Advanced Endoscopy Fellows Program | September 2023-Presentation 6A

Video Transcription

Video Summary

In this video, Dr. Vivek Kaul discusses the complications that can arise during endoscopic procedures, particularly with sphincterotomy. He emphasizes the importance of remaining calm and working as a team when these complications occur. He shares a personal story of a difficult biliary cannulation and a duodenal laceration that he encountered during a procedure. He discusses the challenges involved in managing such complications and the decisions that need to be made. He highlights the importance of early recognition of complications and prompt action to stabilize the patient. He also discusses the various treatment options available, including epinephrine injection, balloon tamponade, cautery, hemostatic agents, and fully covered stents. He emphasizes the need for proper training and experience before attempting procedures like needle knife sphincterotomy. He also mentions collaboration with nursing staff, as well as involving colleagues for objective decision-making and support. Dr. Kaul concludes by urging endoscopists to learn from their complications and strive for continuous improvement in their practice.

Keywords

endoscopic procedures

complications

sphincterotomy

teamwork

biliary cannulation

duodenal laceration

treatment options