ASGE Endoscopy Live: Pancreatobiliary Cases and Updates (On-Demand)

Video Transcription

Video Summary

In this video, a middle-aged patient with cholangitis and a 1.3 centimeter stone in his duct is undergoing an endoscopic retrograde cholangiopancreatography (ERCP) procedure. The plan is to perform an edge eos-directed transgastric ERCP. The doctors discuss the technique and demonstrate the procedure. Initially, the doctors have technical difficulties and the patient's position is challenging, but they manage to fill the stomach with contrast using a 19-gauge needle and inject through a pump. They then proceed to deploy a 20mm axis stent and anchor it using sutures. The video ends with the doctors discussing the next steps for the patient, which will include a sphincteroplasty and large balloon sphincteroplasty in a future procedure. The importance of drainage and the potential risks of dilating next to a stone are also discussed. Overall, the video showcases the step-by-step process of performing an edge eos-directed transgastric ERCP in a patient with cholangitis and a stone in the duct. No credits are granted.

Asset Subtitle

Mouen Khashab, MD

Keywords

cholangitis

endoscopic retrograde cholangiopancreatography

ERCP

edge eos-directed transgastric ERCP

stent deployment

sphincteroplasty

large balloon sphincteroplasty