ASGE Endoscopy Live: Interventional EUS and Endo-Hepatology (On-Demand) | July 2023-7-13-23 Endoscopy Live Case Demonstration 5.1

7-13-23 Endoscopy Live Case Demonstration 5.1 - Hospital Universitario Rio Hortega

Video Transcription

Video Summary

In this video, Dr. Manuel Perez Miranda from Spain demonstrates an EUS-guided gastroenterostomy procedure on an 82-year-old man with a history of obstetric jaundice and a diagnosis of adenocarcinoma of the ampulla. The procedure involves accessing the small bowel using an endoscope and a nasobiliary drain, and then deploying a stent to create a bypass. Dr. Miranda explains his technique and provides insights throughout the procedure, including the use of contrast, the importance of positioning the stent correctly, and the advantages of a freehand approach. The video also features questions and comments from other doctors, including Dr. Todd Baron and Dr. Jason Samarsena. Dr. Miranda highlights the success and functional benefits of gastroenterostomy procedures compared to surgical options, and suggests the procedure as a primary approach for palliating malignant gastric outlet obstruction. A second procedure, a combined gastroenterostomy and pancreatic duct drainage, is mentioned as a potential follow-up. overall, the video provides a detailed demonstration of an EUS-guided gastroenterostomy procedure and highlights its efficacy in palliating malignant gastric outlet obstruction.

Asset Subtitle

EUS-guided gastroenterostomy
Endoscopist: Dr. Manuel Perez-Miranda(Hospital Universitario Rio Hortega)

Keywords

EUS-guided gastroenterostomy

adenocarcinoma

stent deployment

gastric outlet obstruction

endoscope

palliation