ASGE Annual GI Advanced Practice Provider Course (Virtual) - Clinical Case-Based Learning (Day Two) | April 2023-Management of Liver Disease Complications

Video Transcription

Video Summary

In this video, the topic of liver disease complications is discussed. The presenter outlines the objectives of the presentation, which include defining liver disease complications, describing different types of liver disease complications, and discussing the implications of specific liver disease complications. The presenter also mentions that the video will cover liver disorders associated with specific liver disease complications and how to work up patients with liver test complications. The video includes multiple-choice questions that test the viewer's understanding of the material. The first question asks about the cause of upper GI varices, with the correct answer being any disease that results in elevated pressures of the portal vein. The second question asks about antibiotic therapy, with the correct answer being cirrhosis presenting with presumed portal hypertensive bleeding. The video then moves on to a case study of a 40-year-old woman who is brought to the emergency department with acute multiple episodes of bright red hematemesis. The presenter explains that this is a case of portal hypertensive bleeding and discusses the management of the patient. The video then transitions to discussing the treatment options for esophageal and gastric varices, including band ligation, sclerotherapy, glue injection, and transjugular intrahepatic portosystemic shunt (TIPS). The presenter emphasizes that band ligation is the most common and useful treatment for esophageal varices, while TIPS is typically used for gastric varices. The video concludes with a discussion of management strategies for patients with chronic liver disease, including the use of non-selective beta blockers, diuretic therapy, and diet modification. Overall, the video provides an overview of liver disease complications and their management.

Asset Subtitle

John Martin, MD, FASGE and Andrea Gossard, APRN, CNP

Keywords

liver disease complications

types of liver disease complications

working up patients with liver test complications

portal hypertensive bleeding management

treatment options for esophageal varices

band ligation for esophageal varices

TIPS for gastric varices

management strategies for chronic liver disease