ASGE DDW Videos from Around the World | 2023-IMPACTION OF A CHOLANGIOPANCREATOSCOPY GUIDED RETRIEVAL BASKET DURING TREATMENT OF A PANCREATIC DUCT STONE

IMPACTION OF A CHOLANGIOPANCREATOSCOPY GUIDED RETRIEVAL BASKET DURING TREATMENT OF A PANCREATIC DUCT STONE

Video Transcription

Video Summary

In this video, titled "Impaction of a cholangiopancreatoscopy-guided retrieval basket during treatment of a pancreatic duct stone," a case study involving a 68-year-old male with chronic pancreatitis and pancreatic duct stones is presented. The video discusses first-line treatment options, such as ERCP and lithotripsy, for these patients. The use of a cholangiopancreatoscopy-guided retrieval basket is demonstrated, but it becomes impacted within the duct during an attempt to remove a large stone. Various techniques, including balloon sweeps and the use of forceps, are employed to free the impacted basket. Electrohydraulic lithotripsy is eventually successful in fragmenting the stone and allowing for the removal of the basket. This case highlights the importance of being cautious when using these retrieval baskets and offers a potential non-surgical option for managing impactions. No credits were granted for this video.

Asset Subtitle

Honorable Mention

Keywords

cholangiopancreatoscopy-guided retrieval basket

pancreatic duct stone

chronic pancreatitis

ERCP

lithotripsy