ASGE DDW Videos from Around the World | 2023-ENDOSCOPIC ULTRASOUND-GUIDED TRANSMURAL CHOLECYSTGASTROSTOMY WITH AN ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY FOR ACUTE CALCULOUS CHOLECYSTITIS

ENDOSCOPIC ULTRASOUND-GUIDED TRANSMURAL CHOLECYSTGASTROSTOMY WITH AN ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY FOR ACUTE CALCULOUS CHOLECYSTITIS

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Video Transcription

Video Summary

The video discusses the use of Endoscopic Ultrasound Guided Transmural Cholecystogastrostomy (EUS-TCG) as an alternative treatment for Acute Calculus Cholecystitis in patients who are not suitable candidates for Surgical Cholecystectomy. The procedure involves accessing the gallbladder through the stomach using lumen opposing metal stents, allowing for gallbladder drainage and stone removal. The video showcases a case of a 91-year-old man with multiple comorbidities who successfully underwent EUS-TCG for gallbladder decompression and bile drainage. The procedure involves visualizing the gallbladder wall with ultrasound, deploying the metal stent, and extracting stones from the gallbladder using forceps. EUS-TCG is highlighted as a safe and effective option for patients with contraindications to surgery, providing symptom relief and improving quality of life. No credits were provided.

Asset Subtitle

Honorable Mention

Keywords

Endoscopic Ultrasound Guided Transmural Cholecystogastrostomy

EUS-TCG

Acute Calculus Cholecystitis

Surgical Cholecystectomy

gallbladder drainage