ASGE International Sampler (On-Demand)-EUS

Video Transcription

Video Summary

In this video, the speaker discusses the EDGE (endoscopic ultrasound-directed gastro-gastrostomy) procedure for performing ERCP (endoscopic retrograde cholangiopancreatography) in patients who have previously undergone Roux-en-Y gastric bypass surgery. The speaker explains that the EDGE procedure allows for endoscopic intervention without the need to reverse the gastric bypass, which can be technically challenging. However, the EDGE procedure has its own challenges, including the need for a second procedure to remove the stent and a potential risk of creating chronic fistulas. The speaker also mentions alternative approaches, such as trans-abdominal access and EUS hepatic gastrostomy. The video includes case examples and discusses techniques for securing the stent and preventing its dislodgement. The speaker emphasizes the importance of a multidisciplinary approach and acknowledges the contributions of surgeons, interventional radiologists, and nurses in performing complex EUS-ERCP procedures.

Asset Subtitle

Shayan Irani, MBBS, MD

Keywords

EDGE procedure

ERCP

endoscopic ultrasound-directed gastro-gastrostomy

Roux-en-Y gastric bypass surgery

multidisciplinary approach