ERCP Live Conference, Dr. Shrihari Anikhindi on removal of intrahepatic stones by a novel technique. скачать в хорошем качестве

ERCP Live Conference, Dr. Shrihari Anikhindi on removal of intrahepatic stones by a novel technique.

Intrahepatic stones, also known as hepatolithiasis, refer to the presence of gallstones within the intrahepatic bile ducts, which are the ducts responsible for carrying bile produced in the liver to the gallbladder and eventually to the small intestine for digestion. These stones can cause various symptoms, including abdominal pain, jaundice, and recurrent infections. The management of intrahepatic stones often involves their removal to relieve symptoms and prevent complications. Dr. Shrihari Anikhindi is a renowned doctor specializing in gastroenterology, and he has extensive experience dealing with intrahepatic stones. In one particular case, Dr. Anikhindi and his team encountered a patient with a large intrahepatic stone that was causing severe abdominal pain and recurrent infections. They decided to perform a procedure known as endoscopic retrograde cholangiopancreatography (ERCP) to remove the stone. During the procedure, Dr. Anikhindi and his team faced several challenges. Firstly, accessing the intrahepatic bile ducts can be technically demanding due to their small size and complex anatomy. The team had to navigate through the narrow and tortuous ducts to reach the site of the stone. This required great precision and expertise. Secondly, the large size of the stone posed a challenge in terms of removal. The stone needed to be fragmented into smaller pieces to facilitate extraction. To overcome this, Dr. Anikhindi utilized a combination of techniques, including mechanical lithotripsy (using specialized instruments to break up the stone), balloon dilation (expanding the bile duct to create more space), and endoscopic sphincterotomy (making a small incision in the bile duct to facilitate stone removal). Additionally, in cases where the stone is impacted or tightly lodged within the bile duct, the team may encounter difficulty in dislodging it. Dr. Anikhindi and his team used advanced techniques such as the use of guidewires, stents, and contrast agents to aid in dislodging the stone and ensuring its complete removal. Throughout the procedure, Dr. Anikhindi and his team had to carefully monitor the patient for any complications such as bleeding, perforation, or infection. Close collaboration between the gastroenterology team and interventional radiologists or hepatobiliary surgeons was also crucial for successful management. Dr. Anikhindi's experience highlights the importance of a multidisciplinary approach and the utilization of various techniques to overcome the challenges associated with intrahepatic stone removal. The field of gastroenterology continually evolves, incorporating innovative technologies and techniques to improve patient outcomes and provide effective treatment options for conditions such as hepatolithiasis. Some abbreviations - IR - Interventional radiology PTBD - Per-cutaneous transhepatic biliary drainage ERCP - Endoscopic retrograde cholangiopancreatography CBD - Common bile duct Dr. Shrihari Anikhindi is a Gastroenterologist and Hepatologist at Sir Ganga Ram Hospital and Medigest, New Delhi. Visit our Website - http://medigest.in/ Also, follow us on - Instagram -   / medigestcare   Facebook -   / medigestcare   Pinterest -   / medigestcare