Video Tip: EUS-guided Intrahepatic Drainage: Choosing your access point | April 2024-EUS-guided Intrahepatic Drainage: Choosing your access point

EUS-guided Intrahepatic Drainage: Choosing your access point

Video Transcription

Video Summary

Jessica Widmer, Chief of Endoscopy at NYU Long Island, discusses EUS-guided intrahepatic drainage in the video. She focuses on choosing the access point for biliary obstruction cases not treatable by traditional methods. The procedure involves using an FNA needle to access the biliary system, obtain a cholangiogram, and advance a guide wire. Detailed steps are provided, emphasizing locating a dilated radical of liver segment 3 and avoiding transesophageal drainage to prevent complications. Important tips include checking scope position, aspirating bile for confirmation, and minimizing wire redirection to avoid damage. Viewers are encouraged to watch the second part on stenting techniques.

Keywords

EUS-guided intrahepatic drainage

biliary obstruction

FNA needle

cholangiogram

stenting techniques