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. Shayan Irani from Virginia Mason discusses two cases involving the use of endoscopic ultrasound (EUS) to address pancreatic duct obstructions. The first case involves a patient with pancreatic divisum, where Dr. Irani uses EUS-guided techniques to successfully perform a sphincterotomy and restore pancreatic duct flow. The second case involves a patient who had undergone a Whipple procedure and developed recurrent bouts of pancreatitis due to a dilated pancreatic duct. Dr. Irani demonstrates how he uses EUS to access the duct and attempts various techniques, including wire probing and needle knife, to restore flow. He also discusses the use of suturing to secure stents in the pancreas and prevent migration. Overall, the video showcases the advanced techniques and challenges involved in EUS for pancreatic duct obstructions.

Asset Subtitle

Shayan Irani, MD

Keywords

endoscopic ultrasound

pancreatic duct obstructions

EUS-guided techniques

pancreatic divisum

Whipple procedure