ASGE DDW Videos from Around the World | 2022-PERCUTANEOUS ANTEGRADE CHOLANGIOSCOPY WITH A NOVEL SHORT CHOLANGIOSCOPE IN ALTERED ANATOMY

PERCUTANEOUS ANTEGRADE CHOLANGIOSCOPY WITH A NOVEL SHORT CHOLANGIOSCOPE IN ALTERED ANATOMY

Video Transcription

Video Summary

In this video, the use of a novel short cholangioscope in percutaneous antegrade cholangioscopy for a patient with altered anatomy is demonstrated. The patient had choledocal lathiasis, cholangitis, and acute pancreatitis, with a history of duodenal switch and sleeve gastrectomy. Endoscopic ultrasound-directed transenteric ERCP was attempted but deemed not possible. Percutaneous biliary drainage was performed, and the 8.5 French stent was upsized to a 14 French stent. The 10.8 French novel short cholangioscope was used to visualize and fragment the bile duct stone using electrohydraulic lithotripsy. The shorter length and tighter distal tip angulation of the novel cholangioscope allowed for easier maneuverability and stone management. The procedure was successful, and there were no adverse events during follow-up. This video highlights the challenges and potential benefits of using a novel short cholangioscope in managing biliary pathology in altered surgical anatomy.<br /><br />Credits: None given.

Keywords

novel short cholangioscope

percutaneous antegrade cholangioscopy

altered anatomy

bile duct stone

electrohydraulic lithotripsy