EUS- GJ (Gastrojejunostomy)
A minimally invasive approach to treating obstructed gastric bypasses.
What is EUS-GJ?
EUS-GJ (Endoscopic Ultrasound-Guided Gastrojejunostomy) is an advanced, minimally invasive procedure used to bypass blockages or obstructions in the upper gastrointestinal tract, specifically in the stomach. This procedure involves using endoscopic ultrasound (EUS) to guide the creation of a new connection between the stomach and the jejunum (a part of the small intestine), ensuring proper food and fluid passage. It’s an innovative approach for patients who cannot undergo traditional surgical procedures due to medical conditions, making it a game-changer for digestive health.
At KIMS Advanced Gastroenterology & Endoscopy - KAGE, we are at the forefront of EUS-GJ, providing patients with cutting-edge treatments that offer faster recovery, minimal discomfort, and long-term relief from digestive issues.
How EUS-GJ Works
- Endoscopic Ultrasound
Using a flexible endoscope with an ultrasound probe at its tip, your doctor will carefully examine your stomach, duodenum, and jejunum to identify any blockages or obstructions preventing normal digestion.
- Precise Navigation
With real-time ultrasound guidance, the gastroenterologist will navigate the endoscope to the exact location of the blockage. This allows for precise visualization and mapping without the need for open surgery.
- Creating the Gastrojejunostomy
The doctor uses specialized tools to create a new connection between the stomach and the jejunum. This allows food and fluids to bypass the obstructed area, ensuring normal digestion and reducing symptoms like nausea, vomiting, and weight loss.
- Minimal Invasiveness
The entire procedure is done through the mouth, eliminating the need for large incisions and reducing the risk of infection and recovery time typically associated with traditional surgery.
Benefits of EUS-GJ
- Minimally Invasive
EUS-GJ is performed without the need for open surgery, reducing the risk of complications and minimizing post-procedure pain.
- Fast Recovery
Patients can typically return to normal activities within a few days, as the procedure is less invasive and requires fewer resources compared to traditional surgeries.
- Improved Quality of Life
By bypassing blockages in the stomach, EUS-GJ helps alleviate symptoms such as nausea, vomiting, and malnutrition, improving overall well-being and digestive function.
- High Precision
The combination of endoscopy and ultrasound guidance ensures the most accurate placement of the gastrojejunostomy, leading to better outcomes and fewer complications.
Conditions Treated with EUS-GJ
- Gastric Outlet Obstruction
A condition where the passage from the stomach to the small intestine is blocked, leading to issues with food passage and digestion.
- Cancer
Malignant tumors, particularly in the stomach, pancreas, or duodenum, can cause obstruction and prevent normal food movement through the digestive system.
- Peptic Ulcers and Scar Tissue
Chronic ulcers or scarring caused by previous surgeries can create blockages in the digestive tract.
- Crohn's Disease
Inflammatory bowel disease like Crohn's can cause narrowing of the intestines, leading to blockages and difficulties in digestion.
- Pancreatitis
Chronic inflammation of the pancreas may lead to severe complications like duodenal obstructions, which EUS-GJ can effectively bypass.
What to Expect After EUS-GJ
- Recovery Time
Most patients recover quickly after EUS-GJ, with minimal discomfort and a short hospital stay. You can generally resume eating soft foods within a few days.
- Post-Procedure Care
After the procedure, you will be monitored for a short period to ensure that the new connection between the stomach and jejunum is functioning properly. You may be advised to avoid heavy meals for a few days to allow the procedure site to heal.
- Long-Term Management
Patients who undergo EUS-GJ may need follow-up care to ensure the connection remains open and functioning. However, the need for re-intervention is rare.
Why Choose EUS-GJ at KIMS Advanced Gastroenterology & Endoscopy - KAGE?
- State-of-the-Art Technology
KIMS Advanced Gastroenterology & Endoscopy - KAGE is committed to using the most advanced technology available for EUS-GJ. Our endoscopic ultrasound equipment offers precise guidance, ensuring the procedure is as effective and safe as possible.
- Expert Care Team
Our team of experienced gastroenterologists is skilled in performing EUS-GJ, providing expert care tailored to your specific needs. We work closely with you to determine the best course of action for your condition.
- Patient-Centered Approach
We believe in providing comprehensive care that focuses on your comfort and well-being. From your initial consultation to post-procedure follow-up, we are here to guide you every step of the way.
Frequently Asked Questions
Is EUS-GJ painful?
Most patients experience minimal discomfort during and after the procedure, as it is minimally invasive. Sedation is used to ensure comfort, and any post-procedure discomfort can be managed with over-the-counter pain medication.
How long does the procedure take?
The procedure typically lasts about 1-2 hours, depending on the complexity of the case.
Will I need to stay in the hospital after the procedure?
In most cases, EUS-GJ is performed on an outpatient basis, and you can go home the same day. However, if any complications arise, you may need to stay in the hospital for observation.
How soon can I eat after the procedure?
You will likely be able to eat soft foods within a few days after the procedure, but you should avoid heavy or hard-to-digest meals initially. Your doctor will provide specific dietary instructions.
Are there risks associated with EUS-GJ?
While EUS-GJ is a safe procedure, like any medical treatment, it carries some risks, including infection, bleeding, or perforation of the gastrointestinal tract. However, these risks are minimal and are carefully monitored by our expert team.
Contact KIMS Advanced Gastroenterology & Endoscopy - KAGE for EUS-GJ
If you're experiencing symptoms such as nausea, vomiting, or unexplained weight loss due to gastrointestinal obstructions, EUS-GJ at KIMS Advanced Gastroenterology & Endoscopy - KAGE may be the solution you need. Our team of experts is here to help you achieve the best possible outcome with the most advanced and least invasive treatments available. Contact us today to schedule a consultation or learn more about how EUS-GJ can restore your digestive health and improve your quality of life.