ASGE DDW Videos from Around the World | 2023-ENDOSCOPIC MANAGEMENT OF LUMINAL OBSTRUCTION FROM DUODENAL DIVERTICULUM

ENDOSCOPIC MANAGEMENT OF LUMINAL OBSTRUCTION FROM DUODENAL DIVERTICULUM

Video Transcription

Video Summary

This video discusses the endoscopic management of luminal obstruction from a duodenal diverticulum, specifically focusing on creating a duodenal bypass using EUS-guided gastrointestinaloscopy and pyloric suturing. Duodenal diverticulum is usually asymptomatic but can sometimes cause obstruction. Surgical options have high complication rates, so endoscopic treatment options are being explored. The EUS-GJ technique using a metal stent has been successful in treating gastric outlet obstruction. The video presents a case where EUS-GJ and pyloric suturing were combined to create a duodenal bypass in a patient with obstruction from a large duodenal diverticulum. The procedure was successful, resulting in resolution of symptoms and improvement in the patient's condition. Long-term outcomes are still being evaluated. No credits were mentioned in the video.

Asset Subtitle

Honorable Mention

Keywords

endoscopic management

luminal obstruction

duodenal diverticulum

EUS-guided gastrointestinaloscopy

pyloric suturing