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LAPAROSCOPIC GASTROJEJUNOSTOMY PROVIDES SUPERIOR RECOVERY AND LOWER MORBIDITY COMPARED WITH OPEN SURGERY AND ENDOSCOPIC STENTING IN MALIGNANT GASTRIC OUTLET OBSTRUCTION: A REAL-WORLD COHORT STUDY

Deniz OCAL, Mehmet TORUN

Laparoscopic Endoscopic Surgical Science - 2025;32(4):240-247

Erzurum State Hospital, Erzurum

 

Introduction: Malignant gastric outlet obstruction (MGOO) is a debilitating complication of advanced upper gastrointestinal and pancreatobiliary cancers. While endoscopic stenting offers rapid symptom relief, its long-term durability is limited. Surgical bypass, particularly laparoscopic gastrojejunostomy (Lap-GJ), has gained popularity due to its minimally invasive nature, yet comparative real-world data remain scarce. This study evaluates perioperative outcomes, complications, and short-term mortality of Lap-GJ compared with open gastrojejunostomy (Open-GJ) and endoscopic stent placement in a large tertiary-center cohort.