Video Tip: Endoscopic Ultrasound Directed Transgastric ERCP EDGE | April 2023-Endoscopic Ultrasound Directed Transgastric ERCP EDGE

Endoscopic Ultrasound Directed Transgastric ERCP EDGE

Video Transcription

Video Summary

In this video, the speaker discusses an alternative option called EUS guided fistula for patients where a fistula is created between the gastric pouch and excluded stomach. An aluminum posing metal stent is placed to create the fistula, allowing for a standard ERCP procedure to be performed. The procedure is not technically challenging if one has experience placing stents for pancreatic fluid collection drainage. The video demonstrates the process of injecting fluid into the remnant stomach to distend it, inserting a wire or contrast, deploying the stent flanges, dilating the stent, and finally performing the ERCP. The option to leave the stent in or attempt closure is available depending on the situation. This video tip is provided through an educational grant from Braintree/Cibela Pharmaceuticals.

Keywords

EUS guided fistula

gastric pouch

excluded stomach

aluminum posing metal stent

ERCP procedure