ERCP Bootcamp for the Endoscopy Team (Live and Virtual)

Video Transcription

Video Summary

In this video, Anne-Marie Joyce discusses ERCP (endoscopic retrograde cholangiopancreatography) in pregnant patients. She explains that pregnancy increases the risk of gallstones due to hormonal changes, and discusses the indications for ERCP, which include cholangitis, pancreatitis, and bile duct injury. She emphasizes the importance of confirming the presence of stones before performing the procedure, using techniques such as bedside ultrasound or endoscopic ultrasound. Joyce highlights the potential risks and considerations of using radiation during ERCP in pregnancy, including the need for radiation shielding and minimizing exposure. She also discusses anesthesia options and the importance of maternal-fetal monitoring during the procedure. Joyce suggests considering non-radiation techniques and involving a high-volume center and obstetrics department for optimal care. Finally, she briefly touches on the safety measures for pregnant physicians and staff involved in performing ERCP.

Asset Subtitle

Anne Marie Joyce, MD, FASGE

Keywords

ERCP in pregnant patients

endoscopic retrograde cholangiopancreatography

gallstones in pregnancy

indications for ERCP

radiation risks in ERCP during pregnancy