ASGE Recognized Industry Associate (ARIA) Training Program for Medtronic

Video Transcription

Video Summary

The discussion focuses on the management of large bile duct stones, particularly the use of balloon dilation-assisted ERCP versus cholangioscopy. Physician preference, experience, and case-specific factors influence the choice of procedure. For distal bile duct stones with strictures, a sphincterotomy and large balloon dilation are generally preferred, but for higher stones, the choice is less clear-cut. Mechanical lithotripsy is highlighted as quicker but comes with risks such as trapped baskets. Cholangioscopy's role is increasing, although it may lead to a decline in basket use skills. Post-liver transplant anastomotic strictures usually resolve with ERCP and stenting.

Keywords

bile duct stones

ERCP

balloon dilation

cholangioscopy

mechanical lithotripsy