ASGE Annual Postgraduate Course Endoscopy 2022 (On-Demand): Breakthrough to Excellence-Live Endoscopy from Hyderabad, India

Video Transcription

Video Summary

In this video, the presenters discuss three different cases of biliary strictures and demonstrate the techniques used for management. The first case involves a 72-year-old male patient with recurrent abdominal pain and obstructive jaundice. The video shows the technique of endoscopic retrograde cholangiopancreatography (ERCP) to achieve selective common bile duct (CBD) cannulation and extract the stones using a combination of wire-guided cannulation and contrast-guided cannulation. The second case involves a 45-year-old male patient with a mass in the head of the pancreas and distal CBD stricture. The video shows the placement of a fully covered self-expanding metal stent (SEMS) for preoperative biliary drainage and the use of sphincterotomy before stenting. The third case involves a 58-year-old female patient with a locally advanced hyaluronic mass. The video demonstrates the use of radiofrequency ablation (RFA) for tissue ablation and the placement of bilateral SEMS for biliary drainage. The presenters also discuss the controversy surrounding the use of plastic stents versus metal stents for biliary strictures and the potential benefits of RFA in prolonging survival and stent potency.

Asset Subtitle

D. Nageshwar Reddy, MD, MASGE and Team

Panelists: Amrita Sethi, MD, MASGE, Bret T. Petersen, MD, MASGE, Vanessa M. Shami, MD, FASGE and Shayan Irani, MD, FASGE

Keywords

biliary strictures

management techniques

ERCP

stone extraction

SEMS

sphincterotomy

RFA

stent potency