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

Video Transcription

Video Summary

The video summary is about a case of walled-up pancreatic necrosis in a 69-year-old female with a history of atrial fibrillation. The patient presented with abdominal pain and early satiety for two months. The initial imaging showed dilated bile ducts and the patient underwent an ERCP which resulted in complications like retrocranial duodenal perforation and severe post-ERCP pancreatitis. The patient developed a large walled-off necrotic collection. The plan is to perform an EUS-guided drainage and possible necrosectomy using a newer device called the endorotor. The video demonstrates the use of the endorotor device for debridement. The device allows for high-performance suction, tissue dissection, and irrigation. The video also discusses the use of double pigtail stents to prevent leaks and recurrent collection. Overall, the video highlights the importance of choosing the right indication for ERCP and the effective use of newer devices in the management of walled-up pancreatic necrosis.

Asset Subtitle

Mouen Khashab, MD

Keywords

pancreatic necrosis

ERCP complications

EUS-guided drainage

endorotor device

debridement

double pigtail stents