ASGE Therapeutic EUS for Advanced Endosonographers (Live and Virtual) | September 2022-8 Wagh_EUS Guided Gastrojejunostomy and Gallbladder Drainage

8 Wagh_EUS Guided Gastrojejunostomy and Gallbladder Drainage

Pdf Summary

This document discusses the techniques, outcomes, and comparisons of EUS-guided gastrojejunostomy and gallbladder drainage procedures. EUS-guided gastrojejunostomy (EUS-GE) is a procedure used to treat malignant gastric outlet obstruction (GOO) by creating a bypass without stent obstruction. The procedure involves identifying the target, accessing the small bowel, and placing a stent. EUS-GE has been shown to have similar efficacy to surgical gastrojejunostomy with fewer adverse events. It is also comparable to enteral stenting with fewer re-interventions.<br /><br />EUS-guided gallbladder drainage (EUS-GBD) is a procedure used for high-risk patients who are not candidates for cholecystectomy. It involves draining the gallbladder using stents or LAMS. Compared to percutaneous cholecystostomy, EUS-GBD has been shown to reduce adverse events, re-interventions, readmissions, and recurrent cholecystitis. The efficacy and safety of EUS-GBD are similar to ERCP-guided transpapillary gallbladder stenting.<br /><br />Overall, EUS-guided procedures offer less invasive alternatives to surgery with similar efficacy and improved outcomes. However, the selection of technique depends on the expertise available and the patient's clinical scenario. It is important to anticipate and plan for potential adverse events during EUS-guided interventions.<br /><br />The document also mentions upcoming courses on various endoscopic procedures, including EUS, POEM, ESD, and bariatric endoscopy. The contact information of the author is provided for further inquiries.

Keywords

EUS-guided gastrojejunostomy

gallbladder drainage

malignant gastric outlet obstruction

stent obstruction

surgical gastrojejunostomy

enteral stenting

EUS-guided gallbladder drainage

cholecystectomy

percutaneous cholecystostomy

ERCP-guided transpapillary gallbladder stenting