ASGE Endoscopy Live: Interventional EUS and Endo-Hepatology | July 2023-7-13-23 Endoscopy Live Case Demonstration 8

Video Transcription

Video Summary

In this video, Dr. Mervyn Dew from Brigham and Women's Hospital demonstrates an EUS guided coil embolization procedure for gastric varices. The patient is a woman with a history of decompensated cirrhosis and small esophageal varices. The procedure involves inserting coils into the varices to block blood flow and prevent bleeding. The traditional treatment for these varices is a glue injection, but the doctor uses absorbable gelatin sponge (gel foam) as an adjunct agent. Gel foam is mixed with saline and contrast and injected into the varices to further stop bleeding. The video shows the step-by-step process of the procedure, including needle insertion, coil placement, and gel foam injection. The doctor discusses the benefits of gel foam over glue, such as fewer complications and easier preparation. The video concludes with the doctor removing the needle and commenting on the expected outcome of the procedure.

Asset Subtitle

EUS-guided coil embolization with absorbable gelatin sponge for gastric varices
Endoscopist: Dr. Marvin Ryou (Brigham and Women’s Hospital)

Meta Tag

Concept BRTO

Concept Gastric Varices

Concept Sarin Classification

Concept EUS-guided Coil and Glue Obliteration

Concept Endoscopic Therapy

Keywords

EUS guided coil embolization

gastric varices

decompensated cirrhosis

small esophageal varices

absorbable gelatin sponge

gel foam injection

BRTO

Gastric Varices

Sarin Classification

EUS-guided Coil and Glue Obliteration

Endoscopic Therapy