ASGE Annual Postgraduate Course: Clinical Challenges and Real-Time Decision Making in GI Endoscopy (Live and Virtual)

Video Transcription

Video Summary

The video features a middle-aged patient with cholangitis, runaway gastric bypass anatomy, and a 1.3cm stone in the duct. The plan is to perform an edge EOS directed transgastric ERCP. The video showcases the technique used by the medical professionals, including the use of contrast to confirm the excluded stomach, inserting a needle to inject contrast into the stomach, deploying a 20mm Axios stent, dilating to 18mm, and performing ERCP. Due to technical difficulties and the challenging patient positioning, the ERCP is postponed to a later session to minimize risk and ensure a successful procedure. The medical professionals also discuss the importance of suturing the stent, risk factors, alternative methods, and post-procedure recommendations. Overall, the video provides insight into the technique, challenges, and considerations involved in performing an edge EOS directed transgastric ERCP.<br /><br />Credits: The video was a collaborative effort by Dr. Irani, Dr. Todd Baron, Dr. Linda M. Urquhart, Dr. Ali A. Siddiqui, Dr. Mohan Ramchandani, and Cheyenne Martin.

Asset Subtitle

Mouen Khashab, MD

Keywords

cholangitis

runaway gastric bypass anatomy

1.3cm stone

edge EOS directed transgastric ERCP

contrast

20mm Axios stent

ERCP