title: Treatment of gastric outlet obstruction that results from unresectable gastric cancer: Current evidence.
abstract: Malignant gastric outlet obstruction (GOO) is a common condition that results from locally advanced malignancies in the upper gastrointestinal tract, such as pancreatic, gastric, and other carcinomas. Two types of procedures for malignant GOO, namely, gastrojejunostomy (GJ) with laparotomy or a laparoscopic approach and endoscopic stenting (ES), are currently available. Although numerous previous reports have clarified the benefits and drawbacks of each procedure, whether GJ or ES should be used in patients with GOO that results from gastric cancer who may have a longer life expectancy than patients with other malignancies has not been determined. In this review, which focuses on gastric cancer-induced GOO, we analyzed the two systematic reviews and a meta-analysis that compared GJ and ES and outlined the current status of GOO treatment. We also provide an updated review that includes laparoscopic GJ. Various data from 13 studies in one review and 6 studies in another review were analyzed. Although the main results of the present review indicated that both GJ and ES were efficacious treatments in patients with GOO that resulted from gastric cancer, current evidence suggests that GJ may be the preferable procedure given its good performance status and improved prognosis in gastric cancer patients.
authors: Yasuhiro Miyazaki, Shuji Takiguchi, Tsuyoshi Takahashi, Yukinori Kurokawa, Tomoki Makino, Makoto Yamasaki, Kiyokazu Nakajima, Masaki Mori, Yuichiro Doki, Department of Gastroenterological Surgery, Osaka University Graduate School of Medicine, Suita-shi, Osaka 565-0871, Japan.
authors: Yasuhiro
authors: Y
authors: Miyazaki
authors: Yasuhiro Miyazaki, Shuji Takiguchi, Tsuyoshi Takahashi, Yukinori Kurokawa, Tomoki Makino, Makoto Yamasaki, Kiyokazu Nakajima, Masaki Mori, Yuichiro Doki, Department of Gastroenterological Surgery, Osaka University Graduate School of Medicine, Suita-shi, Osaka 565-0871, Japan.
authors: Shuji
authors: S
authors: Takiguchi
authors: Yasuhiro Miyazaki, Shuji Takiguchi, Tsuyoshi Takahashi, Yukinori Kurokawa, Tomoki Makino, Makoto Yamasaki, Kiyokazu Nakajima, Masaki Mori, Yuichiro Doki, Department of Gastroenterological Surgery, Osaka University Graduate School of Medicine, Suita-shi, Osaka 565-0871, Japan.
authors: Tsuyoshi
authors: T
authors: Takahashi
authors: Yasuhiro Miyazaki, Shuji Takiguchi, Tsuyoshi Takahashi, Yukinori Kurokawa, Tomoki Makino, Makoto Yamasaki, Kiyokazu Nakajima, Masaki Mori, Yuichiro Doki, Department of Gastroenterological Surgery, Osaka University Graduate School of Medicine, Suita-shi, Osaka 565-0871, Japan.
authors: Yukinori
authors: Y
authors: Kurokawa
authors: Yasuhiro Miyazaki, Shuji Takiguchi, Tsuyoshi Takahashi, Yukinori Kurokawa, Tomoki Makino, Makoto Yamasaki, Kiyokazu Nakajima, Masaki Mori, Yuichiro Doki, Department of Gastroenterological Surgery, Osaka University Graduate School of Medicine, Suita-shi, Osaka 565-0871, Japan.
authors: Tomoki
authors: T
authors: Makino
authors: Yasuhiro Miyazaki, Shuji Takiguchi, Tsuyoshi Takahashi, Yukinori Kurokawa, Tomoki Makino, Makoto Yamasaki, Kiyokazu Nakajima, Masaki Mori, Yuichiro Doki, Department of Gastroenterological Surgery, Osaka University Graduate School of Medicine, Suita-shi, Osaka 565-0871, Japan.
authors: Makoto
authors: M
authors: Yamasaki
authors: Yasuhiro Miyazaki, Shuji Takiguchi, Tsuyoshi Takahashi, Yukinori Kurokawa, Tomoki Makino, Makoto Yamasaki, Kiyokazu Nakajima, Masaki Mori, Yuichiro Doki, Department of Gastroenterological Surgery, Osaka University Graduate School of Medicine, Suita-shi, Osaka 565-0871, Japan.
authors: Kiyokazu
authors: K
authors: Nakajima
authors: Yasuhiro Miyazaki, Shuji Takiguchi, Tsuyoshi Takahashi, Yukinori Kurokawa, Tomoki Makino, Makoto Yamasaki, Kiyokazu Nakajima, Masaki Mori, Yuichiro Doki, Department of Gastroenterological Surgery, Osaka University Graduate School of Medicine, Suita-shi, Osaka 565-0871, Japan.
authors: Masaki
authors: M
authors: Mori
authors: Yasuhiro Miyazaki, Shuji Takiguchi, Tsuyoshi Takahashi, Yukinori Kurokawa, Tomoki Makino, Makoto Yamasaki, Kiyokazu Nakajima, Masaki Mori, Yuichiro Doki, Department of Gastroenterological Surgery, Osaka University Graduate School of Medicine, Suita-shi, Osaka 565-0871, Japan.
authors: Yuichiro
authors: Y
authors: Doki
keywords: Endoscopic stenting; Gastric cancer; Gastric outlet obstruction; Gastrojejunostomy; Review