ASGE DDW Videos from Around the World | 2023-ENDOSCOPIC PYLORIC EXCLUSION; EUS GUIDED GASTRO-JEJUNOSTOMY COMBINED WITH ENDOSCOPIC SUTURING AND CLOSURE OF THE PYLORUS. A NOVEL APPROACH TO FAILED SURGICAL REPAIR OF A PERFORATED DUODENAL ULCER

ENDOSCOPIC PYLORIC EXCLUSION; EUS GUIDED GASTRO-JEJUNOSTOMY COMBINED WITH ENDOSCOPIC SUTURING AND CLOSURE OF THE PYLORUS. A NOVEL APPROACH TO FAILED SURGICAL REPAIR OF A PERFORATED DUODENAL ULCER

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Video Transcription

Video Summary

The video transcript describes a novel approach to repairing a perforated duodenal ulcer in an elderly female patient with metastatic breast cancer. After a failed surgical repair, the patient underwent a repeat attempt at endoscopic closure. Due to the size of the defect and friable margins, traditional closure methods were not possible. The procedure involved diverting the gastric stream away from the perforation site by partially diverting it into the proximal jejunum and completely excluding the duodenum by suturing the pylorus closed. The patient tolerated the procedure well and showed significant improvement in drain output. The procedure shows promise as an alternative to surgical re-exploration for duodenal leaks, but further studies are needed. No credits were mentioned in the video transcript.

Asset Subtitle

Best of the Best
Authors: Kambiz S. Kadkhodayan, Azhar Hussain, Hafiz M. Khan, Mustafa A. Arain, Dennis Yang, Muhammad K. Hasan

Keywords

perforated duodenal ulcer

elderly female patient

metastatic breast cancer

endoscopic closure

gastric stream diversion