Dr. Nikhil Kenny Thomas, Consultant Gastroenterologist at Dr. KM Cherian Institute of Medical Sciences, successfully performed an EUS-guided gastrojejunostomy (EUS-GJ) in a 90-year-old patient presenting with duodenal outlet obstruction due to periampullary carcinoma. This advanced, minimally invasive endoscopic procedure offers a safe and effective alternative to surgical bypass, especially in high-risk elderly patients. The achievement highlights the importance of precision, clinical expertise and coordinated multidisciplinary teamwork in ensuring optimal patient outcomes. Remarkably, this is perhaps one of the first five such procedures performed in Kerala.
