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Endoscopic Approaches to Concomitant Malignant Biliary Obstruction and Gastric Outlet Obstruction
Gastric outlet obstruction (GOO) and biliary obstruction (BO) occur commonly in patients with primary or metastatic periampullary malignancies. In pancreatic cancer, for example, GOO occurs in up to 10% to 25% of patients, whereas 70% of the patients present with…