ASGE International Sampler (On-Demand)-Room 3

Video Transcription

Video Summary

The video starts with a discussion of a 54-year-old male patient presenting with cholangitis and gallstones. The medical team places a nasobiliary tube for temporary treatment and plans to perform spyglass-guided laser lithotripsy to break up the stone before removal. The video then shows the procedure, with the physician using a laser fiber loaded on a spyglass cholangioscope to target and fragment the stone. The technique involves careful control of the scopes and continuous irrigation with saline. The video ends with a discussion on the use of balloons and baskets and the preference for laser lithotripsy over EHL, although availability can be a challenge. The session is concluded with thanks to the ASG and the chairs of the session.

Keywords

cholangitis

gallstones

nasobiliary tube

spyglass-guided laser lithotripsy

stone fragmentation