ASGE DDW Videos from Around the World | 2023-FAILED EUS-GUIDED HEPATICOGASTROSTOMY (EUS-HG). DON'T GIVE UP. EUS-RENDEZVOUS-HG CAN RESCUE YOU

FAILED EUS-GUIDED HEPATICOGASTROSTOMY (EUS-HG). DON'T GIVE UP. EUS-RENDEZVOUS-HG CAN RESCUE YOU

Video Transcription

Video Summary

The video discusses the technique of EUS rendezvous hepaticogastrostomy as a solution for failed EUS hepaticogastrostomy (EUSHE). The video explains that there are two main reasons for a failed EUSHE - inability to access the bile ducts and inability to dilate the tract or pass the stent. The solutions presented include using IR to outline the ducts and inflate a balloon for non-dilated ducts, and performing a rendezvous with IR or oneself for difficult dilation or stent placement. The video presents five cases that were successfully treated with EUS rendezvous hepaticogastrostomy, highlighting the effectiveness of the technique. No adverse events were reported during the follow-up period. Overall, the video emphasizes the importance of not giving up when conventional EUSHE fails and considering alternative techniques for successful internal drainage.

Asset Subtitle

World Cup
Best of the Best - EUS
Author: Shayan S. Irani

Keywords

EUS rendezvous hepaticogastrostomy

failed EUS hepaticogastrostomy

bile duct access

tract dilation

stent placement