Comparing two approaches to fix stomach blockage from cancer

This trial is testing two different ways to treat gastric outlet obstruction—a serious condition where cancer blocks food from moving normally through your stomach. You would be randomly assigned to receive either an endoscopic gastrojejunostomy (a procedure where a stent is placed using a camera and ultrasound) or a surgical gastrojejunostomy (where a surgeon creates a new connection between your stomach and small intestine). The study will track how well each approach helps you eat better and improves your quality of life over one year.

Stomach blockage from cancer is painful and prevents patients from eating, which weakens them at a time when good nutrition matters most. Doctors have two ways to treat it, but we don't yet know which one works better for patients in the long run.