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

Video Transcription

Video Summary

In this video, Dr. Aaron Shields discusses two specialized upper endoscopic procedures: endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic ultrasound (EUS). ERCP is a technique for the diagnosis and management of pancreatic and biliary diseases. It has transitioned from being primarily a diagnostic procedure to a therapeutic one. ERCP is performed by inserting an endoscope through the mouth and into the duodenum, where the major papilla is located. It provides quick clinical responses and is particularly effective in removing common bile duct stones. EUS combines endoscopy with high-frequency ultrasonography to visualize different layers of the gastrointestinal tract. It is commonly used to evaluate pancreatic and subepithelial lesions, stage certain malignancies, and perform fine needle aspirations. The pre-procedural assessment, sedation plan, and management of anticoagulation are discussed for both procedures. Potential complications of ERCP include pancreatitis, bleeding, perforation, and respiratory complications. EUS is indicated for the diagnosis and staging of pancreatic cancer, pseudocyst drainage, FNA of mediastinal lymphadenopathy, and evaluation of common bile duct dilation. The importance of informed consent and appropriate follow-up is emphasized.

Asset Subtitle

Aaron Shiels, MD, FASGE

Keywords

endoscopic retrograde cholangiopancreatography

endoscopic ultrasound

pancreatic and biliary diseases

common bile duct stones

gastrointestinal tract visualization

pancreatic cancer staging