ASGE Endoscopy Live: Endoscopic Retrograde Cholangiopancreatography (ERCP) (On-Demand) | November 2023-Center for Interventional Endoscopy

Video Transcription

Video Summary

In this video, Dr. Mohammad Hassan demonstrates an ERCP procedure on a patient who had multiple large stones in the bile duct. He first uses an EUS to visualize the stones and then inserts the ERCP scope through the GE junction to access the bile duct. He performs a sphincterotomy to dilate the bile duct and uses a laser and EHL (electrohydraulic lithotripsy) to break up the stones. He then places a double pigtail stent to provide drainage. Dr. Hassan discusses the use of the IMAX scope, which offers high-quality imaging and a working channel for accessories. He also emphasizes the importance of controlling the scope position and stabilizing the scope with the wheels facing towards the chest. Dr. Hassan mentions that he does not use wire-guided cannulation unless necessary. Throughout the procedure, he provides tips and recommendations for optimal technique and patient management. The video concludes with the placement of the stent.

Asset Subtitle

Eyemax cholangioscopy of CBD stones
Muhammad Hasan, MD

Keywords

ERCP procedure

bile duct stones

EUS

sphincterotomy

laser lithotripsy

double pigtail stent

IMAX scope

patient management