Advanced Endoscopy Fellows Program | September 2024-Combined ERCP and EUS Guided Palliative Biliary Drainage

Combined ERCP and EUS Guided Palliative Biliary Drainage

Video Transcription

Video Summary

The video presentation by Kush Bugala from Mayo Clinic detailed a complex case involving a 37-year-old female with adenocarcinoma. The patient underwent various procedures, including neoadjuvant chemotherapy, subtotal gastrectomy, and palliative biliary drainage due to biliary obstruction caused by metastatic cancer. The combined ERCP and EUS approach was used to address the altered anatomy, employing both metal and plastic stents. This method was chosen for its potential to achieve effective internal drainage and improve quality of life in younger patients. The presentation emphasized the challenges and advantages of this innovative approach in managing malignant hyaluronic obstructions.

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Video Fellows Presentations

Keywords

adenocarcinoma

neoadjuvant chemotherapy

ERCP and EUS

palliative biliary drainage

malignant obstruction