ASGE DDW Videos from Around the World | 2022-ENDOSCOPIC ULTRASOUND GUIDED TRANSGASTRIC SHUNT OCCLUSION

ENDOSCOPIC ULTRASOUND GUIDED TRANSGASTRIC SHUNT OCCLUSION

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