Advanced Endoscopy Fellows Program | September 2023-Hands On Demonstration 2

Video Transcription

Video Summary

In this video, the speaker demonstrates EUS-guided coil placement for the treatment of gastric varices. They explain that they mainly use nester coils, which come in different sizes and lengths, depending on the size of the varix. The speaker shows how to load the coil into the needle and deploy it into the varix, with the process being visible under EUS guidance. They also discuss the use of gel foam as a supplement to the coils to promote coagulation and reduce the risk of embolization. The speaker mentions that patient selection for this procedure is not standardized and varies among institutions, but generally, patients who are not candidates for transjugular intrahepatic portosystemic shunt (TIPS) and have no shunt on CT scan are considered for coil and glue embolization. The speaker briefly mentions the use of endoscopic stenting in the management of refractory variceal bleeding.

Keywords

EUS-guided coil placement

gastric varices treatment

nester coils

gel foam supplement

endoscopic stenting