Advanced Endoscopy Fellows Program | September 2023-Presentation 3A

Presentation 3A - Hepatobiliary Video Case Discussions 1

Video Transcription

Video Summary

In this video, the presenter discusses a case of a patient with jaundice, fatigue, nausea, and vomiting. The patient's sodium levels are low, and there is evidence of obstructive jaundice. MRCP and CT scans show a massively dilated biliary system and gallbladder tumors, indicating gallbladder cancer. The patient is referred for ERCP, but the procedure is cancelled due to low sodium levels. The presenter explains that the low sodium levels are actually due to pseudohyponatremia and does not require additional tests. The ERCP is eventually performed, and it is revealed that the patient has an anomalous pancreatobiliary junction and a biliary stricture. A plastic stent is placed to relieve the obstruction. The presenter then discusses the use of metal versus plastic stents and the risk of pancreatitis. Finally, the presenter highlights the association between anomalous pancreatobiliary junction and gallbladder cancer, as well as the importance of prophylactic cholecystectomy in these cases.

Keywords

jaundice

gallbladder cancer

ERCP

anomalous pancreatobiliary junction

plastic stent

prophylactic cholecystectomy