Advanced Endoscopy Fellows Program | September 2022-Biliary Video Case Based Discussion #2

Video Transcription

Video Summary

The video transcript discusses the use of a lumen-opposing metal stent (LOMS) in a patient with gallbladder and bile duct stones who is not a surgical candidate. The patient presented with right upper quadrant pain, nausea, and vomiting, and had a history of gastric bypass surgery, bowel perforation, and urethelial cancer. A CT scan revealed gallbladder and common bile duct stones. The video presenter discusses different options for treating the patient, including gallbladder drainage, drain the bile duct directly, or perform an endoscopic-guided gallbladder drainage (EDGE) procedure. The presenter explains the steps involved in the EDGE procedure, including the use of a fully covered self-expandable metal stent. The advantages and disadvantages of the EDGE procedure are discussed, including the risk of migration or persistent fistula. The video also briefly mentions the use of LOMS for gallbladder drainage and compares the outcomes of different endoscopic procedures. Overall, the video provides an overview of the options available for managing gallbladder and bile duct stones in patients who are not surgical candidates. (No specific credits are mentioned in the transcript.)

Asset Subtitle

Ashley Faulx, PrabhleenChahal, Amy Hosmer

Keywords

lumen-opposing metal stent

gallbladder and bile duct stones

surgical candidate

right upper quadrant pain

endoscopic-guided gallbladder drainage

fully covered self-expandable metal stent