ASGE Annual Postgraduate Course: Clinical Challenges and Real-Time Decision Making in GI Endoscopy (On-demand) | May 2023-Session 10 Presentation 1

Video Transcription

Video Summary

In this video, the speaker discusses biliary stenting and offers recommendations and guidelines for different scenarios. They emphasize the importance of diagnosing whether the condition is benign or malignant and suggest using methods such as tissue sampling for accurate diagnosis. The speaker also highlights the significance of knowing the location of the biliary structure and the need for proper imaging before stenting. They emphasize the need for a multidisciplinary approach, particularly for complex cases. The speaker mentions indications for stenting, such as high bilirubin levels or pruritus, and recommends using metal stents for extrahepatic malignancies and fully covered stents for benign indications. For perihilar strictures, the speaker suggests starting with plastic stents and then considering uncovered metal stents if necessary. The speaker concludes by reiterating the importance of proper diagnostics, location knowledge, and considering the indication before proceeding with biliary stenting.

Asset Subtitle

Jeanin E. Van Hooft, MD, FASGE

Keywords

biliary stenting

diagnosis

multidisciplinary approach

metal stents

perihilar strictures