Advanced Endoscopy Fellows Program | September 2024-ERP Video Case Presentation

Video Transcription

Video Summary

Dr. Raj Kiswani from Northwestern presented on endoscopic pancreatic interventions, highlighting advanced techniques and challenges. Initially, he intended to cover pancreatic intervention but expanded to include biliary techniques due to a colleague's change in topic. The session involved showcasing complex cases, including difficult cannulations, the use of pancreatic duct stents, and managing large stones in the bile duct. Dr. Kiswani emphasized various strategies, teaching maneuvers such as the trans-pancreatic septotomy, navigating distorted anatomy due to diverticula, and adapting wire techniques for successful interventions. The discussion included ways to retrieve migrated pancreatic stents using methods like pancreatoscopy and balloon dilation. He underscored the importance of adaptable and precise endoscopic skills, akin to interventional radiologists, for navigating tricky scenarios in bile and pancreatic ducts. Dr. Kiswani’s presentation combined technical guidance with advanced problem-solving approaches, underlining the nuances and intricacies of endoscopic interventions.

Asset Subtitle

Dr. Raj Keswani

Keywords

endoscopic pancreatic interventions

pancreatic duct stents

biliary techniques

trans-pancreatic septotomy

pancreatoscopy