilation, botulinum toxin injection, self-expandable metal stents, and decompressive percutaneous endoscopic gastrostomy tube placement. Additionally, a brief overview of novel and developing therapies including peroral endoscopic pyloromyotomy, gastrojejunostomy with lumen-apposing metal stents, and gastrojejunostomy formation with self-assembling magnets is provided.

Keywords

Gastric outlet obstruction Endoscopic management Medical management Endoscopic balloon dilation Self-expandable metal stents Botulinum toxin Botox Peroral endoscopic pyloromyotomy G-POEM EUS-guided gastrojejunostomy LAMS gastrojejunostomy Decompressive PEG 

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© SAGES 2019

Authors and Affiliations

  1. 1.Division of Minimally Invasive and Bariatric Surgery, Department of SurgeryPenn State Hershey Medical CenterHersheyUSA

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