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

Video Transcription

Video Summary

In this video, Dr. Shayan Irani from Virginia Mason presents two cases involving pancreatic duct obstruction after Whipple procedures. The first case involves an 80-year-old female with pancreas divism who was unable to pass a wire through her minor sphincter during an ERCP. Dr. Irani used an EUS-guided approach and successfully completed a sphincterotomy. In the second case, a 54-year-old woman who underwent a Whipple procedure for an inflammatory pseudotumor presented with recurrent bouts of pancreatitis. Using an EUS-guided approach, Dr. Irani attempted to pass a wire through the obstructed pancreatic duct but failed. He then used a needle knife to create an opening, allowing the wire to pass through. Dr. Irani explains the techniques used and highlights the importance of suturing stents to prevent migration. He also discusses alternative approaches to managing gastric outlet obstruction in Whipple patients. The video concludes with a discussion and Q&A session with colleagues. The video was presented by Dr. Shayan Irani from Virginia Mason.

Asset Subtitle

Shayan Irani, MD

Keywords

pancreatic duct obstruction

Whipple procedures

pancreas divism

ERCP

EUS-guided approach