Advanced Endoscopy Fellows Program | September 2024-Fellows Presentation - A rendezvous Approach for Ampullary Access

Fellows Presentation - A rendezvous Approach for Ampullary Access

Video Transcription

Video Summary

Grace Kim from UChicago presented on a challenge in achieving biliary access in a patient with altered anatomy due to duodenal strictures and previous surgeries. Despite unsuccessful ERCP attempts, her team used a multidisciplinary approach, employing EUS-guided and percutaneous biliary access for diagnosis and treatment. After identifying multiple strictures and placing a stent, the patient's biliary drainage was successfully restored. The case underscores the importance of having a multidisciplinary plan, using multimodal techniques for effective treatment, and thoroughly understanding a patient's anatomical changes for optimal outcomes. The patient is now asymptomatic, but ongoing monitoring is planned.

Keywords

biliary access

multidisciplinary approach

EUS-guided

duodenal strictures

anatomical changes