ASGE Therapeutic EUS for Advanced Endosonographers (Live and Virtual) | September 2022-Video Based Case Discussion 2

Video Transcription

Video Summary

The video discusses a medical procedure performed on a patient with peristomal varices, who had a history of ileostomy after colon resection for ulcerative colitis and concomitant cirrhosis. The video demonstrates the process of using coils and glue to treat the patient's torrential bleeding. The narrator explains the importance of identifying the culprit blood vessel, measuring it, and using 19-gauge needles for inserting coils. The video then shows the steps of inserting coils and glue into the blood vessel to occlude it, ensuring a clean needle tract and slow injection of glue. Overall, the technique has been successful in approximately 25 patients and provides a valuable option for these desperate patients.

Keywords

medical procedure

peristomal varices

ileostomy

coils and glue

torrential bleeding