ASGE Postgraduate Course at ACG 2022: Expanding the Scope of Fundamental and Advanced Endoscopy (On-Demand) | October 2022-Session 3

Video Transcription

Video Summary

In this video, Prabdhin Chahal discusses the use of dilating balloons for the management of common bile duct stones. He explains that the majority of bile duct stones can be managed with standard tools and techniques such as retrieval baskets or balloons. However, advanced tools and techniques may be required for complicated stones. Chahal provides practical tips for using dilating balloons, including choosing the right size balloon and avoiding leaving it inflated for too long to prevent complications. He also discusses recommendations from ASGE and ESGE for using endoscopic papillary large balloon dilation as the first step in managing complex bile duct stones. Chahal presents data from studies comparing papillary balloon dilation with other techniques and concludes that it is a cost-effective and widely available option. He also provides guidance on when to consider other procedures such as mechanical lithotripsy or cholangioscopy. Chahal emphasizes the importance of leaving a stent if complete clearance is not achieved.

Keywords

dilating balloons

common bile duct stones

management

advanced tools

techniques