Cholangioscopy and Therapeutic EUS

Disease States

100

This term refers to the presence of stones in the common bile duct: 

Choledocholithiasis 

200

This term refers to the presence of stones in the gallbladder: 

Cholelithiasis 

300

This term refers to inflammation of the gallbladder: 

Cholecystitis 

400

This term refers to the inflammatory process that results in multiple strictures of the bile ducts, causing chronic cholestatic liver disease: 

PSC (Primary Sclerosing Cholangitis) 

500

This term refers to a tumor located at the bifurcation in the common bile duct: 

Klatskin's Tumor 

Cholangioscopy

100

Physicians may use cholangioscopy for __________ confirmation of potential disease states?

Visual

200

In what year was a "single operator" Cholangioscope first used? 

2007

300

Name 3 of the 4 primary reasons that we use Cholangioscopy? Hint: Think BSC devices.

Tissue Acquisition, Stones, Foreign Body Removal 

400

What is a therapy used in conjuction with Cholangioscopy to confirm ablate tissue?

Radiofrequency Ablation

(RFA)

500

A cytology brush has an accuracy of ______%, where Cholangioscopy has an accuracy of ______%: 

38.5 & 84.6%

Pancreatic Fluid Collections

100

What is the most common cause of Chronic Pancreatitis? 

Alcohol Use 

200

What are the 3 treatment options for Pancreatic Fluid Collections? 

Surgery, Percutaneous, Endoscopic 

300

In a previous study, this form of Pancreatic Fluid Collection therapy had a mortality rate of 16%: 

Percutaneous 

400

____________ is the procedure to remove dead tissue from within a stent by using a snare, basket or forceps, this dead tissue can result in dislodgement.  

Necrosectomy 

500

EUS-Guided Pancreatic fluid collection drainage is the process of performing a trans-________ or trans-________ cystostomy and stent placement, with or without necrosectomy:

Trans-Gastric or Trans-Duodenal 

Devices

100

What is the name of Boston Scientific's Cholangioscope? 

Spyglass DS II

200

This device is used to dilate the ampulla?

Hurricane/CRE Rx/Biliary dilation balloon

300

We use probes to perform this procedure with Spyglass: 

EHL (Electrohydraulic Lithotripsy)  

400

Axios is an example of what type of stent? 

LAMS (Lumen Apposing Metal Stent)

500

Axios is a device to drain Pancreatic Cysts and WON, while it comes in many different sizes, what 2 sizes does HCMC primarily use? 

10x10 and 15x10

Final Jeopardy

100

How many people removed is Jake from Taylor Swift?

1