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ASGE DDW Videos from Around the World | 2022
ENDOSCOPIC ULTRASOUND GUIDED TRANSGASTRIC SHUNT OC ...
ENDOSCOPIC ULTRASOUND GUIDED TRANSGASTRIC SHUNT OCCLUSION
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Video Transcription
Video Summary
The video transcript discusses the use of endoscopic ultrasound guided transgastric shunt occlusion (ETSO) procedure for recurrent hepatic encephalopathy in a patient with a large splenorenal shunt. The procedure involves visualizing and blocking the collateral channel using coils and glue. The patient had recurrent episodes of encephalopathy despite medical management and was successfully treated with the ETSO procedure. Over a six-week period, there were no encephalopathy episodes, but a completion procedure was needed later on. The video emphasizes the advantages of ETSO, including repeatability, shorter procedure time, lower cost, and the potential to be done in a staged manner.
Keywords
endoscopic ultrasound guided transgastric shunt occlusion
ETSO procedure
recurrent hepatic encephalopathy
large splenorenal shunt
collateral channel blocking
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