ASGE DDW Videos from Around the World | 2025-ENDOSCOPIC ULTRASOUND DIRECTED TRANSDUODENAL ERCP (EDDE) IN A PATIENT WITH A DUODENAL SWITCH FOR COMPLEX STONE MANAGEMENT

ENDOSCOPIC ULTRASOUND DIRECTED TRANSDUODENAL ERCP (EDDE) IN A PATIENT WITH A DUODENAL SWITCH FOR COMPLEX STONE MANAGEMENT

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Video Summary

Endoscopic ultrasound-directed transduodenal ERCP (EDDE) was performed successfully for complex stone management in a 69-year-old male with a duodenal switch. This innovative approach involved creating a connection between the first and second parts of the duodenum (D1 to D2) using a lumen-apposing metal stent (LAMS) to access the biliary tree for ERCP. The patient underwent multiple procedures to clear stones and debris, ultimately achieving stent-free status and asymptomatic recovery. This case demonstrates EDDE's potential efficacy and safety for patients with duodenal switch anatomy, though further cases are needed to confirm its long-term success.

Asset Subtitle

Video Plenary Session I
Zane Gouda

Keywords

Endoscopic ultrasound

Transduodenal ERCP

Lumen-apposing metal stent

Duodenal switch

Stone management