Advanced Endoscopy Fellows Program | September 2022-Management of Adverse Events Case Based Discussion #2

Video Transcription

Video Summary

In this video, the speaker discusses two medical cases. In the first case, the patient is transferred to the hospital with a gastrointestinal bleed. The speaker mentions various options for treating varicose bleeding, such as banding, gluing, sending the patient for interventional radiology, or using a self-expanding metal stent. They choose to use a balloon tamponade. The speaker also discusses the use of a Blakemore tube and the steps to use it effectively. In the second case, the speaker talks about an 8-year-old female patient with common bile duct stones. They attempt an endoscopy but are unsuccessful in cannulating the bile duct. The speaker discusses various techniques for cannulating the bile duct, such as using two devices or using a needle knife. The patient experiences an allergic reaction to the rectal administration of indomethacin and is intubated. They eventually undergo another procedure to remove the stones successfully. The video concludes with a discussion on the risks and prevention of pancreatitis during these procedures.

Asset Subtitle

Patrick Pfau, Mo Al-Haddad, Rajesh Keswani, Roberto Simons-Linares

Keywords

gastrointestinal bleed

varicose bleeding

balloon tamponade

common bile duct stones

cannulating the bile duct

pancreatitis