ASGE DDW Videos from Around the World | 2024-EUS GUIDED PANCREATIC RENDEZVOUS TO RESCUE FAILED ERCP FOR POSTOPERATIVE PANCREATIC FISTULAS AFTER PANCREATICODUODENECTOMY

EUS GUIDED PANCREATIC RENDEZVOUS TO RESCUE FAILED ERCP FOR POSTOPERATIVE PANCREATIC FISTULAS AFTER PANCREATICODUODENECTOMY

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Video Transcription

Video Summary

The video transcript discusses using EOS pancreatic rendezvous to rescue failed ERCP for postoperative pancreatic fistulas after pancreatic or duodenectomy. It explains the classification of pancreatic fistulas and the factors associated with their occurrence. The cases presented involve patients with grade B and C fistulas who failed percutaneous drainage and conventional ERCP but were successfully treated with EOS pancreatic rendezvous. The procedure involved careful manipulation to reconnect the disrupted duct to the jejunum. The results showed successful management and long-term outcomes without recurrences. The approach of EOS pancreatic rendezvous offers a promising solution for severe postoperative pancreatic fistulas after a Whipple procedure.

Asset Subtitle

Video Plenary
Shayan Irani

Meta Tag

Concept Postoperative Pancreatic Fistula

Concept Endoscopic Ultrasound Pancreatic Rendezvous

Concept ISGPS Classification

Concept Grade B

Concept Grade C

Keywords

EOS pancreatic rendezvous

postoperative pancreatic fistulas

ERCP

Whipple procedure

pancreatic duct

Postoperative Pancreatic Fistula

Endoscopic Ultrasound Pancreatic Rendezvous

ISGPS Classification

Grade B

Grade C