ASGE ENDO Hangout for GI Fellows: Endoscopic Therapy and Pancreatic Disease | August 2023-Therapy and Pancreatic Disease

Video Transcription

Video Summary

The video content consists of an ASGE Endo Hangouts session for GI Fellows, focusing on endoscopic therapy in pancreatic disease. The session is facilitated by Michael Dellutri and includes discussions with expert physicians. <br /><br />The panelists for the session are Maham and Yasi, GI Fellow moderators, along with Dr. Freeman, Dr. Mustafa Arrain, Dr. Mohammed Bilal, and Dr. Brooke Glessing. They discuss various cases, including a refractory pancreatic tail leak, hereditary pancreatitis in a 17-year-old patient, and recurrent acute pancreatitis with a Santorini seal.<br /><br />In the first case, the panel discusses the importance of reviewing imaging before intervention and the risk of ductal injury during ERCP. They suggest using smaller caliber guide wires and contrast injections for proper placement. Soft stents are recommended for pancreatic duct drainage to reduce injury risk.<br /><br />The second case involves considering ERCP in a patient with hereditary pancreatitis to relieve pain. The panel emphasizes the importance of individual patient factors and a multidisciplinary treatment approach.<br /><br />The third case involves a patient with recurrent acute pancreatitis and a Santorini seal. The panel discusses using secretin-enhanced imaging and needle knife pre-cut to access the duct. They mention the need for further research on endoscopic therapy efficacy in patients with Santorini seals.<br /><br />The panel discussion also covers topics such as stents in treating strictures, disconnected pancreatic duct syndrome management, and necrotizing pancreatitis treatment. They address audience questions regarding the learning curve of pancreatic endotherapy and the management of PD stones.<br /><br />Overall, the session highlights the importance of individualized treatment plans, continual learning, and a multidisciplinary approach in pancreatic endotherapy.

Keywords

ASGE Endo Hangouts

endoscopic therapy

pancreatic disease

Michael Dellutri

expert physicians

refractory pancreatic tail leak

hereditary pancreatitis

recurrent acute pancreatitis

Santorini seal

ERCP

pancreatic duct drainage

multidisciplinary treatment approach

endoscopic therapy efficacy