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CC BY-NC-ND 4.0 · Endosc Int Open 2022; 10(04): E294
DOI: 10.1055/a-1781-6960
Letter to the editor

EUS-guided gastroenterostomy in patients with ascites: What lies beneath?

Michiel Bronswijk
1   Department of Gastroenterology and Hepatology, University Hospitals Leuven, KU Leuven, Belgium
2   Department of Gastroenterology and Hepatology, Imelda General Hospital, Bonheiden, Belgium
3   Imelda Clinical GI Research Center, Bonheiden, Belgium
,
Roy L.J. van Wanrooij
4   Department of Gastroenterology and Hepatology, Amsterdam UMC, Vrije Universiteit Amsterdam, AGEM institute, Amsterdam, The Netherlands
,
Giuseppe Vanella
5   Pancreatobiliary Endoscopy and Endosonography Division, Pancreas Translational & Clinical Research Center, IRCCS San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy
,
Schalk Van der Merwe
1   Department of Gastroenterology and Hepatology, University Hospitals Leuven, KU Leuven, Belgium
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Letter to:

Gastric outlet obstruction with ascites: EUS-guided gastro-enterostomy is feasibleEndosc Int Open 2021; 09(12): E1918-E1923
DOI: 10.1055/a-1642-7892

In December 2021, the retrospective analysis by Jahangeer Basha et al was published online, illustrating the feasibility of endoscopic ultrasound-guided gastroenterostomy (EUS-GE) in patients with ascites [1]. Although historically regarded as a contraindication, we agree that EUS-GE can be performed in patients with ascites, provided that it does not interfere with the electrocautery-enhanced lumen apposing metal stent trajectory. However, we feel that several crucial remarks are in order before such an approach is considered in everyday practice.



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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Letter to this article:

EUS-GE in ascites: Swim carefully lest your patient drowns!Endosc Int Open 2022; 10(04): E295-E296
DOI: 10.1055/a-1776-7843

 

  • References

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