We use cookies to offer you an optimal experience on our website. By browsing our website, you accept the use of cookies.

You must be logged in to watch this video. Click here to access your account, or here to register for free!

  • 140
  • 2020-01-27

Case studies of complicated surgical scenarios

Epublication WebSurg.com, Jan 2020;20(01). URL:
You must be logged in to ask a question to authors. Click here to access your account, or here to register for free!
In this short presentation, Professor Yen-I Chen, MD, expert in advanced endoscopy and pancreaticobiliary disease at McGill University (Montreal, Canada), introduces 3 video cases of complicated surgical scenarios which were managed endoscopically. In the first video, he presents the case of a 58 year-old man with a previous history of pancreatic cancer (2016). The patient had had a pancreaticoduodenectomy (Whipple procedure). After 2 years, the patient presented cancer recurrence with septic cholangitis due to gastrojejunostomy obstruction (closed loop obstruction of the afferent limb and also loop obstruction of the efferent limb). In the second video, Prof. Chen looks into what can go wrong during endoscopic ultrasound-guided gastrojejunostomy. Previous stent systems required dilatations prior to stent deployment, and here, the video presents a case scenario in which the stent was displaced causing gastric perforation in the abdominal cavity. This complication was managed using a NOTES procedure. In the third video, he reports the case of a patient with a previous obstructed duodenal stent which required an endoscopic ultrasound-guided gastrojejunostomy using the Axios stent.