Video Tip: EUS-Guided Intrahepatic Biliary Drainage: Anterograde Stenting and Transgastric Stenting | March 2024-EUS-Guided Intrahepatic Biliary Drainage: Anterograde Stenting and Transgastric Stenting

EUS-Guided Intrahepatic Biliary Drainage: Anterograde Stenting and Transgastric Stenting

Video Transcription

Video Summary

Dr. Jessica Widmer, Chief of Endoscopy at NYU Long Island, discusses EOS-guided biliary drainage for challenging cases where conventional ERCP fails. The procedure involves anterograde and transgastric stenting for biliary obstructions due to various factors. The process includes accessing the biliary system with guide wires, using dilating catheters for stent placement, and deploying metal stents with considerations for size and length. Key points include maintaining stable wire tension, creating fistula tracts, and avoiding unnecessary wire manipulation. The video emphasizes optimal stent placement techniques, including closed and open metal stents, and the use of endoclips for fistula closure.

Keywords

EOS-guided biliary drainage

challenging cases

conventional ERCP

anterograde stenting

metal stents