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This article, titled "Palliation of Gastric Outflow Obstruction in Case of Biliary Obstruction Previously Treated with EUS-Guided-Choledochoduodenostomy. A Retrospective, Multicenter Study: The B-GOOD Study," compares the outcomes of two procedures, EUS-GEA and enteral stenting, for the treatment of gastric outlet obstruction (GOO) in patients who have already undergone EUS-CDS for distal malignant biliary obstruction (DMBO). The study found that both procedures were clinically and technically effective, with comparable rates of success, adverse events, and patency outcomes. However, larger prospective studies are needed to confirm these findings. [Extracted from the article]

This article discusses a study conducted in Italy to evaluate the adherence of Italian endoscopic centers to the European Society of Gastrointestinal Endoscopy (ESGE) guidelines on biliary stenting in malignant distal strictures. The study included 827 patients with distal malignant biliary strictures who underwent endoscopic retrograde cholangiopancreatography (ERCP) between January 2020 and January 2022. The results showed that while there was full adherence to the guidelines for certain aspects, such as post-ERCP acute pancreatitis prophylaxis and retreatments, there were areas where adherence was poor, such as the excessive use of plastic stents and the routine performance of sphincterotomy. The study concludes that there is a need to improve adherence to the ESGE guidelines in these specific areas. [Extracted from the article]