ASGE DDW Videos from Around the World | 2023-EDGE IN TWICE SURGICALLY-ALTERED ANATOMY

Video Transcription

Video Summary

This video discusses the use of endoscopic ultrasound-directed transgastric endoscopic retrograde cholangiopancreatography in patients who have undergone Rhen Y gastric bypass surgery, particularly those with a history of sleeve gastrectomy. The video describes a case of a 30-year-old woman who developed gallstones after the surgery. The procedure involves accessing the ampullary region through the post-anastomotic jejunum using endoscopic techniques. Multiple common bile duct stones were identified and treated through the use of electrocautery, contrast medium, and endoclips. The patient was discharged and underwent further evaluation and removal of residual stones. The video concludes by highlighting the safety and effectiveness of this approach for pancreatobiliary interventions in Rhen Y gastric bypass patients.

Asset Subtitle

Honorable Mention

Keywords

endoscopic ultrasound-directed transgastric endoscopic retrograde cholangiopancreatography

Rhen Y gastric bypass surgery

sleeve gastrectomy

common bile duct stones

pancreatobiliary interventions