DAVE Project – Gastroenterology

Kapil Gupta, M.D., Hennepin County Medical Center, University of Minnesota

In this video we will describe a novel technique of EUS guided choledochoduodenostomy as a 1-step procedure using a echoendoscope. We perform this procedure in patients with unresectable malignancy causing obstructive jaundice. In patients where standard ERCP or EUS guided rendezvous has failed or is not an option. A detailed discussion with th [...]

Kapil Gupta, M.D., Hennepin County Medical Center, University of Minnesota

In this video we will present two cases discussing the technique of bile duct access with pure wire guided cannulation using a loop tip guide wire. For pure wire guided cannulation, a sphincterotome is recommended. We should stay slightly away from the papilla so that papilla is clearly visualized and using the bow of sphincterotome the guide wir [...]

Kapil Gupta, M.D., Hennepin County Medical Center, University of Minnesota
Martin L. Freeman, M.D., University of Minnesota
Rebecca Lai, MD, Hennepin County Medical Center, University of Minnesota
Shawn Mallery, MD, Hennepin County Medical Center, University of Minnesota

Bile or pancreatic duct access by ERCP may fail because of obscured papilla, infiltration by tumor, or distortion of a post-surgical anastamosis. Although percutaneous access can be done EUS provides an alternative route. In this video, we will share our experience with the rendezvous technique in 2 biliary and 2 pancreatic cases. All procedures w [...]