Advanced Endoscopy Fellows Program | September 2022-2_Precut Papillotomy for Access into the Bile Duct

2_Precut Papillotomy for Access into the Bile Duct

Video Transcription

Video Summary

The video showcases a case study of a 58-year-old woman who had undergone a liver transplant. She experienced symptoms such as low-grade fever, jaundice, cholestasis, and mild elevation of transaminases. An abdominal ultrasound revealed common bile duct stones, leading to the decision to perform an endoscopic retrograde cholangiopancreatography (ERCP). However, attempts to cannulate the bile duct failed, so a guide wire was placed in the pancreatic duct, and a stent was placed to perform a papilla pre-cut. Using a needle knife, two incisions were made at the 11 o'clock position to expose the bile duct, and a sphincteratome with a guide wire was successfully advanced into the bile duct. This allowed for the confirmation of placement and the performance of a sphincterotomy, resulting in the flow of bile. No credits were mentioned in the transcript.

Keywords

liver transplant

case study

symptoms

endoscopic retrograde cholangiopancreatography

common bile duct stones