ERCP-NEEDLE KNIFE RECANALIZATION OF A NEAR COMPLETE COMMON BILE DUCT STRICTURE

NEEDLE KNIFE RECANALIZATION OF A NEAR COMPLETE COMMON BILE DUCT STRICTURE

Video Transcription

Video Summary

In this video, a needle-knife recanalization procedure is demonstrated on a 65-year-old male with a history of alcoholic cirrhosis and a liver transplant. The patient had elevated liver enzyme levels and an MRCP showed a focal narrowing in the common bile duct. During the ERCP procedure, attempts were made to traverse the stricture using a guide wire and cholangioscope, but they were unsuccessful. Eventually, a smaller guide wire successfully traversed the stricture, and a needle-knife electrocautery was used to recanalize it. A stent was then placed to prevent future strictures. This technique could be an alternative to surgical repair for similar cases. No credits were provided in the transcript.

Asset Subtitle

Honorable Mention

Keywords

needle-knife recanalization procedure

alcoholic cirrhosis

liver transplant

common bile duct

ERCP procedure