ASGE DDW Videos from Around the World | 2022-ENDOSOCPIC ULTRASOUND GUIDED DRAINAGE OF HEMORRHAGIC PANCREATIC FLUID

ENDOSOCPIC ULTRASOUND GUIDED DRAINAGE OF HEMORRHAGIC PANCREATIC FLUID

Video Transcription

Video Summary

The video discusses the endoscopic ultrasound (EUS) guided drainage of hemorrhagic pancreatic fluid collection. This condition is a rare complication of acute and chronic pancreatitis, which can be managed with percutaneous angiographic embolization or surgery. However, there are limited case reports on the safety and efficacy of endoscopic management. The video presents a case study of a 63-year-old male with a large fluid collection caused by intracystic bleeding. EUS-guided transmural drainage was performed using a lumen-opposing metal stent, followed by balloon dilation and removal of blood clots. The patient showed improvement and was discharged with long-term drainage using double pigtail plastic stents. The procedure provides a safe alternative to surgery in these cases. No credits were granted in the video.

Keywords

endoscopic ultrasound guided drainage

hemorrhagic pancreatic fluid collection

acute pancreatitis

chronic pancreatitis

endoscopic management