ASGE Endoscopy Live: Endoscopic Retrograde Cholangiopancreatography (ERCP)

Video Transcription

Video Summary

In this video, Dr. Raj Shah from the University of Colorado demonstrates a pancreatoscopy in a patient with pancreatic duct dilation. The patient is a 68-year-old female with a history of cholecystectomy and pancreatic cysts. Her pancreatic duct and common bile duct have progressively dilated over the past couple of years. The patient previously had an EOS and ERCP, which revealed a dilated common bile duct and pancreatic duct, as well as three cystic lesions in the pancreas body. During this pancreatoscopy, Dr. Shah uses a spy scope to visualize the pancreatic duct. He observes some abnormalities in the mucosa, which could potentially be a low-grade intraductal papillary mucinous neoplasm (IPMN). He performs biopsies to further investigate the condition. Dr. Shah also discusses the importance of careful inspection and the use of multiple scopes during procedures.

Asset Subtitle

Pancreatoscopy PD dilation/suspected main duct IPMN
Raj Shah

Meta Tag

Concept Main-duct Intraductal Papillary Mucinous Neoplasm

Concept Main Pancreatic Duct Dilation

Concept Pancreatoscopy

Concept Asymptomatic Biliary Ductal Dilation

Concept Pancreatic Sphincterotomy

Keywords

pancreatoscopy

pancreatic duct dilation

University of Colorado

patient

pancreatic cysts

cholecystectomy

Main-duct Intraductal Papillary Mucinous Neoplasm

Main Pancreatic Duct Dilation

Pancreatoscopy

Asymptomatic Biliary Ductal Dilation

Pancreatic Sphincterotomy