• Zhaohua Shen, Li Tian, and Xiaoyan Wang.
• Department of Gastroenterology, Third Xiangya Hospital, Central South University, Changsha, Hunan, China.
• Medicine (Baltimore). 2018 Jul 1; 97 (28): e11476.

RationaleUltrasonography-guided gastrojejunostomy (EUS-GJ) might be a safe, innovative and minimally invasive interventional treatment for patients with gastric outlet obstruction (GOO) as an alternative to the surgical approach. To date, few cases have been reported in the literature.Patient ConcernsA case of pancreatic head carcinoma with obstructive jaundice occurred in a 78-year-old man with a prior history of pancreatic head cancer. Biliary stent placement was conducted 1 year earlier.DiagnosesThe patient was diagnosed with pancreatic cancer, pulmonary infection, pyloric obstruction, and biliary stent implantation.InterventionsEUS-GJ was performed. The wire and a double-balloon catheter reached the position of stenosis, then a double mushroom head bracket was released under EUS. The position was confirmed via X-ray.OutcomesThe symptoms of obstruction were alleviated. No recurrence of obstruction, bleeding, perforation, and other complications occurred for the following 1.5 months while he died because of whole body spread of pancreatic cancer.LessonsEUS-GJ may be reliable and effective for patients with GOO.

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