Postgraduate Course at DDW: Complete Clinical Updates for Today's Practice | May 2025-ENDOSCOPY AND THERAPEUTICS WITH SURGICALLY-ALTERED ANATOMY

Video Transcription

Video Summary

In this breakout session, the speaker discusses the challenges and strategies in performing endoscopies and therapeutic procedures on patients with surgically altered gastrointestinal anatomy, often due to bariatric, cancer-related, or transplant surgeries. The complexity arises from the absence of conventional landmarks and specific anatomical alterations such as anastomoses. The session covers various types of altered anatomy scenarios: esophagogastric, post-bariatric, pancreaticobiliary, and colorectal. Each procedure requires unique approaches, tools, and careful planning, often entailing interdepartmental collaboration. The speaker highlights the importance of understanding patient history, operative notes, and utilizing appropriate endoscopic equipment. Specific techniques and innovations such as endoscopic fundoplication (TIF), use of lumen-opposing metal stents, and EUS-directed transgastric ERCP (EDGE) are detailed along with examples of handling complications like anastomotic leaks and strictures. The session emphasizes the significance of reviewing imaging and operative reports for effective planning and execution of procedures. Future improvements may include AI navigation and robotic assistance to enhance precision and outcomes in complex endoscopic interventions.

Keywords

endoscopies

surgically altered anatomy

bariatric surgery

therapeutic procedures

anastomoses

endoscopic innovations

interdepartmental collaboration

AI navigation