BackTable / VI / Podcast / Episode #421

A Deep Dive into Biliary Interventions

with Dr. Brian Holly

In this episode of the BackTable Podcast, host Dr. Michael Barraza interviews guest Dr. Brian Holly about different surgical scenarios relating to biliary interventions. Dr. Holly is a practicing interventional radiologist and Assistant Professor of Radiology and Radiological Sciences at Johns Hopkins University.

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A Deep Dive into Biliary Interventions with Dr. Brian Holly on the BackTable VI Podcast

Ep 421 A Deep Dive into Biliary Interventions with Dr. Brian Holly

00:00 / 01:04

BackTable, LLC (Producer). (2024, March 1). Ep. 421 – A Deep Dive into Biliary Interventions [Audio podcast]. Retrieved from https://www.backtable.com

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Podcast Contributors

Dr. Michael Barraza

Dr. Michael Barraza is a practicing interventional radiologist (and all around great guy) with Radiology Associates in Baton Rouge, LA.

Dr. Brian Holly

Dr. Brian Holly is the director of the interventional radiology integrated residency program at Johns Hopkins Medicine in Baltimore, Maryland.

Synopsis

The doctors delve into various techniques including the usage of ultrasound, managing non-dilated and dilated systems, as well as handling specific clinical scenarios such as malignant obstructions, benign biliary strictures, and postoperative bile leaks. The podcast also briefly discusses the controversial topic of placing internal biliary stents and the challenges faced with managing biliary strictures and leaks.

Timestamps

00:00 - Introduction
01:53 - Discussion on IR Training at Johns Hopkins
04:09 - Overview of Biliary Interventions
08:31 - Challenges and Techniques in Biliary Access
19:28 - Approach to Non-Dilated Collecting System
28:07 - Dealing with Dilated Systems and Obstructions
32:56 - Biopsy Techniques for Malignant CBD Strictures
39:30 - Approach to Benign Biliary Strictures
41:48 - Use of Internal Stents in Biliary Procedures
44:51 - Managing Bleeding in Biliary Procedures

Resources

The Hepaticojejunostomy Technique with Intra-Anastomotic Stent in Biliary Diseases and Its Evolution throughout the Years: A Technical Analysis:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4846744/

Percutaneous Transhepatic Cholangiography and Intraductal Radiofrequency Ablation Combined with Biliary Stent Placement for Malignant Biliary Obstruction:
https://www.jvir.org/article/S1051-0443(15)00166-9/abstract

The Materials available on BackTable are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.

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