ASGE Annual Postgraduate Course: Clinical Challenges and Real-Time Decision Making in GI Endoscopy (On-demand)

Video Transcription

Video Summary

The American Society for Gastrointestinal Endoscopy (ASGE) conducted a webinar titled "Update on Endohepatology." The webinar covered several topics related to endohepatology, including EUS-guided liver biopsy, EUS-guided portal pressure gradient measurements, and EUS-guided coiling of gastroparietal varices.<br /><br />During the webinar, presenters discussed the advantages of EUS-guided liver biopsy, such as the ability to sample both sides of the liver and faster recovery times. The optimal technique for performing this procedure was also highlighted, involving the use of a 19-gauge core biopsy needle, multiple passes, and wet suction. The available literature demonstrated high diagnostic rates and low adverse event rates for EUS liver biopsy. A study comparing EUS liver biopsy to percutaneous liver biopsy showed similar diagnostic rates between the two methods.<br /><br />EUS-guided portal pressure gradient measurements were discussed as a way to assess portal hypertension in patients with liver disease. The technique for this procedure was explained, and its feasibility and safety were emphasized. The clinical correlation and potential applications of portal pressure gradient measurements were also mentioned.<br /><br />EUS-guided coiling of gastroparietal varices was explained as a treatment for bleeding gastroparietal varices in patients with cirrhosis or portal hypertension. The technique for this procedure was described, and the available literature showed that EUS-guided coiling with adjunctive therapy, such as glue or gel foam, has been effective and safe.<br /><br />In the panel discussion, different aspects of endoscopy and interventional radiology in managing liver diseases were addressed. The topics discussed included the use of glue injection and coils for treating gastric varices, the role of liver biopsy in evaluating liver diseases, and the importance of collaboration among hepatology, interventional radiology, and surgical colleagues for optimal patient care.<br /><br />Overall, the webinar provided valuable updates on various topics related to endohepatology, emphasizing the importance of incorporating endoscopy and interventional radiology techniques in the management of liver diseases. Collaboration and a multidisciplinary approach were highlighted as key factors in achieving the best outcomes for patients.

Keywords

ASGE

webinar

EUS-guided liver biopsy

portal pressure gradient measurements

EUS-guided coiling

advantages of EUS-guided liver biopsy

19-gauge core biopsy needle

diagnostic rates of EUS liver biopsy

comparison of EUS liver biopsy

portal hypertension

bleeding gastroparietal varices

collaboration in liver disease management