ASGE guideline on the role of endoscopy in the management of benign and malignant gastroduodenal obstruction
ASGE guideline on the role of endoscopy in the management of benign and malignant gastroduodenal obstruction
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DOI：
10.1016/j.gie.2020.07.063
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发表时间：
2021-01-19
影响因子：
7.7
通讯作者：
Wani, Sachin B.
中科院分区：
文献类型：
--
作者：
Jue, Terry L.;Storm, Andrew C.;Wani, Sachin B.
本美国胃肠内镜学会指南为胃出口梗阻（GOO）的内镜治疗提供了循证建议。我们应用推荐分级、评估、发展和评价方法来解决关键的临床问题。这些包括（1）外科胃空肠吻合术与自膨式金属支架（SEMS）置入术治疗恶性GOO的比较，（2）覆膜与非覆膜SEMS治疗恶性GOO的比较，以及（3）内镜和外科干预治疗良性GOO的比较。本文件中提供的建议基于证据的确定性、获益和危害的平衡、患者和护理人员偏好的考虑、资源利用和成本效益。
This American Society for Gastrointestinal Endoscopy guideline provides evidence-based recommendations for the endoscopic management of gastric outlet obstruction (GOO). We applied the Grading of Recommendations, Assessment, Development and Evaluation methodology to address key clinical questions. These include the comparison of (1) surgical gastrojejunostomy to the placement of self-expandable metallic stents (SEMS) for malignant GOO, (2) covered versus uncovered SEMS for malignant GOO, and (3) endoscopic and surgical interventions for the management of benign GOO. Recommendations provided in this document were founded on the certainty of the evidence, balance of benefits and harms, considerations of patient and caregiver preferences, resource utilization, and cost-effectiveness.