ASGE Annual Postgraduate Course: Leveraging New Advances to Improve Patient Outcomes (Live and Virtual) | May 2024-Endoscopic Management of Gastric Varices

Video Transcription

Video Summary

The video transcript discusses the management of gastric varices in patients with portal hypertension. Various treatment options are explored, including transjugular intraepatic portosystemic shunt (TIPS), balloon-assisted retrograde transvenous obliteration (BRTO), and endoscopic therapy using glue injection or EUS-guided coil therapy. The importance of a multidisciplinary approach and evolving guidelines for treatment strategies are emphasized. Endoscopic treatment methods such as banding and glue injection are commonly used, but EUS-guided therapy is showing promise in improving control of bleeding and reducing complications. Recommendations for primary and secondary prophylaxis are highlighted based on patient factors and local expertise.

Asset Subtitle

Marvin Ryou, MD

Keywords

gastric varices

portal hypertension

transjugular intrahepatic portosystemic shunt

balloon-assisted retrograde transvenous obliteration

endoscopic therapy