ASGE Annual Postgraduate Course Endoscopy 2022 (On-Demand): Breakthrough to Excellence-Panel Discussions with Video Cases

Video Transcription

Video Summary

In this video, a doctor presents two cases. In the first case, a 67-year-old female who had recently undergone laparoscopic cholecystectomy presented with abdominal pain and jaundice. Imaging showed a large fluid collection in the gallbladder fossa and choledocal lithiasis. Endoscopic ultrasound and ERCP were performed, but cannulation was unsuccessful. Cholangioscopy revealed a chain of stones in the bile duct, which were removed using lithotripsy. The patient eventually underwent extensive lysis of adhesions and a Roux-en-Y hepaticojejunostomy. Two years later, the patient was asymptomatic and doing well. In the second case, a 57-year-old female with a history of alcoholism presented with pancreatitis and a right-sided pleural effusion. Endoscopic ultrasound and ERCP showed a disruption in the pancreatic duct, which was bridged with a stent. The patient had a successful recovery with resolution of symptoms and a healed disruption seen on follow-up imaging. The video also includes discussions on the management of biliary leaks and complications during interventional procedures. No credits were provided in the transcript.

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

choledocal lithiasis

bile duct stones

pancreatitis

pleural effusion

biliary leaks