ASGE DDW Videos from Around the World | 2024-ENDOSCOPIC BRAUN ENTERO ENTEROSTOMY FOR MANAGEMENT OF SEVERE BILE ACID REFLUX POST WHIPPLE SURGERY

ENDOSCOPIC BRAUN ENTERO ENTEROSTOMY FOR MANAGEMENT OF SEVERE BILE ACID REFLUX POST WHIPPLE SURGERY

Video Transcription

Video Summary

In the video transcript, endoscopic interventions for managing bile acid reflux post-Whipple surgery are discussed. Bile acid reflux can lead to complications like bile acid gastropathy and delayed gastric emptying, with surgery sometimes necessary after failed medical management. A 62-year-old female with severe bile reflux symptoms underwent an EUS-guided enteroenterostomy procedure as an alternative to surgery. The procedure involved creating an anastomosis to redirect bile flow from the afferent limb to the efferent limb, alleviating symptoms. Postoperative follow-ups showed significant improvement without complications. The minimally invasive endoscopic approach proved effective in managing severe bile reflux post-Whipple surgery, offering an alternative to traditional surgical interventions.

Asset Subtitle

World Cup
Authors: Ethan M. Cohen, Ayowumi A. Adekolu, Rohit Agrawal, Moiz Ahmed, Soban Maan, Brian Boone, Shyam Thakkar, Shailendra Singh

Keywords

endoscopic interventions

bile acid reflux

Whipple surgery

EUS-guided enteroenterostomy

minimally invasive approach