ASGE Endoscopy Live: Pancreatobiliary Cases and Updates (virtual)

Video Transcription

Video Summary

In this video, Dr. Raj Shah from the University of Colorado performs cholangioscopy on a patient with a large stone in the bile duct. The patient had previously undergone unsuccessful attempts at stone removal using conventional methods. Dr. Shah uses a laser fiber to break up the stone, demonstrating the technique and discussing the advantages of laser over electrohydraulic lithotripsy (EHL). Throughout the video, Dr. Shah provides commentary on his positioning, challenges, and patient management, including the need for multiple procedures and setting patient expectations. He also addresses safety concerns related to mucosal injury and the use of balloon or basket retrieval. The video concludes with final fluoroscopy images showing successful stone fragmentation. This video provides valuable insights into cholangioscopy procedures and the considerations involved in stone removal.

Asset Subtitle

Raj Shah, MD

Keywords

cholangioscopy

stone removal

bile duct

laser fiber

electrohydraulic lithotripsy

patient management

mucosal injury