ASGE DDW Videos from Around the World | 2024-EUS DIRECTED TRANSGASTRIC EUS GUIDED RADIOFREQUENCY ABLATION OF A NEUROENDOCRINE TUMOR IN THE HEAD OF THE PANCREAS IN A PATIENT WITH A ROUX EN Y GASTRIC BYPASS ANATOMY

EUS DIRECTED TRANSGASTRIC EUS GUIDED RADIOFREQUENCY ABLATION OF A NEUROENDOCRINE TUMOR IN THE HEAD OF THE PANCREAS IN A PATIENT WITH A ROUX EN Y GASTRIC BYPASS ANATOMY

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Video Transcription

Video Summary

A 70-year-old patient with a history of Roux-en-Y gastric bypass underwent EOS-directed transgastric radiofrequency ablation to treat a neuroendocrine tumor in the pancreas. The patient had developed severe hypoglycemia and weight gain due to an insulinoma. The procedure involved creating a gastro-gastrostomy to access the pancreas, where biopsies revealed a WHO G1 tumor. Radiofrequency ablation successfully treated the tumor, restoring normal blood sugar levels. Follow-up scans showed no tumor uptake, indicating a successful procedure. This case highlights the potential of EOS-guided interventions in treating tumors in patients with altered gastric anatomy due to gastric bypass surgery.

Asset Subtitle

Khanh Pham

Meta Tag

Concept Roux-en-Y Gastric Bypass

Concept Endoscopic Access

Concept EUS-directed Transgastric Intervention

Concept Insulinoma

Concept Endoscopic Ultrasound

Keywords

Roux-en-Y gastric bypass

EOS-directed transgastric radiofrequency ablation

neuroendocrine tumor

insulinoma

WHO G1 tumor

Roux-en-Y Gastric Bypass

Endoscopic Access

EUS-directed Transgastric Intervention

Insulinoma

Endoscopic Ultrasound