ASGE Annual Postgraduate Course: Clinical Challenges and Real-Time Decision Making in GI Endoscopy (Live and Virtual) | May 2023-Session 6

Video Transcription

Video Summary

This video transcript discusses a case of a 62-year-old woman with obesity and splenomegaly. Despite normal liver function tests and a liver biopsy showing mild steatosis, collateral vessels and thrombocytopenia were observed. The panel discusses the next steps, reviewing the biopsy and considering repeat testing. An endohepatology evaluation was performed, revealing varices, steatosis, and an elevated portal pressure gradient indicating portal hypertension. The biopsy indicated nodular regenerative hyperplasia likely caused by chemotherapy. The discussion then shifts to coagulopathy and thrombocytopenia cutoffs for treatment considerations. The case ends with the patient experiencing haematemesis and subsequently undergoing endoscopic and coil injection therapy. The panel also discusses the development and training of endohepatology programs and the future of the field, including the use of US shear wave elastography for diagnostic purposes. This summary is based on the provided transcript and no credits were mentioned.

Keywords

obesity

splenomegaly

portal hypertension

nodular regenerative hyperplasia

US shear wave elastography