ASGE DDW Videos from Around the World | 2022-EUS-GUIDED HEPATICOGASTROSTOMY IN A PREGNANT PATIENT WITH ROUX-EN-Y HEPATICOJEJUNOSTOMY ANATOMY

EUS-GUIDED HEPATICOGASTROSTOMY IN A PREGNANT PATIENT WITH ROUX-EN-Y HEPATICOJEJUNOSTOMY ANATOMY

Video Transcription

Video Summary

Summary: This video discusses a case where a pregnant patient with altered anatomy due to previous surgeries developed biliary disease. Conventional ERCP and other options were not viable, so EUS-guided hepatico-gastrostomy was performed to treat a hepatico-jejunostomy stricture and provide biliary drainage. The procedure involved guided access, balloon dilation, placement of self-expandable metal stents and double pigtail plastic stents. The patient did well post-procedure, delivered her child, and subsequent transmutal ERCPs were performed to remove and replace stents as necessary. EUS-guided hepatico-gastrostomy is shown to be a minimally invasive and effective method for managing biliary disease in patients with altered GI anatomy. No specific credits were mentioned in the transcript.

Keywords

pregnant patient

altered anatomy

biliary disease

EUS-guided hepatico-gastrostomy

hepatico-jejunostomy stricture