ASGE International Sampler (On-Demand)-Room 2

Video Transcription

Video Summary

In this video, Dr. Sandeep is performing an endoscopic ultrasound (EOS) guided gastrogynostomy on a 66-year-old lady with recurrent vomiting, abdominal pain, jaundice, and an abnormal liver function test. The patient has a pancreatic head mass with duodenal infiltration causing gastric outward obstruction. Dr. Sandeep uses an EPAS balloon and a tube filled with saline, contrast, and a coloring agent to trap the area and drain it like a pseudocyst. He inflates the balloons and fills the intervening segment with saline, contrast, and the coloring agent. He then uses fluoroscopy and EUS to guide the placement of a stent to create the gastrojejunostomy. The procedure takes about 10 to 15 minutes, and the patient is under deep sedation. Dr. Sandeep emphasizes the importance of taking time to ensure accuracy and minimizing complications. He does not perform dilation but allows the stent to naturally expand over time. The procedure is successful, and the doctors discuss their different techniques and experiences with similar procedures.

Keywords

endoscopic ultrasound

gastrogynostomy

pancreatic head mass

stent placement

sedation

complications