Gastric bypass patients can regain weight years after their surgery. Now there are endoscopic outpatient options to help them recapture their weight loss. Dr. Kedia is offering endoscopic suture revision of gastrojenunal outlets.
At Methodist Dallas Dr. Kedia is using every imaging and sampling technology to evaluate indeterminate bile duct strictures to help patients get a diagnosis. This includes digital cholangioscopy, optical and volumetric laser endomicroscopy
EUS-guided hepaticogastrostomy with antegrade fully covered metal stent placement in a patient with malignant biliary and gastric outlet obstruction. The patient can now avoid percutaneous drainage which has been shown in comparative studies to have worse clinical outcomes compared to EUS-BD. Now the patient won’t require a drain hanging out of their skin going forward.
Cholangioscopy-guided endoscopic transpapillary stenting of the gallbladder – for a patient that was not a surgical candidate and had recurrent episodes of cholecystitis. Despite a pinpoint cystic duct opening a double pigtail stent was able to be placed. This will help the patient avoid the decreased quality of life and complications associated with percutaneous cholecystostomy drains
Successful EUS-guided pancreatic duct drainage in a patient with post-Whipple anatomy and recurrent pancreatitis. Placing a plastic stent endoscopically across here pancreaticojenunal anastomosis and back into the stomach will not only relieve her symptoms but also help her avoid a major surgery!
We performed the first Endoscopic Ultrasound (EUS) guided radiofrequency ablation (RFA) of a pancreas cyst in Dallas at Methodist Dallas Medical Center. This technology can help us treat pancreas cysts with a simple outpatient procedure instead of a large invasive surgery