Post written by Samuel Han, MD, from The Ohio State University Wexner Medical Center, Columbus, Ohio, USA. In this video with 2 cases, we describe a technique for performing an EUS-guided gastrojejunostomy using commonly available endoscopic devices, including an 18- to 20-mm dilation balloon (CRE Balloon Dilatation Catheter; Boston Scientific, Marlborough, Mass, USA). Upon identifying the site …
Continue reading Dilation balloon-occlusion technique for EUS-guided gastrojejunostomy
Post written by Kambiz Kadkhodayan, MD, from the Center for Interventional Endoscopy, AdventHealth, Orlando, Florida, USA. We describe a novel endoscopic procedure that results in complete diversion of the gastric stream away from the duodenum and into the proximal jejunum. Duodenal bypass was achieved using a 2-step approach. Step 1 involved diverting the gastric stream into …
Post written by Rishi Pawa, MD, FACG, from the Wake Forest School of Medicine, Winston-Salem, North Carolina, USA. A 56-year-old man with a medical history of metastatic duodenal adenocarcinoma, status postpartial gastrectomy, and duodenectomy with Roux-en-Y gastrojejunostomy (GJ) presented with gastric outlet obstruction. Endoscopy revealed an ulcerated stricture at the gastrojejunal anastomosis, with biopsies confirming recurrent …
Vivek Kumbhari, MD from the Department of Medicine and Division of Gastroenterology and Hepatology at the Johns Hopkins Medical Institutions in Baltimore, Maryland, USA shares this VideoGIE case, "EUS-guided gastrojejunostomy for management of complete gastric outlet obstruction." An 86-year-old female presents for management of gastric outlet obstruction (GOO) secondary to locally advanced pancreatic adenocarcinoma. An …
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Takao Itoi, MD, PhD, FASGE from the Tokyo Medical University in Tokyo, Japan discusses his article "Novel EUS-guided gastrojejunostomy technique using a new double-balloon enteric tube and lumen-apposing metal stent (with videos)" from the New Methods section of the December issue. Advanced gastric, duodenal, and peri-pancreatic cancers can show gastric outlet obstruction (GOO) at the …
Continue reading Novel EUS-guided gastrojejunostomy technique
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