ASGE 2023 Masterclass EUS: Principles, Best Practices & Innovative Paradigms (On-Demand) | February 2023-Practical Approach to EUS in Endo-Hepatology Interventions

Video Transcription

Video Summary

In this video, Dr. Ken Chang delivers a lecture on endohepatology, focusing on topics such as US-guided shear wave elastography, liver biopsy techniques, and portal pressure gradient measurement. Endohepatology is defined as the integration of endoscopy with hepatology, and it offers a one-stop shop for endoscopic liver evaluation. The lecture discusses the advantages of endohepatology, including the ability to address multiple questions in one procedure, such as assessing varices, imaging the liver, and performing liver biopsy. The use of shear wave elastography is highlighted as a non-invasive method of assessing liver stiffness, particularly in comparison to FibroScan. The lecture also emphasizes the importance of liver biopsy for definitive diagnosis of conditions like NAFLD and NASH, as well as for staging liver disease. US guided liver biopsy techniques are described, including the use of a 19-gauge Francine needle. The lecture concludes with a discussion on portal pressure measurement and its role in evaluating portal hypertension. The video provides insights into the practical approach to endohepatology interventions and highlights the benefits of this emerging field in liver disease diagnosis and patient management.

Asset Subtitle

Kenneth J. Chang, MD, FASGE

Keywords

endohepatology

US-guided shear wave elastography

liver biopsy techniques

portal pressure gradient measurement

varices assessment

NAFLD diagnosis

portal hypertension evaluation