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Endoscopic versus surgical gastroenterostomy for palliation of malignant gastric outlet obstruction (ENDURO): a randomised controlled trial

9 January 2026
HPB
BJSA
BJS Academy
0000-0000
BJS Foundation Limited
London, UK
van de Pavert YL, Kastelijn JB, Besselink MG, Booji DC, Boonstra JJ, Boot J et al, for the Dutch Pancreatic Cancer Group.
Lancet Gastrohepatol 2025; 10: 1065-1074.
A total of 98 patients were included. Endoscopic gastroenterostomy resulted in a shorter time to resumption of solid feeding (median 1 versus 3 days, P=0.0003). Rates of reintervention for persistent or recurrent symptoms were similar.
Comment: The authors suggest the endoscopic procedure should now be treatment of choice, where possible.
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