ASGE Postgraduate Course at ACG: Innovative Practices for the Endoscopist of Today, Tomorrow and Beyond | October 2023-Reducing Adverse Events Associated with EUS Guided Transluminal Drainage

Reducing Adverse Events Associated with EUS Guided Transluminal Drainage

Video Transcription

Video Summary

Dr. Swati Pawa from Wake Forest presented on adverse events associated with eos techniques and drainage. She discussed reducing adverse events in pancreatic fluid collections, gallbladder drainage, bile duct drainage, and stomach drainage. The revised Atlanta classification was mentioned, which categorizes acute pancreatitis as necrotizing or interstitial. The endoscopic step-up approach was highlighted as a shift in treating necrotizing pancreatitis. Dr. Pawa also discussed stent options and mentioned the importance of knowing the lumen-opposing metal stent. She touched on complications and how to avoid them, including bleeding, perforation, and maldeployment. Dr. Pawa presented various case examples and discussed how to salvage maldeployments. The importance of a multidisciplinary team, patient selection, and informed consent were emphasized. A stepwise approach was highlighted as an effective way to address adverse events.

Asset Subtitle

Swati Pawa, MD, FASGE

Keywords

adverse events

eos techniques

drainage

revised Atlanta classification

necrotizing pancreatitis