ASGE Endoscopy Live: Interventional EUS and Endo-Hepatology | July 2023-7-13-23 Endoscopy Live Case Demonstration 2

7-13-23 Endoscopy Live Case Demonstration 2 - Brigham and Womens

Video Transcription

Video Summary

In this video, Dr. Christopher Thompson from Brigham and Women's Hospital demonstrates an EUS-guided gastroenterostomy. The patient is an 83-year-old female with metastatic pancreatic adenocarcinoma and a history of intractable nausea, vomiting, and abdominal pain. The CT scan showed a malignant gastric outlet obstruction and surgical options were ruled out. The procedure involves using the Fuji Arietta 850 system and the 740UT therapeutic echo endoscope. Dr. Thompson discusses the importance of finding a mobile target close to the transducer and demonstrates the deployment of the stent using a syringe technique. He also discusses the benefits of the stent over enteral stents, such as longer intervention-free time and better tolerance of regular food. Dr. Thompson and his team highlight the safety and effectiveness of the procedure and discuss potential complications and their management. They emphasize the importance of a methodical approach and patient positioning in achieving successful outcomes.

Asset Subtitle

EUS-guided gastroenterostomy
Endoscopist: Dr. Christopher Thompson

Keywords

EUS-guided gastroenterostomy

metastatic pancreatic adenocarcinoma

malignant gastric outlet obstruction

stent deployment

benefits of stent

complications management