Advanced Endoscopy Fellows Program | September 2023-Presentation 6B

Video Transcription

Video Summary

In this video, the presenter discusses a case of a 57-year-old patient with newly diagnosed pancreatic cancer. The patient presented with recurrent nausea and vomiting and a CAT scan showed gastric outlet obstruction. The presenter discusses various options for treating gastric outlet obstruction, including duodenal stent, GJ (gastro-jejunostomy) tube, PEG (percutaneous endoscopic gastrostomy), and surgical options. The presenter then focuses on the technique of using the Axios stent, which is typically used for treatment of walled-off pancreatic fluid collections, in the case of gastric outlet obstruction. The video shows the placement of the stent, and later complications of a fistula to the colon. The presenter and participants discuss possible solutions, including closing the colon and placing a fully covered esophageal stent, or closing the fistula from the colonic side. The video emphasizes the importance of careful consideration of new techniques and technologies, as they may have unforeseen complications.

Keywords

pancreatic cancer

gastric outlet obstruction

Axios stent

fistula

complications