ASGE Endoscopy Live: Pancreatobiliary Cases and Updates (virtual)

Video Transcription

Video Summary

In this video, the speaker discusses a case of a 69-year-old female with a walled-up pancreatic necrosis. The patient had a history of atrial fibrillation and presented with abdominal pain and early satiety. Further diagnostic tests showed dilated bile ducts and she underwent an ERCP, which resulted in complications including a perforation and severe post-ERCP pancreatitis leading to a large walled-off necrotic collection. The speaker discusses the plan to perform an EUS-guided drainage and possible necrosectomy using a new device called the endorotor for necroseptomy. The speaker explains the procedure, including the placement and deployment of a stent, and shows videos of the necrosectomy using the endorotor device. The speaker also discusses the use of double pigtail stents and the decision to not use transpapillary stents in this case. The video concludes with thanks to the ASGE and the speaker's team.

Asset Subtitle

Mouen Khashab, MD

Keywords

pancreatic necrosis

ERCP complications

necrosectomy

endorotor device

stent placement

ASGE