Authors
Timothy Adam, Michiel Bronswijk, Karen Pauwelyn, Schalk Van der Merwe
Published in
VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy. Volume 11. Issue 9. Pages 389-392. Epub Mar 03, 2026.
Abstract
Malignant gastric outlet obstruction (GOO) is an exceptionally rare and devastating condition in children, for which evidence-based management strategies are lacking. Although recent European guidelines endorse EUS-guided gastroenterostomy (EUS-GE) as an alternative to endoscopic stent placement and surgical gastroenterostomy in adults, its use in pediatrics is virtually unreported, to our knowledge. This absence of data leaves clinicians facing complex decision-making in profoundly challenging circumstances. We report on a pediatric case to illustrate the technical feasibility and potential clinical role of EUS-GE in malignant GOO.
We describe stent placement during EUS-GE using the wireless EUS-GE simplified technique (WEST) in a 3-year-old boy with malignant GOO caused by recurrent abdominal neuroblastoma.
The procedure was technically and clinically successful, permitting resumption of oral intake and durable symptom control. The patient died 2 months later during palliative chemotherapy, without recurrence of GOO.
This case highlights EUS-GE as a feasible palliative option for malignant GOO in highly selected pediatric patients. Given the rarity and severity of this condition, EUS-GE may be considered in expert centers with substantial experience in therapeutic EUS, underscoring the need for further reporting to inform future pediatric practice.
PMID:
42694700
Bibliographic data and abstract were imported from PubMed on 04 Sep 2026.
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