ASGE Annual GI Advanced Practice Provider Course (Virtual) - Onboarding (Day One) | March 2024-Approach to Patients with Roux EN Y Gastric Bypass Requiring ERCP

Approach to Patients with Roux EN Y Gastric Bypass Requiring ERCP

Video Transcription

Video Summary

Caitlin Cookston, a physician assistant in gastroenterology, discusses the challenges of ERCP in patients with altered anatomy, specifically Roux-en-Y gastric bypass. She presents three main approaches: balloon enteroscopy-assisted ERCP, endoscopic ultrasound-directed transgastric ERCP (EDGE), and lap-assisted ERCP. Each method has advantages and drawbacks, impacting success rates, costs, and patient outcomes. The choice of approach depends on factors like anatomy, anticipated procedures, and patient preferences. Cookston emphasizes the importance of shared decision-making, considering risks like weight gain post-procedure. Local resources and expertise play a significant role in determining the best approach for patients.

Asset Subtitle

Katelyn Cookson, PA-C

Keywords

physician assistant

gastroenterology

ERCP

altered anatomy

Roux-en-Y gastric bypass