ASGE DDW Videos from Around the World | 2024-REVERSE ENDOSCOPIC ULTRASOUND-GUIDED NEO-GASTROJEJUNOSTOMY

REVERSE ENDOSCOPIC ULTRASOUND-GUIDED NEO-GASTROJEJUNOSTOMY

Video Transcription

Video Summary

Endoscopic ultrasound-guided neogastrojejunostomy is utilized for managing gastric outlet obstruction, offering an alternative to high-risk surgical procedures. In a case involving a 71-year-old female with a history of gastrointestinal surgery, this technique was used to address an outlet obstruction from a hiatal hernia and colonic interposition. The procedure involved placement of lumen-opposing metal stents, but complications arose, leading to a perforation that was successfully treated. The neogastrojejunostomy was then performed in reverse fashion, resulting in symptom resolution and patient improvement. This innovative approach demonstrates the potential benefits of endoscopic interventions in complex anatomical scenarios.

Asset Subtitle

Jenson Phung

Keywords

endoscopic ultrasound-guided neogastrojejunostomy

gastric outlet obstruction

hiatal hernia

colonic interposition

lumen-opposing metal stents