ASGE Endoscopy Live: Interventional EUS and Endo-Hepatology | July 2023-7-13-23 Endoscopy Live Case Demonstration 6

Video Transcription

Video Summary

Dr. Shayan Irani from Virginia Mason shows an EUS-guided gallbladder drainage on a 55-year-old male patient with comorbidities and a history of thromboembolic events. The patient had a stone in his bile duct and was treated for cholangitis with biliary stents. However, he developed abdominal pain again and presented for further evaluation. Dr. Irani performed an ERCP and confirmed the presence of gallbladder sludge, not cholecystitis. She then proceeded to perform the EUS-guided gallbladder drainage. The procedure involved deploying a lumen opposing stent into the gallbladder through the duodenum. The stent was deployed using four steps: advancing the catheter, opening the flange inside the gallbladder, pulling the stent back against the gallbladder, and releasing the duodenal flange. Following this, a pigtail stent was also placed to prevent the entry of food into the gallbladder. Dr. Irani discussed the choice of stent size, the potential need for future cholecystectomy, and the possibility of leaving the stents in permanently for patients who are not surgical candidates.

Asset Subtitle

EUS-guided gallbladder drainage
Endoscopist: Dr. Shayan Irani (Virginia Mason)

Keywords

EUS-guided gallbladder drainage

biliary stents

cholecystitis

ERCP

gallbladder sludge

lumen opposing stent