Description

In this session, surgeons will navigate the intricate landscape of biliary access in patients who have undergone metabolic and bariatric surgery (MBS). As the prevalence of MBS procedures continues to rise globally, it is crucial for surgeons to grasp the unique challenges and complications associated with accessing the biliary system in this patient population. Participants will embark on a comprehensive exploration of the common hurdles encountered in biliary access post MBS, gaining invaluable insights into evidence-based guidelines, best practices, and interdisciplinary approaches essential for effectively managing biliary complications in these specialized patients. Through discussions and case studies, attendees will glean technical pearls and practical strategies for gaining access to the biliary system, managing biliary pathology, and delving into the latest techniques and emerging technologies in biliary access. This session offers a vital platform for surgeons to refine their skills, exchange experiences, and stay at the forefront of advancements in the field, ultimately improving outcomes for patients with a history of metabolic and bariatric surgery.

Learning Objectives

  1. Identify common challenges and complications related to biliary access in patients with a history of metabolic and bariatric surgery.
  2. Evaluate evidence-based guidelines, best practices, and interdisciplinary approaches for effectively managing biliary complications in this patient population.
  3. Develop strategies to mitigate procedural risks and enhance outcomes during biliary interventions in individuals with prior metabolic and bariatric surgery.
  4. Obtain understanding of techniques and strategies for achieving successful biliary access in patients who have undergone metabolic and bariatric surgery, including exploration of emerging technologies in this field.

8:00am Introduction
Faiz Sharif, MD FACS FASMBS
8:05am Navigating Biliary Access: Common Challenges and Evidence-Based Guidelines in Metabolic and Bariatric Surgery Patients
Onur Kutlu, MD
8:18am Innovations in ERCP: Transgastric Approaches and Beyond in Roux-en-Y Gastric Bypass Patients
Mary Kate Bryant, MD MSCR
8:31am Endoscopic Ultrasound-Guided Transgastric ERCP (EDGE) Procedure in Post-RYGB Patients: Techniques and Outcomes
8:44am Exploring Transcystic Approaches to Common Bile Duct Exploration: Techniques and Considerations
8:57am Addressing Biliary Access Challenges Post-SADI/DS: Strategies and Consideration
Peter C Ng, MD FACS FASBMS
9:10am Investigating Percutaneous Transhepatic Biliary Drainage: Techniques, Applications, and Advancements
Ann Rogers, MD
9:23am Question and Answer
9:30am Adjourn