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CC BY-NC-ND 4.0 · Endosc Int Open 2022; 10(04): E295-E296
DOI: 10.1055/a-1776-7843
Letter to the editor

EUS-GE in ascites: Swim carefully lest your patient drowns!

Basha Jahangeer
Asian Institute of Gastroenterology – Gastroenterology, Telangana, India
,
Sundeep Lakhtakia
Asian Institute of Gastroenterology – Gastroenterology, Telangana, India
,
Raghavendra Yarlagadda
Asian Institute of Gastroenterology – Gastroenterology, Telangana, India
,
Zaheer Nabi
Asian Institute of Gastroenterology – Gastroenterology, Telangana, India
,
Nageshwar Reddy
Asian Institute of Gastroenterology – Gastroenterology, Telangana, India
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Letter to:

EUS-guided gastroenterostomy in patients with ascites: What lies beneath?Endosc Int Open 2022; 10(04): E294-E294
DOI: 10.1055/a-1781-6960

We appreciate Bronswijk et al for their valuable comments on our manuscript “Gastric outlet obstruction with ascites: EUS-guided gastro-enterostomy is feasible” [1] and underscoring our view that endoscopic ultrasound (EUS)-guided gastroenterostomy (EUS-GE) is feasible in the presence of ascites and that patients with it should not be written off [1] [2]. Only if ascites is due to “malignant” peritoneal involvement in the path of lumen apposing metal stents (LAMS) might the EUS-GE intervention do more harm than good.



Publication History

Article published online:
14 April 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Basha J, Lakhtakia S, Yarlagadda R. et al. Gastric outlet obstruction with ascites: EUS-guided gastro-enterostomy is feasible. Endosc Int Open 2021; 09: E1918-E1923
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  • 2 Bronswijk M, Vanella G, van Malenstein H. et al. Laparoscopic versus EUS-guided gastroenterostomy for gastric outlet obstruction: an international multicenter propensity score- matched comparison (with video). Gastrointest Endosc 2021; 94: 526-536.e2
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  • 3 Ghandour B, Bejjani M, Irani SS. et al. Classification, outcomes, and management of misdeployed stents during EUS-guided gastroenterostomy. Gastrointest Endosc 2022; 95: 80-89
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