ASGE DDW Videos from Around the World | 2025-COMBINED EUS-FNB, ERCP, EUS-GJ FOR GASTRIC OUTLET AND BILIARY OBSTRUCTION FROM PANCREATIC CANCER IN POST-SLEEVE GASTRECTOMY ANATOMY

COMBINED EUS-FNB, ERCP, EUS-GJ FOR GASTRIC OUTLET AND BILIARY OBSTRUCTION FROM PANCREATIC CANCER IN POST-SLEEVE GASTRECTOMY ANATOMY

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Video Transcription

Video Summary

An 83-year-old male with pancreatic cancer and post-sleeve gastrectomy anatomy faced gastric and biliary obstruction. He underwent combined procedures—Endoscopic Ultrasound Fine Needle Biopsy (EUSFNB), Endoscopic Retrograde Cholangiopancreatography (ERCP) with stent placement, and Endoscopic Ultrasound-guided Gastrojejunostomy (EUSGJ). These interventions were successful and without complications, addressing the malignant obstructions effectively. As cancer rates rise with an aging, increasingly obese population, combining such procedures could streamline diagnosis and treatment, reducing healthcare costs and hospital stays while improving patient quality of life and minimizing anesthesia needs.

Asset Subtitle

Brenton Davis

Keywords

pancreatic cancer

endoscopic procedures

gastrojejunostomy

malignant obstruction

healthcare optimization