ASGE International Sampler (On-Demand)-REVERSE ENDOSCOPIC ULTRASOUND-GUIDED NEO-GASTROJEJUNOSTOMY

REVERSE ENDOSCOPIC ULTRASOUND-GUIDED NEO-GASTROJEJUNOSTOMY

Video Transcription

Video Summary

Endoscopic ultrasound-guided neogastrojejunostomy is utilized for managing gastric outlet obstruction, offering an alternative to high-risk surgical procedures. In a case involving a 71-year-old female with a history of gastrointestinal surgery, this technique was used to address an outlet obstruction from a hiatal hernia and colonic interposition. The procedure involved placement of lumen-opposing metal stents, but complications arose, leading to a perforation that was successfully treated. The neogastrojejunostomy was then performed in reverse fashion, resulting in symptom resolution and patient improvement. This innovative approach demonstrates the potential benefits of endoscopic interventions in complex anatomical scenarios.

Asset Subtitle

Jenson Phung

Meta Tag

Concept Endoscopic Ultrasound-Guided Gastrojejunostomy

Concept Gastric Outlet Obstruction

Concept Neogastrojejunostomy

Concept Lumen-Opposing Metal Stent

Concept Distal Flange Misdeployment

Keywords

endoscopic ultrasound

neogastrojejunostomy

gastric outlet obstruction

lumen-opposing metal stents

hiatal hernia

Endoscopic Ultrasound-Guided Gastrojejunostomy

Gastric Outlet Obstruction

Neogastrojejunostomy

Lumen-Opposing Metal Stent

Distal Flange Misdeployment