ASGE Annual Postgraduate Course: Clinical Challenges and Real-Time Decision Making in GI Endoscopy (Live and Virtual)

Video Transcription

Video Summary

In this video, Dr. Ginsberg and his team discuss a complex medical case involving an 81-year-old patient with pericardial lymphoma, diabetes, and heart failure. The patient presented with weight loss, dyspolar stool, fever, and liver abnormalities. Imaging tests revealed multiple issues, including biliary tree and pancreatic head dilation, pancreatic adenofasclinoma, and an iliac soft tissue mass. The team discusses the procedure they performed, including endotracheal intubation and ERCP, as well as the challenges they faced, like stenosis in the duodenum. They also discuss the possibility of lymphoma and other diagnoses. The team decides to take biopsy samples and replace a stent to further investigate the tumor. The video then shows the EUS images, which confirm the presence of a small tumor near the pancreatic duct. Dr. Ginsberg concludes by stating that further procedures will be necessary to obtain a definitive diagnosis. The video provides valuable insight into the diagnostic and treatment process for patients with complex medical conditions.

Asset Subtitle

Gregory Ginsberg, MD

Keywords

pericardial lymphoma

diabetes

heart failure

pancreatic adenofasclinoma

complex medical conditions