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