ASGE Annual GI Advanced Practice Provider Course (Virtual) - Clinical Case-Based Learning (Day Two) | March 2024-Management of Variceal Bleeding in Cirrhosis

Video Transcription

Video Summary

The talk discusses variceal bleeding and cirrhosis management. Cirrhosis is liver fibrosis due to chronic liver disease. Portal hypertension results from hepatic sinusoid distortion. Varices form due to increased pressure in the portal system. Esophageal varices can be graded as one, two, or three, with higher grades indicating increased bleeding risk. Factors like child score, red whale signs, and alcohol use influence varices progression. Variceal bleeding carries high mortality and hospitalization rates in cirrhotic patients. Screening, primary prophylaxis, and endoscopic treatments like band ligation are recommended. In severe cases, tips or emergency procedures may be necessary. Complications like hepatic encephalopathy and renal failure should be managed post-bleeding. Different types of varices, treatment, and monitoring protocols are also outlined.

Asset Subtitle

Sumeet Tewani, MD, FASGE

Keywords

variceal bleeding

cirrhosis management

portal hypertension

esophageal varices

band ligation

hepatic encephalopathy