ASGE International Sampler (On-Demand)-EUS DIRECTED TRANSGASTRIC EUS GUIDED RADIOFREQUENCY ABLATION OF A NEUROENDOCRINE TUMOR IN THE HEAD OF THE PANCREAS IN A PATIENT WITH A ROUX EN Y GASTRIC BYPASS ANATOMY

EUS DIRECTED TRANSGASTRIC EUS GUIDED RADIOFREQUENCY ABLATION OF A NEUROENDOCRINE TUMOR IN THE HEAD OF THE PANCREAS IN A PATIENT WITH A ROUX EN Y GASTRIC BYPASS ANATOMY

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Video Transcription

Video Summary

A 70-year-old patient with a history of Roux-en-Y gastric bypass underwent EOS-directed transgastric radiofrequency ablation to treat a neuroendocrine tumor in the pancreas. The patient had developed severe hypoglycemia and weight gain due to an insulinoma. The procedure involved creating a gastro-gastrostomy to access the pancreas, where biopsies revealed a WHO G1 tumor. Radiofrequency ablation successfully treated the tumor, restoring normal blood sugar levels. Follow-up scans showed no tumor uptake, indicating a successful procedure. This case highlights the potential of EOS-guided interventions in treating tumors in patients with altered gastric anatomy due to gastric bypass surgery.

Asset Subtitle

Khanh Pham

Meta Tag

Concept Pancreatic Head Lesion

Concept Pancreatic Neuroendocrine Tumor

Concept Roux-en-Y Gastric Bypass Anatomy

Concept Endoscopic Ultrasound

Concept Lumen-Apposing Metal Stent

Keywords

Roux-en-Y gastric bypass

neuroendocrine tumor

radiofrequency ablation

insulinoma

EOS-guided interventions

Pancreatic Head Lesion

Pancreatic Neuroendocrine Tumor

Roux-en-Y Gastric Bypass Anatomy

Endoscopic Ultrasound

Lumen-Apposing Metal Stent