ASGE DDW Videos from Around the World | 2024-PERCUTANEOUS TRANSHEPATIC CHOLANGIOSCOPY FOR EHL LITHOTRIPSY AFTER PANCREAS-PRESERVING DUODENECTOMY: AN UNEXPECTED FINDING

PERCUTANEOUS TRANSHEPATIC CHOLANGIOSCOPY FOR EHL LITHOTRIPSY AFTER PANCREAS-PRESERVING DUODENECTOMY: AN UNEXPECTED FINDING

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Video Transcription

Video Summary

A 79-year-old patient with a history of previous surgeries presented with cholangitis and complications including a biliary stone and biliary dilatation. Due to the patient's altered anatomy, traditional procedures were not possible, so percutaneous transhepatic cholangiography and lithotripsy were performed successfully. An adenomatous polyp was also discovered above the anastomosis during the procedure. Biopsies confirmed low-grade dysplasia. The patient responded well to treatment, and a percutaneous transhepatic drain was left in place. Following the procedure, the patient's cholestatic biochemistry improved significantly.

Asset Subtitle

Andreas Koutsoumpas

Meta Tag

Concept Cholangitis

Concept Altered Biliary Anatomy

Concept Biliary Stone Disease

Concept Percutaneous Transhepatic Cholangiography Drain

Concept Percutaneous Cholangioscopy

Keywords

cholangitis

biliary stone

biliary dilatation

percutaneous transhepatic cholangiography

adenomatous polyp

Cholangitis

Altered Biliary Anatomy

Biliary Stone Disease

Percutaneous Transhepatic Cholangiography Drain

Percutaneous Cholangioscopy