ASGE DDW Videos from Around the World | 2023-ENDOSCOPIC ULTRASOUND ASSISTED FLUOROSCOPY FREE TRANSPAPILLARY BILIARY DRAINAGE IN PREGNANCY

ENDOSCOPIC ULTRASOUND ASSISTED FLUOROSCOPY FREE TRANSPAPILLARY BILIARY DRAINAGE IN PREGNANCY

Video Transcription

Video Summary

The video discusses the challenges and potential benefits of using an echo endoscope for trans-papillary biliary drainage in pregnant patients. Pregnancy increases the risk of biliary sludge and gallstones due to hormonal changes. While endoscopic retrograde cholangiopancreatography (ERCP) is effective, there are concerns about fetal radiation exposure. The video demonstrates a case study of a pregnant patient with biliary obstruction who underwent an endoscopic ultrasound (EUS) to confirm the diagnosis and an ERCP with fluoroscopy-free techniques to perform biliary drainage. The procedure was successful, and the patient delivered a healthy baby six weeks later. The video also discusses the challenges and limitations of using an echo endoscope for trans-papillary biliary drainage in pregnant patients. No credits were granted in the video transcript.

Asset Subtitle

World Cup
Authors: Sahaj Rathi, Yogendra Kumar, Madhumita Premkumar, Sunil Taneja, Arka De, Nipun Verma, Virendra Singh, Ajay Duseja

Keywords

echo endoscope

trans-papillary biliary drainage

pregnant patients

biliary sludge

gallstones

biliary drainage in pregnancy