ASGE Annual Postgraduate Course: Clinical Challenges and Real-Time Decision Making in GI Endoscopy (Live and Virtual) | May 2023-Session 6 Presentation 1 - Endoscopic Assessment of Advanced Liver Fibrosis

Session 6 Presentation 1 - Endoscopic Assessment of Advanced Liver Fibrosis

Video Transcription

Video Summary

In this video, Phoenix discusses the endoscopic assessment of advanced liver fibrosis. They talk about the role of endoscopic ultrasound (EUS) in diagnosing and managing liver diseases. They explain that EUS can evaluate the bile duct, gallbladder, pancreas, and esophageal varices, as well as detect paraesophageal collaterals that are not visible on regular endoscopy. They also discuss EUS-guided liver biopsy, which is a safe and effective method for obtaining liver tissue samples. They mention the importance of liver biopsy in diagnosing complex liver diseases and staging liver damage. Moreover, they discuss EUS-guided portal pressure gradient measurement, highlighting its correlation with clinical parameters of portal hypertension. The technique involves using a 25-gauge needle connected to a manometer to obtain pressure measurements in the hepatic and portal veins. The video concludes by stating that EUS-guided liver biopsy and portal pressure gradient measurement are valuable tools in endohepatology.

Asset Subtitle

Phuong T. (Phoenix) Nguyen, MD

Keywords

endoscopic ultrasound

liver fibrosis

EUS-guided liver biopsy

portal pressure gradient measurement

endohepatology