Symptomatic gallstones that can’t be treated with surgery? Interventional radiology can help. In this episode of BackTable, Dr. John Smirniotopoulos, IR at MedStar Health, joins Dr. Michael Barraza to share the latest advancements and techniques in biliary endoscopy.

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SYNPOSIS

Dr. Smirniotopoulos reflects on his early work with cholangioscopy at Cornell, highlighting ongoing innovation and evolving tools. The conversation covers the practical aspects of patient selection, procedural steps, and overcoming technical challenges. Dr. Smirniotopoulos shares his personal experiences managing small and large biliary stones, emphasizing the important role of selecting appropriate equipment to navigate procedural challenges.

Dr. Smirniotopoulos also highlights the collaborative role of surgeons and gastroenterologists throughout patient management. He also provides insights into the management of biliary strictures and emphasizes the importance of accurate billing and coding. The episode concludes with advice for clinicians seeking to integrate these techniques into their practice.

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TIMESTAMPS

00:00 - Introduction
01:09 - Early Experiences with Biliary Endoscopy
03:35 - Procedure Techniques and Tools
05:36 - Patient Selection and Case Studies
11:01 - Advanced Techniques and Equipment
14:02 - Patient Management and Follow-Up
18:21 - Technical Considerations and Best Practices
20:14 - Managing Stones in the Gallbladder
35:42 - Collaborating with Surgeons and GI Teams
37:59 - Advice for New Practitioners