ASGE DDW Videos from Around the World | 2024-PERCUTANEOUS ENDOSCOPIC BILIARY LITHECTOMY

PERCUTANEOUS ENDOSCOPIC BILIARY LITHECTOMY

Video Transcription

Video Summary

Percutaneous endoscopic biliary lithectomy (PEBL) is introduced as an alternative treatment for cholelithiasis and choledocolithiasis in patients with complex health issues that make surgery risky. It uses a single-operator system through an existing drain to visualize and treat gallbladder and biliary stones. Two cases are presented: one involving a 62-year-old female with previous surgeries and another a 61-year-old male with severe adhesive disease. Both underwent successful PEBL procedures, avoiding cholecystectomy and ERCP, reducing the need for long-term drains. PEBL offers a safe and effective option for patients with high operative risks and existing PTC drains.

Asset Subtitle

Eric Moyer

Keywords

Percutaneous endoscopic biliary lithectomy

cholelithiasis

choledocolithiasis

single-operator system

operative risks