DDW2024.. with friends from around the World

ASGE-AMEG symposium at DDW 2024. Enjoyed interactions with my Mexican friends.
#DDW2024
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ASGE Presidential Plenary@ DDW 2024. Presented results of our RCT, precut vs EUS-RV
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Large gastric varix. We again tried injecting 0.5 cc glue in the feeder. 80% obliteration. Needed another 0.5 cc. Avoided the coils altogether
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Cholangioscopy and bx of a hilar stricture. Previous ercp and brush cytology negative
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Two patients with pancreas divisum in a day. Did a pancreato-duodenotomy in one, and pancreato-gastrostomy in the other
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Keith has a point there😊. We are presenting the data of our RCT on precut vs EUS-RV for difficult biliary cannulation in the ASGE Presidential plenary during DDW2024, May 18. Kindly attend.
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Precut papillotomy.. as taught to me by my ERCP guru.. Prof Kees Huibregtse.. generous initial cut in CBD direction, followed by cutting layerwise.. to get an onion peel appearance
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New article in DEN
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Linnitus plastica. Endoscopic bx negative twice. EUS Bx done.
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Recurrent abdominal wall abscess. Treated in the past laparoscopically. What should be the work up?

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Humbled by the honour🙏🙏

One of the most challenging problems. Known CCP. Recent worsening of pain. CA19-9>1000. MRCP as shown. EUS shows a tight stricture in genu. The surrounding pancreas is hypoechoic but not definite like Ca. PD traverses through it. ? Inflammatory?? Ca
WDYT?
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How to minimize the number of coils for gastric varices. Search for feeder vessel as seen in first photo. Deploy a single coil just beyond the feeder in the varix. You may not need any more coils. We needed 1/2 cc additional Glue to block a small patent vessel after coiling

1.7 cm splenic A pseudoaneurysm within a cyst. EUS-guided coil and glue embolization done. Complete stoppage of blood flow observed
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Honoured and delighted to be recognized by SGEI🙏

DPDS detected on ERP. EUS-guided pancreatico-gastrostomy done successfully
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