ASGE DDW Videos from Around the World | 2023-EUS DIRECTED TRANSGASTRIC ERCP EDGE FOR DISCONNECTED PANCREATIC DUCT SYNDROME FINDING THE EDGE TO BRIDGE THE GAP

EUS DIRECTED TRANSGASTRIC ERCP EDGE FOR DISCONNECTED PANCREATIC DUCT SYNDROME FINDING THE EDGE TO BRIDGE THE GAP

Video Transcription

Video Summary

In this video, the topic discussed is the use of endoscopic ultrasound directed transgastric ERCP for disconnected pancreatic duct syndrome. The traditional methods of ERCP for patients with Roux-en-Y gastric bypass are challenging due to the length of the afferent limb. This video presents a case of a 60-year-old female with acute necrotizing pancreatitis and failed attempts at percutaneous drainage. The procedure involved using an EOS directed approach to identify the pancreatic fluid collection and its communication with the duct. A gastric anastomosis was created using a stent and endoscopic sutures were used to secure it. The video concludes by highlighting the success of the intervention in resolving the collection and healing the duct.

Asset Subtitle

Honorable Mention

Keywords

endoscopic ultrasound

transgastric ERCP

disconnected pancreatic duct syndrome

Roux-en-Y gastric bypass

pancreatic fluid collection