Advanced Endoscopy Fellows Program | September 2023-Presentation 4C - Endoscopic Pancreatic Disease Discussions 3

Presentation 4C - Endoscopic Pancreatic Disease Discussions 3

Video Transcription

Video Summary

The video transcript discusses various aspects of managing pancreatic fluid collections. The speaker highlights the importance of fluid management, antibiotic use, and imaging with CT scans for patients with pancreatitis. The debate centers around the use of different drainage methods, such as double pigtail plastic stents and lumen opposing metal stents (LAMS). The preference for LAMS is discussed due to its ease and efficiency, although double pigtail stents may still have a role in certain cases. The speaker also emphasizes the importance of teamwork, collaboration with interventional radiology, and close follow-up for these patients. The transcript concludes with a case study involving a patient who experienced bleeding after receiving LAMS for a pancreatic pseudocyst. The case highlights the need for multimodality therapy and the involvement of multiple specialties, such as gastroenterology and interventional radiology. Additionally, the transcript mentions the use of hemostatic gel to control bleeding and the potential complications associated with this off-label approach.

Keywords

pancreatic fluid collections

fluid management

CT scans

LAMS

interventional radiology

bleeding

multimodality therapy