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

Video Transcription

Video Summary

In this video, Dr. Shayan Irani discusses two cases involving pancreatic duct obstructions. The first case involves an 80-year-old female with pancreas divisum who underwent an ERCP. The minor sphincter was completely closed over, preventing access to the duct. Dr. Irani used an EUS to pass a guide wire and performed a needle knife procedure to complete the sphincterotomy. <br /><br />The second case involved a patient who had undergone a Whipple procedure and developed recurring bouts of pancreatitis due to a dilated pancreatic duct. Dr. Irani used an EUS rendezvous technique to target the duct and attempted to pass a wire through it. After multiple attempts, he used a needle knife to create an opening and successfully placed stents to restore drainage.<br /><br />In a subsequent case series, Dr. Irani discussed the use of fully covered metal stents in patients with benign obstructions following Whipple procedures. He highlighted the importance of securing the stents to prevent migration, using techniques such as suturing and creating "Whipple pants" by stitching the stents together.

Asset Subtitle

Shayan Irani, MD

Keywords

pancreatic duct obstructions

ERCP

pancreas divisum

EUS

sphincterotomy