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

Video Transcription

Video Summary

The video transcript summarizes a case of a walled-off pancreatic necrosis in a 69-year-old female with a history of atrial fibrillation. She presented with abdominal pain and early satiety, with elevated liver enzymes and dilated bile ducts found on imaging. The patient underwent an ERCP procedure, which resulted in complications including perforation and pancreatitis. A large necrotic collection was identified, causing persistent abdominal pain. The plan is to perform an EUS-guided drainage and possible necrosectomy using a 6.0 powered endoscopic debridement device. The device is shown in the video, along with its deployment and use for necrosectomy. The procedure aims to remove necrotic tissue, improve symptoms, and prevent complications. The importance of careful navigation to avoid vessel damage is emphasized, and the use of double pigtail stents is discussed. The session concludes with a discussion among the panelists and the audience about their experiences and approaches to necrosectomy. The session is considered an educational opportunity to demonstrate the use of the endorotor device. The next course is mentioned, which will be broadcast live during DDW. The presenter expresses gratitude to the ASGE and the team involved in organizing the session.

Asset Subtitle

Mouen Khashab, MD

Keywords

walled-off pancreatic necrosis

ERCP procedure

necrosectomy

endoscopic debridement device

double pigtail stents

educational opportunity