- 58k views
Cholangioscopy: Diagnosis and Management of Biliary Disease
Cholangioscopy is an advanced endoscopic technique used for diagnosing and managing biliary diseases. It involves the insertion of a tiny camera into the bile duct to visualize and evaluate abnormalities. This procedure aids in the diagnosis of conditions like bile duct stones, strictures, and tumors. Cholangioscopy allows for direct visualization, biopsy, and therapeutic interventions in the bile ducts. It offers higher sensitivity and specificity compared to traditional imaging modalities in detecting biliary pathologies. Through cholangioscopy, precise and targeted treatments such as stone removal or stent placement can be performed. It plays a crucial role in guiding therapeutic decisions and optimizing patient outcomes. Cholangioscopy reduces the need for exploratory surgeries by providing detailed insights into biliary anatomy and pathology. Recent advancements in cholangioscopy technology have enhanced its diagnostic and therapeutic capabilities. Overall, cholangioscopy is a valuable tool in the comprehensive management of various biliary diseases, offering both diagnostic clarity and therapeutic interventions.
About the Speaker
Dr Jatin Yegurla
Consultant Gastroenterologist, Apollo Hospitals, Hyderabad
Dr. Jatin Yegurla is currently working as Consultant Gastroenterologist at Apollo Hospitals. He completed MBBS (Osmania), MD (PGIMER Chandigarh), DM (AIIMS New Delhi), FAGIE (AIIMS New Delhi), ESEGH (London, UK). Dr.Jatin is a distinguished medical professional with expertise in Diagnostic & Therapeutic Endoscopic Ultrasound , ERCP & Therapeutic GI Endoscopy, Third Space Endoscopy and Pancreatology & GI Motility disorders. With extensive work experience including a Fellowship in Advanced Gastrointestinal Endoscopy at AIIMS, New Delhi, Dr. Yegurla has garnered numerous awards and accolades throughout his career. His notable achievements include receiving the Gold Medal in Obstetrics & Gynecology, securing All India Rank 1 in DM Gastroenterology & Advanced GI endoscopy fellowship and winning the 1st Prize in Endoscopy quiz at ENDOCON-2023. He has also been honored with ICMR Grants twice for Short term scholarship award and received the Vaidya Ratna award by the Mother Foundation and Prof. K. Subbaorao. Dr. Yegurla's academic excellence is further evidenced by achieving All India Rank 10 and selection for the MD Internal Medicine course at PGIMER, Chandigarh, and securing the 2nd Rank in the S D Deodhar All India Rheumatology Quiz organized by the Indian Rheumatology Association (IRA), PGIMER, Chandigarh.
Upcoming Case Discussions
Treatment of Renal Disease in ANCA Vasculitis
The treatment of renal disease in ANCA-associated vasculitis (AAV) typically involves a combination of immunosuppressive therapies to control inflammation and prevent further kidney damage. First-line treatment often includes high-dose corticosteroids and cyclophosphamide or rituximab, both of which help to induce remission by targeting the underlying immune system dysfunction. In cases of kidney failure or rapidly progressive glomerulonephritis, plasmapheresis may be used to remove circulating autoantibodies. Once remission is achieved, maintenance therapy with lower doses of immunosuppressants, such as azathioprine or mycophenolate mofetil, is used to prevent relapses and preserve kidney function.
Pulmonary Tuberculosis: Challenges in Diagnosis
Diagnosing pulmonary tuberculosis (TB) poses significant challenges, particularly in resource-limited settings. The disease often mimics other respiratory conditions, leading to delayed or missed diagnoses. Traditional diagnostic methods like sputum smear microscopy have limited sensitivity, especially in HIV co-infected or low-bacterial-load patients. Advanced techniques such as GeneXpert and culture tests, though more accurate, are often unavailable in remote areas. Children and immunocompromised patients present additional hurdles due to atypical symptoms and difficulty obtaining diagnostic samples. Non-specific imaging findings further complicate diagnosis. Addressing these challenges requires expanded access to molecular diagnostics, improved point-of-care tools, and greater healthcare awareness.
NIV in Acute Respiratory Failure
Dr Viny Kantroo is a Chest, Critical Care & Sleep medicine specialist based in Delhi, boasting over more than 15 years of professional experience. She is currently practising as a full time Senior consultant in Indraprastha Apollo Hospitals New Delhi and Visiting Consultant Apollo Hospitals Noida in the department of Respiratory, Critical Care and Sleep Medicine. She is recognised for her expertise in various aspects of Chest medicine, which includes EBUS (Convex probe, Radial), Bronchoscopic procedures, pleural effusion management, interstitial lung disease, Covid-19, lung cancer, pneumonia, and intensive care patient management. Dr Kantroo is renowned not only for her medical proficiency but also for her empathy and positive attitude towards patient care. Patients consulting with Dr Viny can be assured of receiving an accurate diagnosis and effective treatment, thanks to her commitment to prompt and comprehensive care.
AI in Genetics and Genomics
AI is revolutionizing genetics and genomics by enabling faster and more accurate analysis of complex genetic data. Machine learning algorithms can identify patterns in DNA sequences, helping to discover new genetic variants linked to diseases. Additionally, AI assists in predicting gene functions, personalizing medicine, and accelerating drug development. Its integration promises significant advancements in understanding genetic diseases and improving healthcare outcomes.
Management of Pediatric Type 1 Diabetes
Pediatric type 1 diabetes management focuses on maintaining glycemic control while supporting normal growth. Insulin therapy, via multiple daily injections or pumps, is essential, with doses adjusted based on blood glucose monitoring or continuous glucose monitoring (CGM). Nutrition plans emphasizing carbohydrate counting and balanced meals are crucial, alongside adjustments for physical activity to prevent glucose fluctuations. Education for families on recognizing hypo- and hyperglycemia symptoms and managing sick days is vital. Regular follow-ups with a pediatric endocrinologist help monitor HbA1c levels, growth, and complications. Psychosocial support is key for ensuring adherence and addressing emotional challenges.