ASGE Annual Postgraduate Course: Endoscopy Around the World: Video Case-Based Pearls from the Masters (Virtual)

Video Transcription

Video Summary

In this video, Gary, a specialist in advanced endoscopy, discusses colonic stenting as a bridge to surgery for malignant obstruction. He explains that colonic stenting can be used for patients who are not candidates for resection or as a bridge to surgery for obstruction in operative candidates with left-sided disease. He provides technical considerations for stenting, including the placement of the stent and the use of guide wires. He emphasizes the importance of confirming intraluminal placement of the wire before stent deployment. Gary discusses the success rates and benefits of colonic stenting in both palliative and bridge to surgery settings. He also addresses concerns about chemotherapy increasing the risk of delayed stent perforation and the potential impact on oncologic outcomes. Overall, he concludes that colonic stenting is a safe and effective procedure that can improve patient outcomes when performed by experienced physicians. However, the timing of surgery following stenting may affect long-term oncologic outcomes.

Asset Subtitle

Gary R. May, MD, FASGE

Keywords

colonic stenting

bridge to surgery

malignant obstruction

technical considerations

intraluminal placement