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

Phillip Ge Malignant Gastric Outlet Obstruction Duodenal Stents

Video Transcription

Video Summary

In this video, the speaker presents a rebuttal to the idea that duodenal stenting is outdated for treating malignant gastric outlet obstruction in pancreatic cancer patients. They argue that while endoscopic ultrasound-guided gastrojejunostomy (EUSGJ) has gained popularity, it remains limited in adoption due to the steep learning curve and lack of expertise among endoscopists. The speaker also highlights the poor prognosis of pancreatic cancer, with most patients not surviving long enough for stent failure to occur, making duodenal stent placement still a reasonable option. They suggest that robotic gastrointestinaloscopy may be a better alternative for patients with reasonable long-term survival.

Keywords

duodenal stenting

malignant gastric outlet obstruction

pancreatic cancer

endoscopic ultrasound-guided gastrojejunostomy

robotic gastrointestinaloscopy