ASGE DDW Videos from Around the World | 2022-AN UNUSUAL COMPLICATION OF EUS GUIDED GASTROENTEROANSTOMOSIS

AN UNUSUAL COMPLICATION OF EUS GUIDED GASTROENTEROANSTOMOSIS

Video Transcription

Video Summary

The video summarizes a case presentation of an unusual complication of endosynographically guided gastroenteroanastomosis. The patient, a 65-year-old female with metastatic breast cancer, developed gastric outlet obstruction and duodenal bulb stenosis caused by malignant lymphadenopathy. The procedure involved using a nasobiliary catheter and methylene blue infusion to guide the deployment of a lumen opposing methylene stent. Initially successful, the patient later developed symptoms of diarrhea and vomiting, indicating a gastrocolic fistula. The fistula was confirmed using gastroscopy and subsequently closed using clips and an endoloop. The patient's condition improved, and further intervention was not necessary. The video highlights the effectiveness of endoscopic therapy for treating gastric outlet obstruction and its associated complications.

Keywords

endosynographically guided gastroenteroanastomosis

gastric outlet obstruction

malignant lymphadenopathy

gastrocolic fistula

endoscopic therapy