Small Bowel-ENDOSCOPIC LASER LITHOTRIPSY AS MANAGEMENT OF GALLSTONE ILEUS IN A NON-SURGICAL CANDIDATE

ENDOSCOPIC LASER LITHOTRIPSY AS MANAGEMENT OF GALLSTONE ILEUS IN A NON-SURGICAL CANDIDATE

Video Transcription

Video Summary

The video transcript discusses the case study of a 77-year-old female with gallstone ileus who was not a candidate for surgery due to advanced age and medical comorbidities. The patient underwent endoscopic laser lithotripsy, which involved using a pediatric colonoscope and a Holmium YAG laser to break down a large gallstone in the proximal jejunum. The laser pulse energy and rate settings were adjusted throughout the procedure. The video also mentions the use of the Holmium YAG laser for treating refractory bile duct stones and the importance of power settings and probe size for effective fragmentation. The patient's symptoms improved after the procedure, and further surgical intervention was deemed too high risk. Endoscopic therapy with laser lithotripsy was found to be an effective option in non-surgical candidates with gallstone ileus.

Asset Subtitle

Honorable Mention

Keywords

case study

gallstone ileus

endoscopic laser lithotripsy

Holmium YAG laser

non-surgical candidates