ASGE DDW Videos from Around the World | 2025-METAL BILIARY STENT TRANSECTION WITH OVER-THE-SCOPE CLIP REMOVAL SYSTEM

METAL BILIARY STENT TRANSECTION WITH OVER-THE-SCOPE CLIP REMOVAL SYSTEM

Video Transcription

Video Summary

The video discusses the use of an over-the-scope clip (OTSC) removal system to modify and transect metal biliary stents in cases of obstruction. Traditionally, self-expanding biliary stents have been used for decompression in cancer patients, but uncovered stents become problematic due to tissue ingrowth. The OTSC system, a bipolar electrosurgical tool, offers precise energy application, enabling targeted stent modification with minimal tissue damage. Two case studies illustrate its effectiveness as a safer, more efficient alternative to argon plasma coagulation (APC), demonstrating its potential in endoscopic units for managing challenging biliary stents.

Asset Subtitle

Anthony Rainho

Keywords

OTSC system

biliary stents

tissue ingrowth

electrosurgical tool

endoscopic management