ASGE DDW Videos from Around the World | 2025-INTRADUCTAL BLEEDING VARICES, A RARE FINDING OF SINGEL-OPERATOR CHOLANGIOSCOPY FOR A PATIENT WITH DISTAL BILIARY STRICTURE AND PORTAL BILIOPATHY

INTRADUCTAL BLEEDING VARICES, A RARE FINDING OF SINGEL-OPERATOR CHOLANGIOSCOPY FOR A PATIENT WITH DISTAL BILIARY STRICTURE AND PORTAL BILIOPATHY

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Video Transcription

Video Summary

The video discusses a rare case of intraductal bleeding varices identified through digital single-operator cholangioscopy in a cirrhotic patient with portal biliopathy and distal biliary stricture. The patient, with a history of bilharziases-induced chronic liver disease and previous variceal management, presented with jaundice and abdominal pain. Imaging and endoscopic evaluation revealed dilated bile ducts and stones, with persistent distal strictures. Cholangioscopy identified active variceal bleeding, effectively managed with biliary stenting and planned further interventions. The case emphasizes the utility of advanced cholangioscopy in diagnosing and managing complex biliary conditions like portal biliopathy.

Keywords

intraductal bleeding varices

cholangioscopy

portal biliopathy

biliary stricture

biliary stenting