ASGE DDW Videos from Around the World | 2023-EUS GUIDED GASTRO GASTROSTOMY USING LUMEN APPOSING METAL STENT

EUS GUIDED GASTRO GASTROSTOMY USING LUMEN APPOSING METAL STENT

Video Transcription

Video Summary

The video discusses the use of endoscopic ultrasound (EUS) guided gastrogastrostomy using a lumen-opposing metal stent to manage high-grade gastric outlet obstruction caused by vertical-banded gastroplasty (VBG), a type of bariatric surgery. VBG has a high failure rate and can lead to complications like stenosis and band erosion. Various endoscopic techniques have been used to manage narrowing of the gastric outlet, but they often have a high failure rate. The video presents a case study of a 60-year-old male with a history of VBG and stage IV small cell lung cancer who underwent EUS-guided gastrogastrostomy with a metal stent for nutritional optimization. The procedure was successful, and the patient was able to tolerate a soft mechanical diet within 24 hours. EUS-guided gastrogastrostomy with a metal stent is a promising alternative for managing gastric outlet obstruction in patients with VBG.

Asset Subtitle

Honorable Mention

Keywords

endoscopic ultrasound

gastrogastrostomy

lumen-opposing metal stent

gastric outlet obstruction

vertical-banded gastroplasty