ASGE Annual Postgraduate Course Endoscopy 2022: Breakthrough to Excellence | DDW 2022-Panel Discussions with Video Cases

Video Transcription

Video Summary

In this video, Dr. Richard Kwan from the University of Michigan discusses two cases. The first case involves a 67-year-old female who underwent laparoscopic cholecystectomy and subsequently developed abdominal pain and jaundice. Imaging revealed choledocholithiasis, ascites, and a fluid collection in the gallbladder fossa. Attempts at ERCP and PTC were unsuccessful, and a drain was placed in the gallbladder fossa. The patient was then transferred to the speaker's hospital, where further imaging and ERCP were performed. A wire was passed through the disrupted biliary system, and a chain of stones was cleared. Ultimately, the patient underwent lysis of adhesions and a Roux-en-Y hepaticojejunostomy. The second case involves a 57-year-old female with a history of pancreatitis and an elevated amylase in a right pleural effusion. Endoscopic ultrasound and ERCP were performed, showing a disrupted pancreatic duct and an effusion extending into the chest. A stent was placed to bridge the disruption, and the patient had a successful outcome. Overall, these cases highlight the challenges and potential solutions in managing biliary and pancreatic disorders. No credits were mentioned in the video.

Asset Subtitle

Raj J. Shah, MD, MASGE, Vanessa M. Shami, MD, FASGE, Shayan Irani, MD, FASGE, Jennifer L. Maranki, MD, FASGE and Richard S. Kwon, MD, FASGE

Keywords

laparoscopic cholecystectomy

choledocholithiasis

ascites

ERCP

Roux-en-Y hepaticojejunostomy

pancreatitis