ASGE Annual Postgraduate Course: Clinical Challenges and Real-Time Decision Making in GI Endoscopy (Live and Virtual) | May 2023-Session 10 Video Based Lecture 1

Session 10 Video Based Lecture 1 - Managing Bile Duct Stones of All Sizes

Video Transcription

Video Summary

The speaker discusses the management of CBD stones, stating that endoscopic methods have revolutionized treatment in the last two decades. They explain that most cases can be managed with sphincterotomy, large balloon dilation, or balloon sweep and stenting, but 10% of stones require multimodality therapy or cholangioscopy. They present two cases, one with easy stones that can be removed with conventional methods and one with multiple large stones and periampullary diverticula that require cholangioscopy with lithotripsy. They discuss the use of different techniques such as mechanical lithotripsy and laser lithotripsy and emphasize the importance of proper sizing and technique to avoid complications. The speaker concludes that ERCP is safe and effective for managing bile duct stones and surgery is rarely required. The video does not provide any specific credits.

Asset Subtitle

Shivangi Kothari, MD, FASGE

Keywords

CBD stones

endoscopic methods

cholangioscopy

lithotripsy

ERCP