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

Video Transcription

Video Summary

The speaker begins by thanking the hosts and expressing their honor to be part of the faculty. They show an image of their office building, which is located near the hospital where they work, and discuss how this image symbolizes the doors and windows that endoscopic techniques have opened in the field. The speaker then introduces the topic of the video, which is an extension of basic EUS principles combined with interventional endoscopy. They explain that EUS gastroenterostomy can be used to address the limitations of stenting for malignant gastric outlet obstruction. They discuss the efficacy of EUS gastroenterostomy and walk through the steps of the procedure, highlighting the importance of planning, teamwork, and having the necessary equipment. The speaker then shifts to the topic of EUS gallbladder drainage and compares it to other treatment options. They present data on technical and clinical success rates, adverse events, and outcomes for EUS gallbladder drainage compared to surgical gastroenterostomy and transpapillary cystic gallbladder stenting. They also discuss the tailored approach to choosing the appropriate treatment option based on patient characteristics and available resources. The speaker concludes by emphasizing the importance of high technical skills in performing EUS-guided interventional endoscopy and the need for experienced endoscopists to perform these procedures. They also highlight the need to anticipate and plan for potential adverse events and discuss the learning curve for these procedures.

Asset Subtitle

Mihir Wagh, MD, FASGE

Keywords

endoscopic techniques

EUS principles

EUS gastroenterostomy

malignant gastric outlet obstruction

EUS gallbladder drainage

surgical gastroenterostomy

transpapillary cystic gallbladder stenting

technical skills