WEO Video: Dr. Jacques Deviere and Dr. Ralf Kiesslich
Drs Jacques Deviere and Ralf Kiesslich demonstrate endoscopic pancreatic pseudocyst drainage using the EUS approach alone
Traditionally, pancreatic pseudocysts have been drained endoscopically by ERCP endoscopists, making blind punctures into bulges in the stomach or duodenum. This risked puncturing unsuspected blood vessels, including varices. When endoscopic ultrasound (EUS) became widely available, ERCPists started asking their EUS colleagues to "mark the (safe) spot" on the wall of the pseudocyst. However, it quickly became obvious to EUS endoscopists that they didn't need the ERCPists to perform pseudocyst drainage. In this video from the 29th GEEW meeting in Brussels, Belgium, Drs Jacques Deviere and Ralf Kiesslich beautifully demonstrate endoscopic pancreatic pseudocyst drainage using the EUS approach alone, including the placement of stents across the wall to maintain the patency of the incision.
This video was taken during a live endoscopy session at the Gastroenterology and Hepatopancreatology Department of the Erasme University Hospital in Brussels, Belgium.