ASGE DDW Videos from Around the World | 2024-ENDOSCOPIC MYOTOMY FOR MANAGEMENT OF ANASTOMOTIC STRICTURE FOLLOWING WHIPPLE

ENDOSCOPIC MYOTOMY FOR MANAGEMENT OF ANASTOMOTIC STRICTURE FOLLOWING WHIPPLE

Video Transcription

Video Summary

Endoscopic myotomy is demonstrated as a treatment for anastomotic stricture post-Whipple procedure in a 75-year-old male with a history of pancreatic cancer. Despite initial stenting and dilation, symptoms persisted. A myotomy procedure successfully widened the gastric outlet, allowing stent removal and symptomatic relief. This approach can be beneficial for patients with complex upper GI anatomy and refractory strictures post-abdominal surgery. Endoscopic myotomy may be considered for managing anastomotic strictures at the gastric outlet level in cases like gastric bypass. It provides a solution in treating complications post-Whipple procedure, improving patient outcomes and quality of life.

Asset Subtitle

William Abel

Meta Tag

Concept Post-Whipple Stricture

Concept Endoscopic Myotomy

Concept Gastric Outlet Obstruction

Concept Endoscopic Balloon Dilation

Concept Lumen-Opposing Metal Stent

Keywords

Endoscopic myotomy

anastomotic stricture

Whipple procedure

pancreatic cancer

gastric outlet

Post-Whipple Stricture

Endoscopic Myotomy

Gastric Outlet Obstruction

Endoscopic Balloon Dilation

Lumen-Opposing Metal Stent