ASGE Esophagology: Tailoring Management from Testing to Treatment (On-Demand) | July 2022-Esophagology Virtual Demonstration 3

Video Transcription

Video Summary

In this video, Peter Dragunov and Shifa Omer discuss esophageal stenting and provide a virtual demonstration. They explain the two major types of stents, one being the through-the-scope stent which doesn't require scope exchange and allows for immediate deployment under endoscopic view. They also discuss the over-the-wire stent deployment method where a wire is first inserted through the therapeutic channel of the scope and then exchanged out for the stent. They compare the advantages and disadvantages of different wires and demonstrate how to securely hold the scope and wire while exchanging. They also explain the deployment process for the stent and the importance of fluoroscopy for accurate placement. They discuss the use of markings on the stent and recommend using fluoroscopy over the handle markings. Finally, they emphasize the need for careful stent deployment and the challenges of repositioning.

Keywords

esophageal stenting

through-the-scope stent

over-the-wire stent

endoscopic view

wire exchange

fluoroscopy