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BackTable / VI / Podcast / Episode #576
Biliary Endoscopy Techniques: Managing Strictures & Drains
with Dr. Ahsun Riaz
So you’ve placed the biliary drain—are your patients getting the follow up that they need? In this episode, Dr. Ahsun Riaz from Northwestern University joins host, Dr. Christopher Beck, for a deep dive into biliary strictures—how to manage them effectively and navigate the potential complications of this challenging chronic condition.
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BackTable, LLC (Producer). (2025, September 26). Ep. 576 – Biliary Endoscopy Techniques: Managing Strictures & Drains [Audio podcast]. Retrieved from https://www.backtable.com
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Synopsis
Dr. Riaz takes us inside his journey of building a specialized hepatobiliary service at Northwestern, highlighting innovative practices like endoscopic techniques and radiofrequency ablation. He unpacks the nuances of distinguishing benign from malignant strictures, shares technical pearls for patient management, and emphasizes the power of collaboration with Gastroenterology to improve long-term patient outcomes. He outlines key technical considerations, including the use of the Hudson loop and strategic equipment selection to address intra-procedural challenges. He further emphasizes the importance of comprehensive patient care—ensuring appropriate follow-up, minimizing drain duration, and prioritizing quality of life as essential components of optimal management.
Timestamps
00:00 - Introduction
01:28 - Biliary Drain Management
04:18 - Approach to Biliary Strictures
19:20 - Endoscopic Evaluation and Techniques
27:53 - Practical Tips and Experiences with Endoscopy
30:39 - Post-Procedure Follow-Up and Patient Outcomes
31:16 - Learning from the Hudson Roof Technique
32:48 - Innovations in Benign Stricture Management
36:48 - Endobiliary Ablation: Equipment and Procedure
40:23 - The Double Dragon Technique Explained
46:02 - Considerations for Malignant Biliary Stenting
52:37 - Future Innovations and Collaborative Care
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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