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

7-13-23 Endoscopy Live Case Demonstration 6 - Virginia Mason

Video Transcription

Video Summary

Dr. Shayan Irani from Virginia Mason demonstrates an EUS-guided gallbladder drainage in a 55-year-old patient who has multiple comorbidities and complications. The patient had a stone in his bile duct, which was initially thought to be cholecystitis. After an ERCP and biliary stenting, the patient experienced relief but developed abdominal pain again. Dr. Irani decides to perform an EUS-guided gallbladder drainage. She uses a 10 by 10 lumen opposing stent and deploys it into the gallbladder. She also inserts pigtail stents to prevent food from entering the gallbladder. The panel discusses the size of the stents and the need for future interventions such as cholecystectomy. They also mention the possibility of going through the stomach instead of the duodenum for the gallbladder drainage in certain cases. Overall, the procedure is successful and Dr. Irani provides insights and tips throughout the video.

Asset Subtitle

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

Keywords

EUS-guided gallbladder drainage

ERCP

biliary stenting

cholecystitis

lumen opposing stent

pigtail stents