ASGE Endoscopy Live: Interventional EUS and Endo-Hepatology | July 2023-7-13-23 Endoscopy Live Case Demonstration 4

7-13-23 Endoscopy Live Case Demonstration 4 - University of California Irvine

Video Transcription

Video Summary

In this video, Dr. Kenneth Chang from UC Irvine demonstrates an EUS-guided portal pressure gradient measurement, shear wave elastography, and liver biopsy. The patient is a 75-year-old female with asymptomatic jaundice and a history of obesity, Crohn's disease, and hypertension. The video shows Dr. Chang introducing the medical team and providing information about the patient's medical history, medications, and diagnostic tests. The imaging shows signs of liver nodularity and regenerating nodules. Shear wave elastography is used to measure liver stiffness, which indicates fibrosis. The spleen is also examined and found to be enlarged with dilated perisplenic vessels. The video then shows the EUS-guided portal pressure measurement using a 25-gauge needle. The hepatic and portal vein pressures are measured, and a gradient of 9 mmHg is found, indicating portal hypertension. Dr. Chang discusses the importance of diagnosing patients who are on the path to portal hypertension decompensation and the potential for reversibility with proper management. He concludes the video by mentioning that liver biopsy will be performed to determine the etiology of the liver disease. This summary is based on a transcript of a video from UC Irvine.

Asset Subtitle

EUS-guided PPGmeasurement/shear wave/liver biopsy
Endoscopist: Dr. Kenneth Chang(University of California Irvine)

Keywords

EUS-guided portal pressure measurement

shear wave elastography

liver biopsy

portal hypertension

spleen enlargement

fibrosis

liver disease etiology