Decision-making during ERCP
The session explores challenges in ERCP, particularly cannulation difficulties. Experts discuss three selected cases, focusing on treatment options for pancreatic stones and biliary leaks. A specific case of metallic stenting in hilar biliary stenosis is presented, detailing the procedure and techniques used. The importance of a multidisciplinary approach and nursing responsibilities during the procedure are emphasized. The session concludes with a discussion on transpapillary stenting techniques.
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Chapters (19)
0:01Session Introduction
0:04Challenges in ERCP
0:16Case Selection and Expert Opinions
0:56Session Objectives
1:14Pancreatic Stones and Biliary Leaks
1:24Multidisciplinary Approach
1:45Case Presentation and Patient Background
2:56Imaging and Stenting Procedure
3:30Wire Placement and Contrast Injection
3:58Branch Identification and Guidewire Usage
7:26Dilation and Stenting
9:20Nursing Responsibilities
10:58Transpapillary Stenting
37:34Patient Case Overview
38:17ERCP Attempts and Imaging Choices
41:09Treatment Options Discussion
45:28ESWL Effectiveness and Surgical Considerations
54:04Follow-Up and Outcomes
54:37Concerns and Recommendations