ASGE DDW Videos from Around the World | 2023-DOUBLE BALLOON ENTEROSCOPY WITH EUS GUIDED RENDEZVOUS FOR BILIARY ACCESS IN PATIENTS WITH ROUX-N-Y GASTRIC BYPASS

DOUBLE BALLOON ENTEROSCOPY WITH EUS GUIDED RENDEZVOUS FOR BILIARY ACCESS IN PATIENTS WITH ROUX-N-Y GASTRIC BYPASS

Video Transcription

Video Summary

In the video, two case presentations are discussed regarding patients with Roux-en-Y gastric bypass who had failed retrograde biliary cannulation during double balloon enteroscopy ERCP. In the first case, a 71-year-old female underwent a double balloon ERCP assisted by EUS guided rendezvous for choledocolithiasis and pancreatolithiasis. The patient had successful biliary access and stone evacuation. In the second case, a 70-year-old female with abnormal liver chemistries also had successful EOS-guided rendezvous biliary access for a distal common bile duct stricture. Both patients underwent stent placement and tolerated the procedures well. The video concludes that EOS-guided biliary access can be considered for similar patients. No credits are mentioned.

Asset Subtitle

Honorable Mention

Keywords

video

case presentations

Roux-en-Y gastric bypass

biliary access

EOS-guided rendezvous