ASGE DDW Videos from Around the World | 2025-EUS-GUIDED PANCREATOGASTROSTOMY TO FACILITATE RETRIEVAL OF A PROXIMALLY MIGRATED PANCREATIC DUCT SENT IN A POST-WHIPPLE PATIENT

EUS-GUIDED PANCREATOGASTROSTOMY TO FACILITATE RETRIEVAL OF A PROXIMALLY MIGRATED PANCREATIC DUCT SENT IN A POST-WHIPPLE PATIENT

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Video Transcription

Video Summary

The video describes a complex procedure for retrieving a migrated pancreatic duct stent in a patient who underwent Whipple surgery. In cases where conventional methods fail, an endoscopic ultrasound-guided pancreatic gastrostomy is performed. The approach involves placing and upsizing stents to dilate the pancreatic gastrostomy tract, followed by retrieval using a cholangioscope and forceps. This method effectively addresses the challenges posed by altered anatomy and stricture, facilitating successful stent removal and reducing complications like pancreatitis. The patient recovered well, with plans for further follow-up ERCP to manage strictures.

Asset Subtitle

Mouen Khashab

Keywords

pancreatic duct stent

endoscopic ultrasound

pancreatic gastrostomy

Whipple surgery

cholangioscope