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ASGE DDW Videos from Around the World | 2022
EUS GUIDED GASTROJEJUNOSTOMY AND CHOLEDOCHODUODENO ...
EUS GUIDED GASTROJEJUNOSTOMY AND CHOLEDOCHODUODENOSTOMY WITH LUMEN APPOSING METAL STENTS: AN EFFICIENT APPROACH TO DOUBLE ENDOSCOPIC BYPASS
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Video Transcription
Video Summary
In this video, a case of concomitant malignant gastric outlet obstruction and biliary obstruction in an eight-year-old female with metastatic pancreatic cancer is presented. Traditional endoscopic stinting is difficult to manage, so double endoscopic bypass is used. The technique involves inserting a wire across the obstruction into the small bowel and then placing a nasobiliary drain over the wire. A lumen opposing metallic stint is inserted with catheter assistance for both gastrogyneostomy and choledicodydenostomy. The procedure, which took 36 minutes, was successful, and the patient was discharged six days later. The video concludes that larger studies are needed to determine the safety and efficacy of this double endoscopic bypass technique. (No credits were mentioned in the transcript)
Keywords
malignant gastric outlet obstruction
biliary obstruction
metastatic pancreatic cancer
double endoscopic bypass
lumen opposing metallic stint
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