ERCP After Bariatric Surgery - New Techniques & Tips

Video Transcription

Video Summary

The webinar focused on the topic of ERCP after bariatric surgery, discussing the challenges and innovative techniques for navigating post-operative anatomy in patients with Roux-en-Y gastric bypass. Dr. Nikhil Kumta, an expert in minimally invasive procedures, led the session, highlighting the techniques like enteroscopy-assisted ERCP, laparoscopy-assisted ERCP, and the EDGE (EUS-Directed Transgastric ERCP) procedure. The discussion included the advantages of EDGE, such as being minimally invasive, offering high success rates, and facilitating faster, cost-effective interventions compared to traditional methods. Dr. Kumta emphasized pre-procedure planning, appropriate patient selection, and the importance of general anesthesia during EDGE procedures. Additionally, the webinar covered the potential complications of EDGE, including stent migration and persistent fistulas, and suggested early removal of stents when possible. The session concluded with a Q&A, addressing queries on stent fixation and device usage, and remarks on integrating advanced endoscopy techniques into clinical practice. Upcoming educational events by the association were also announced.

Keywords

ERCP

bariatric surgery

Roux-en-Y gastric bypass

minimally invasive

EDGE procedure

enteroscopy-assisted ERCP

laparoscopy-assisted ERCP

stent migration

advanced endoscopy