ASGE DDW Videos from Around the World | 2024-Rendevous Cannulation with Sphincterotomy and Stone Extraction Using a Forward Viewing Endoscope in a 4.6 kg Infant

Rendevous Cannulation with Sphincterotomy and Stone Extraction Using a Forward Viewing Endoscope in a 4.6 kg Infant

Video Transcription

Video Summary

The transcript describes a successful case of treating choledochal lithiasis in a 4.6 kg infant using a rendezvous cannulation technique and a forward-viewing endoscope. The procedure involved sphincterotomy and stone extraction, performed in an interventional radiology suite under general anesthesia. Despite challenges with equipment size, the intervention was effective, leading to the normalization of the patient's condition. This case underscores the need for a smaller duodenoscope to perform ERCP in neonates and small infants, as currently available equipment is inadequate for this population.

Asset Subtitle

Geoffrey Daves

Meta Tag

Concept Endoscopic Retrograde Cholangiopancreatography

Concept Biliary Stone Disease

Concept Duodenoscope

Concept Rendezvous Technique

Concept Percutaneous biliary access

Keywords

choledochal lithiasis

rendezvous cannulation technique

forward-viewing endoscope

sphincterotomy

neonatal ERCP

Endoscopic Retrograde Cholangiopancreatography

Biliary Stone Disease

Duodenoscope

Rendezvous Technique

Percutaneous biliary access