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

Video Transcription

Video Summary

The presentation explores the detailed aspects of two essential medical procedures, ERCP (Endoscopic Retrograde Cholangiopancreatography) and EUS (Endoscopic Ultrasound), both used for diagnostic and therapeutic purposes related to bile duct and pancreatic disorders. <br /><br />ERCP, around for over 50 years, is both diagnostic and therapeutic, using endoscopy combined with live X-ray imaging (fluoroscopy) to address bile duct and pancreatic conditions. It involves inserting a catheter through an endoscope to inject contrast and visualize duct issues. The procedure helps treat bile duct stones, strictures, leaks, and more, using tools like sphincterotomes, extraction baskets, and different types of stents for drainage and support.<br /><br />EUS, initially a diagnostic tool, has evolved into being therapeutic, involving a small ultrasound device built into an endoscope for detailed imaging beyond mucosa. It's instrumental in cancer staging, tissue biopsy, and guiding various therapeutic interventions like drainage of cysts or obstructed ducts.<br /><br />The presentation emphasizes pre-procedure preparation, including informed consent, managing anticoagulation, patient risk assessment, and understanding the indications and contraindications of both procedures. Adequate post-procedure follow-up is necessary to ensure comprehensive patient care.

Asset Subtitle

John Martin, MD, FASGE

Keywords

ERCP

EUS

bile duct disorders

pancreatic disorders

endoscopy

therapeutic interventions

patient care