ASGE Postgraduate Course at ACG 2022: Expanding the Scope of Fundamental and Advanced Endoscopy | October 2022-Phillip Ge Malignant Gastric Outlet Obstruction Duodenal Stents

Phillip Ge Malignant Gastric Outlet Obstruction Duodenal Stents

Video Transcription

Video Summary

The speaker presents a rebuttal in a debate about the effectiveness of duodenal stenting as a therapy for pancreatic cancer patients with gastric outlet obstruction. They argue that duodenal stenting has a long track record with proven efficacy, supported by multiple studies and guidelines. They acknowledge that stent occlusion is a problem but point out that most stents still last longer than the survival time of pancreatic cancer patients. They question the adoption and widespread use of EUSGJ, highlighting the limited training opportunities and the expertise required. They also mention the advancements in robotic surgery as a potential alternative to EUSGJ. The speaker concludes that the choice between duodenal stents and EUSGJ should be personalized and multidisciplinary based on patient factors and long-term survival prospects. They argue that EUSGJ currently occupies a narrow niche and needs significant improvement before it can be widely adopted. They emphasize the importance of a safe and widely accessible procedure.

Keywords

duodenal stenting

pancreatic cancer patients

EUSGJ

robotic surgery

personalized treatment