ASGE Annual Postgraduate Course: Clinical Challenges and Real-Time Decision Making in GI Endoscopy (Live and Virtual) | May 2023-Session 6 Presentation 2 - Endoscopic Assessment and Management of Portal Hypertension

Session 6 Presentation 2 - Endoscopic Assessment and Management of Portal Hypertension

Video Transcription

Video Summary

In this video, the speaker discusses the assessment and management of portal pressures in patients with liver disease. They emphasize the use of endoscopy-based techniques, particularly endoscopic ultrasound (EUS), for measuring liver stiffness and portal pressure gradients. The speaker highlights the advantages of EUS over other methods, such as fibro scans, for assessing liver stiffness and treating varices. They also discuss the effectiveness of EUS-guided injections of glue and coils for variceal treatment and highlight the importance of expertise and collaboration with interventional radiology for optimal outcomes. The speaker further explores the role of portal pressure in assessing disease severity and progression and the potential benefits of reducing portal pressure through weight loss. The video concludes by advocating for a multidisciplinary approach in the management of patients with non-alcoholic fatty liver disease and obesity, involving gastroenterologists, hepatologists, and other healthcare professionals.

Asset Subtitle

Reem Z. Sharaiha, MD

Keywords

portal pressures

endoscopic ultrasound

variceal treatment

portal pressure assessment

multidisciplinary approach