ASGE Adult and Pediatric Gastroenterology and Endoscopy Board Preparatory and Review Course | 2022-Biliary Disease: Diagnosis and Management

Video Transcription

Video Summary

In this video, Dr. Stuart Amatow discusses various aspects of biliary disease diagnosis and management. He begins by thanking the organizers of the event and providing his disclosures and learning objectives. He explains that biliary disease can present with incidental findings or signs and symptoms. Incidental findings may include abnormal liver studies and imaging, which can suggest stone or stricture formation. Signs and symptoms include abdominal pain and jaundice. Dr. Amatow then dives into the details of biliary stone biochemistry, discussing the types of stones and their composition. He explains that choledocholithiasis refers to stones within the common duct, and they can be formed in two ways: secondary stones passing from the gallbladder or primary stones forming from stasis within the duct. He discusses the importance of prompt diagnosis and management of cholangitis, and the various steps involved in the management of biliary stones, including ERCP, cholecystectomy, and timing of interventions. Dr. Amatow also covers other gallbladder entities, such as gallbladder polyps and porcelain gallbladder, as well as biliary strictures and diseases like primary sclerosing cholangitis, IgG4-related disease, recurrent pyogenic cholangitis, and Corolla's disease. He provides key concepts, diagnosis, and treatment options for these conditions. He also touches on complications following liver transplantation, such as biliary disease and anastomotic or non-anastomotic strictures. Dr. Amatow concludes by discussing autoimmune pancreatitis and primary biliary cholangitis, and provides pearls of wisdom for the diagnosis and management of biliary diseases.

Asset Subtitle

Stuart Amateau, MD, PhD

Keywords

biliary disease

choledocholithiasis

cholangitis

ERCP

gallbladder polyps

biliary strictures

primary sclerosing cholangitis