Multidisciplinary Excellence: Peking University Third Hospital Successfully Performs EUS-Guided Gastroenterostomy

🏥 The gastroenterology team at Peking University Third Hospital recently completed an Endoscopic Ultrasound-guided Gastroenterostomy (EUS-GE).

🔬 A multidisciplinary intervention involving the gastroenterology and anesthesiology departments was initiated for a complex lymphoma patient presenting with refractory gastric outlet obstruction.

💡 Recognizing that traditional surgical bypass carries significant morbidity and risks interrupting systemic oncological treatments, the team evaluated advanced endoscopic interventions as the optimal alternative.

🎯 The clinical advancement of EUS-GE lies in its concept of endoscopic anatomical reconstruction, which avoids the primary lesion and directly establishes a new conduit between the gastric lumen and the adjacent enteric cavity.

🛠️ Utilizing high-resolution endoscopic ultrasound, the team precisely localized the target jejunum and performed a direct transgastric puncture.

🩸 As seen in the attached intraoperative endoscopic views, the deployment of a lumen-apposing metal stent (LAMS) successfully apposed the gastric and enteric walls.

⏱️ The procedure was completed in approximately 60 minutes, restoring gastrointestinal continuity with minimal physiological compromise.

🏥 The patient was successfully weaned off enteral nutrition, resumed an oral diet, and met all physiological parameters required for subsequent oncological treatments.

👥 The attached group photo highlights the multidisciplinary team that facilitated this complex endoscopic anatomical reconstruction.