ASGE DDW Videos from Around the World | 2024-EUS GUIDED PANCREATICO GASTROSTOMY APPROACHES FOR COMPLETE PANCREATIC DUCT OBSTRUCTION

EUS GUIDED PANCREATICO GASTROSTOMY APPROACHES FOR COMPLETE PANCREATIC DUCT OBSTRUCTION

Video Transcription

Video Summary

EUS-guided pancreatic gastrostomy is used to treat complete pancreatic duct obstruction caused by various conditions. Patients may experience pain, pancreatitis, or complications like pseudocysts. Treatment options include EUS-guided therapy, surgery, or conservative management. Three cases are presented, each requiring different approaches due to underlying etiologies. Procedures involve accessing and dilating the pancreatic duct using different-sized needles, wires, and stents. Despite challenges, all patients tolerated the procedures well and were discharged within days. The use of different stents and techniques helped achieve successful outcomes. Overall, EUS-guided pancreatic duct drainage proves to be a successful and minimally invasive treatment for complete pancreatic duct obstruction.

Asset Subtitle

Mustafa Arain

Keywords

EUS-guided pancreatic gastrostomy

pancreatic duct obstruction

pseudocysts

EUS-guided therapy

pancreatitis