Delayed ipsilateral intestinal perforation after endoscopic gastrojejunostomy: A perspective on underlying mechanisms

Abstract

Abstract The endoscopic management for malignant gastric outlet obstruction has expanded with the advent of endoscopic ultrasound‐guided gastrojejunostomy. Delayed perforation after endoscopic ultrasound‐guided gastrojejunostomy is an important yet rarely reported adverse event, and it is unclear why some patients may suffer this complication. We present a case of intestinal perforation occurring one month after endoscopic ultrasound‐guided gastrojejunostomy and discuss potential mechanisms which may contribute to this outcome.

Keywords

• endoscopic ultrasonography
• gastrojejunostomy
• gastric outlet obstruction
• intestinal perforation
• pancreas cancer