ASGE International Sampler (On-Demand)-Advanced EUS Anatomy: Keeping an Eye on the Intervention

Video Transcription

Video Summary

The video features Dr. Carlos Robles-Medranda, the head of the endoscopy division of the Ecuadorian Institute of Digestive Diseases, EASAD, in Guayaquil, Ecuador. He is also the director of the Pentax Training Center in Ecuador. Dr. Robles-Medranda is an expert in digestive endoscopy, particularly in advanced procedures such as endoscopic ultrasound, laser endomicroscopy, POEM, and ERCP. In the video, he discusses the use of endoscopy-guided vascular therapy in gastrointestinal varices, highlighting the importance of understanding the anatomy and classification of varices. He explains the rationale behind using endoscopy-guided vascular therapy, which includes the ability to differentiate between arterioles and venues and the security of the vascular access. Dr. Robles-Medranda also discusses the use of endoscopy-guided injection and deployment therapy for hemostasis in variceal bleeding. He shares several case examples and cites studies that demonstrate the effectiveness of combined therapy using coils and cyanoacrylate injection. Additionally, he discusses the use of endoscopy-guided gallbladder drainage and radiofrequency ablation in various conditions, such as biliary tract tumors and pancreatic adenocarcinoma. He presents case examples and highlights the success and cost-effectiveness of these techniques. Overall, Dr. Robles-Medranda emphasizes the importance of using endoscopy guidance and advanced techniques for improved patient outcomes in various digestive disorders.

Asset Subtitle

Carlos A. Robles Medranda, MD, FASGE and Shivangi Kothari, MD, FASGE

Keywords

endoscopy-guided vascular therapy

varices

hemostasis

coils

cyanoacrylate injection

gallbladder drainage