ASGE DDW Videos from Around the World | 2024-ENDOSCOPIC ULTRASOUND EUS GUIDED COLODUODENOSTOMY FOR MANAGEMENT OF A DILATED DONOR DUODENUM AND RECURRENT PANCREATITIS FOLLOWING PANCREATICODUDOENAL TRANSPLANT

ENDOSCOPIC ULTRASOUND EUS GUIDED COLODUODENOSTOMY FOR MANAGEMENT OF A DILATED DONOR DUODENUM AND RECURRENT PANCREATITIS FOLLOWING PANCREATICODUDOENAL TRANSPLANT

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Video Transcription

Video Summary

EUS guided coloduodenostomy was performed on a 52-year-old male with a history of diabetes and kidney transplant to address recurrent pancreatitis. A dilated donor duodenum, leading to pancreatitis, was identified due to outflow obstruction from an anastomotic stricture. Endoscopic ultrasound guided lumen opposing metal stent placement was done to decompress the duodenum. Subsequently, issues arose with diarrhea and short gut-like syndrome, prompting urgent reevaluation and stent adjustments. Eventually, the patient had two double pigtail plastic stents placed for pressure relief, leading to improved symptoms and no recurrence of pancreatitis. This case showcases the successful use of endoscopic therapy for afferent limb-like syndrome, providing relief without surgery.

Asset Subtitle

Abhishek Satishchandran

Keywords

EUS guided coloduodenostomy

pancreatitis

endoscopic ultrasound

duodenal stent placement

afferent limb-like syndrome