ASGE Annual GI Advanced Practice Provider Course (On-Demand) - Onboarding (Day One)

Video Transcription

Video Summary

Dr. Aaron Shields, a gastroenterologist from Rockford Gastroenterology Associates, discusses two advanced upper endoscopic procedures: endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic ultrasound (EUS). He explains that ERCP is primarily a therapeutic procedure used for the diagnosis and management of pancreatic and biliary diseases. ERCP involves inserting an endoscope through the mouth, advancing it into the duodenum, and using a side-viewing scope to access the bile duct and pancreatic duct. Dr. Shields highlights the procedure's effectiveness in removing common bile duct stones. He also emphasizes the importance of pre-procedural assessment, informed consent, and appropriate follow-up.<br /><br />In contrast, EUS combines endoscopy with high-frequency ultrasonography to visualize structures and diagnose various gastrointestinal conditions. Dr. Shields discusses some diagnostic indications for EUS, including evaluation of pancreatic and subepithelial lesions, staging of certain malignancies, and evaluation of mediastinal masses. He notes that EUS is increasingly performed compared to ERCP due to its versatility and broader range of uses. Dr. Shields concludes by highlighting the importance of patient selection, management of anticoagulation, recognizing and managing complications, and early follow-up after these procedures.

Asset Subtitle

Aaron Shiels, MD, FASGE

Keywords

ERCP

EUS

pancreatic and biliary diseases

common bile duct stones

high-frequency ultrasonography

patient selection