ASGE DDW Videos from Around the World | 2022-SINGLE SESSION EUS GUIDED TRANSGASTRIC STENT PLACEMENT

SINGLE SESSION EUS GUIDED TRANSGASTRIC STENT PLACEMENT

Video Transcription

Video Summary

In this video, the case of a 58-year-old woman with a history of Roux-en-Y gastric bypass is presented. She has been experiencing alcohol-related pancreatitis and was referred due to worsening symptoms. A large cystic structure in the pancreatic head causing dilation of the pancreatic duct was identified. Attempts to drain the cyst proved difficult due to the presence of pancreatic tissue and blood vessels. Instead, a stent was placed in the gastric remnant, which was then dilated to create a cyst gastrostomy. The cyst was drained successfully, and the stent was removed later. Closure of the gastro-gastric communication was also performed, resulting in successful endoscopic closure. The patient recovered well post-procedure. The video concludes that same-session EUS-guided transgastric stent placement is feasible and safe for patients with Roux-en-Y anatomy.

Keywords

Roux-en-Y gastric bypass

alcohol-related pancreatitis

pancreatic duct dilation

cyst gastrostomy

EUS-guided transgastric stent placement