ASGE Postgraduate Course at ACG 2022: Expanding the Scope of Fundamental and Advanced Endoscopy | October 2022-Case: Endoscopic Cyst Gastronomy and Necrosectomy Pancreatic Cyst Radiofrequency Ablation

Case: Endoscopic Cyst Gastronomy and Necrosectomy Pancreatic Cyst Radiofrequency Ablation

Video Transcription

Video Summary

In this video, the speaker presents two cases related to indeterminate biliary strictures. The first case involves a 71-year-old woman with breast cancer metastasized to the bone, who had multiple procedures and tests done externally. The speaker performed a repeat ERCP and cholangioscopy, which revealed suspicious findings of adenocarcinoma in the bile duct, indicating an intramural bile duct met of breast cancer. The second case involves a patient with a large cholangiocarcinoma, where the speaker used EUS rendezvous to place overlapping metal stents. The patient later developed obstruction and underwent biliary RFA as a treatment. The speaker also discusses visual criteria, the use of biopsies, improved diagnostic tools, and the potential for AI algorithms in diagnosing indeterminate strictures. The video provides information on managing and treating these strictures. This summary is based on the transcript of a video and contains 201 words.

Asset Subtitle

V. Raman Muthusamy, MD

Keywords

indeterminate biliary strictures

breast cancer metastasis

ERCP and cholangioscopy

intramural bile duct metastasis

cholangiocarcinoma