ASGE Recognized Industry Associate (ARIA) Training Program for Medtronic | March 2025-Strictures and Strategies ERCP in Malignency Management

Video Transcription

Video Summary

The presentation discusses the complexity of managing higher biliary obstructions, focusing on malignant and benign causes such as cholangiocarcinoma and primary sclerosing cholangitis (PSC), respectively. It highlights the importance of diagnostic imaging and careful planning to determine if a patient is eligible for treatments like stenting or transplantation. The speaker emphasizes the technical difficulties and decision-making involved in placing stents, particularly whether to use plastic or self-expanding metal stents and whether to opt for unilateral or bilateral stenting. Uncovered metal stents generally outperform plastic ones but come with challenges such as higher initial costs and the difficulty of deploying two stents.<br /><br />The discussion also touches on the use of ablation therapies like radiofrequency ablation (RFA) in treating tumors causing obstructions and the need for multi-disciplinary collaboration and careful consideration of patient health and treatment response. The speaker stresses the need to carefully manage the injection of contrast and ensure proper drainage to avoid complications like cholangitis and reiterates the need for good communication between medical teams to maximize patient outcomes.

Asset Subtitle

Amaninder Dhaliwal, MD

Keywords

biliary obstructions

cholangiocarcinoma

primary sclerosing cholangitis

stenting

transplantation

radiofrequency ablation

diagnostic imaging

multi-disciplinary collaboration