ASGE Therapeutic EUS for Advanced Endosonographers (Live and Virtual) | September 2022-EUS Guided Biliary and Pancreatic Access

Video Transcription

Video Summary

The video is a recorded presentation by Dr. Amy Hosmer on the topic of EOS-guided biliary and pancreatic access. Dr. Hosmer discusses the limitations of conventional endoscopic retrograde cholangiopancreatography (ERCP) in managing biliary obstruction and explores the potential benefits of EOS-guided biliary drainage as an alternative therapy. She explains the various techniques used in EOS-guided biliary drainage, including intrahepatic and extrahepatic approaches, and discusses the choice of stents based on factors such as drainage type, duct diameter, proximity to the lumina, and tumor characteristics. Dr. Hosmer also touches on the current evidence supporting the use of EOS-guided biliary drainage and highlights the potential of this technique as a first-line therapy for malignant biliary obstruction. In addition, she briefly discusses EOS-guided pancreatic duct drainage and its role as an alternative option when conventional ERCP is not feasible or unsuccessful. Dr. Hosmer shares videos demonstrating the procedural steps and discusses the learning curve and training requirements for these procedures. She concludes by emphasizing the need for a multidisciplinary approach and proper equipment, as well as the importance of patient selection and comprehensive informed consent.

Asset Subtitle

Amy M. Tyberg, MD, FASGE

Keywords

EOS-guided biliary and pancreatic access

conventional endoscopic retrograde cholangiopancreatography

biliary obstruction

EOS-guided biliary drainage

intrahepatic approach

choice of stents

malignant biliary obstruction

EOS-guided pancreatic duct drainage