Techniques of Endoscopic Therapy in Pancreatic Disorders (DV043)-Techniques of Endoscopic Therapy in Pancreatic Disorders

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Video Summary

The video features Kapil Gupta, Tim Kinney, and Marty Freeman discussing various aspects of endotherapy in pancreatic diseases. They cover topics such as indications for endoscopic techniques in pancreatic diseases, pancreatic duct access, imaging modalities, and the tools and devices needed. Clinical cases are presented with videos and images to illustrate techniques and devices used in pancreatic endotherapy.<br /><br />The importance of performing pancreatic endotherapy by an experienced endoscopist at advanced centers with a multidisciplinary approach is highlighted. Common indications for pancreatic endotherapy are discussed, including recurrent pancreatitis, chronic pancreatitis with stones and strictures, fistulas and leaks, and management of pseudocysts and organized pancreatic necrosis.<br /><br />Imaging modalities such as high-resolution CAT scans, MRI with MRCP, and endoscopic ultrasound (EUS) are emphasized for proper evaluation. The importance of prophylactic pancreatic stenting to reduce the risk of post-ERCP pancreatitis is discussed, along with guidance on stent selection and placement.<br /><br />Techniques for pancreatic sphincterotomy and management of pancreas divisum are covered, along with complications and therapy options. The management of chronic pancreatitis, including adjunct therapy options and total pancreatectomy with islet cell auto-transplantation for refractory pain, is also discussed.<br /><br />Overall, the video provides a comprehensive overview of endotherapy in pancreatic diseases, highlighting the importance of expertise, careful patient selection, and proper imaging techniques. It offers insights into different procedures and approaches based on individual patient cases.

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Keywords

endotherapy

pancreatic diseases

endoscopic techniques

imaging modalities

tools and devices

clinical cases

recurrent pancreatitis

chronic pancreatitis

pancreatic sphincterotomy