ASGE DDW Videos from Around the World | 2024-EUS-GUIDED HEPATICOGASTROSTOMY AND ANTEGRADE CHOLANGIOSCOPY: A NOVEL APPROACH IN DIAGNOSIS AND TREATMENT OF BILIARY OBSTRUCTION IN PATIENTS WITH SURGICALLY ALTERED ANATOMY

EUS-GUIDED HEPATICOGASTROSTOMY AND ANTEGRADE CHOLANGIOSCOPY: A NOVEL APPROACH IN DIAGNOSIS AND TREATMENT OF BILIARY OBSTRUCTION IN PATIENTS WITH SURGICALLY ALTERED ANATOMY

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Video Transcription

Video Summary

ESU-guided hepatogastrostomy and antegrade cholangioscopy present a innovative approach in managing biliary obstruction in patients with surgically altered anatomy. Conventional methods like enteroscopy-assisted ERCP and percutaneous biliary drainage pose challenges due to limited access and tools. A case study featuring a 58-year-old male with cholangiocarcinoma history showcased successful treatment using ESU-guided biliary access and stent placement. Follow-up cholangioscopy allowed for biopsy confirmation and additional stent placement. The technique expands the role of hepatogastrostomy, offering a minimally invasive and effective option for treating biliary strictures in such patients.

Asset Subtitle

Chima Amadi

Meta Tag

Concept Biliary Obstruction

Concept Hepatogastrostomy

Concept Cholangioscopy

Concept Surgically altered anatomy

Concept Endoscopic Retrograde Cholangiopancreatography

Keywords

ESU-guided hepatogastrostomy

antegrade cholangioscopy

biliary obstruction

surgically altered anatomy

cholangiocarcinoma

Biliary Obstruction

Hepatogastrostomy

Cholangioscopy

Surgically altered anatomy

Endoscopic Retrograde Cholangiopancreatography