ASGE Annual Postgraduate Course: Clinical Challenges and Real-Time Decision Making in GI Endoscopy (Live and Virtual) | May 2023-Session 1 - Video Case Discussion: UGI Bleed and Lower GI Bleed

Video Transcription

Video Summary

In this video, the faculty members introduce themselves and discuss the focus of the postgraduate course: real-time decision-making and video analysis. They review a video case of a 60-year-old patient with recurrent melanohemorrhagic shock and duodenal ulcers. The doctors discuss the use of endoscopic clip placement and epinephrine injection for hemostasis. They also discuss the challenges of treating a bleeding vessel in a difficult location and debate the best approach. The faculty then moves on to a video case of variceal bleeding, discussing the use of banding and techniques for targeting and capturing bleeding vessels. They also touch on complications such as post-banding ulcers and discuss the use of fully covered self-expanding metal stents in severe cases. The video ends with key take-home points, including the importance of a multidisciplinary approach and the option of transjugular intrahepatic portosystemic shunt (TIPS) for patients with severe liver disease. The faculty also emphasizes the need for general anesthesia in suspected variceal bleeding cases.

Asset Subtitle

Koushik Das, Andy Tau and Jennifer Christie

Keywords

postgraduate course

real-time decision-making

video analysis

endoscopic clip placement

variceal bleeding

multidisciplinary approach