ASGE Esophagology: Tailoring Management from Testing to Treatment (Live and Virtual) | July 2022-CASE Based Discussion Session 2

Video Transcription

Video Summary

In this video, the speaker discusses two cases related to esophageal varices and esophageal emergencies. The first case involves a 46-year-old male who had a prior variceal bleed and presents with black stools. Banding is attempted but fails, and glue and sclerosant agents are also unsuccessful in stopping the bleeding. Ultimately, a fully covered esophageal stent and colis-R (a procedure that connects the portal vein to the hepatic vein) are considered as options. The second case involves a 92-year-old female with achalasia who presents with frank hematemesis. The patient is found to have a dilated and thickened esophagus with intramural hematoma on CT imaging. The decision to perform an emergency diagnostic EGD is discussed, and the speaker emphasizes the importance of considering the patient's overall condition and the need for intubation during the procedure. The EGD reveals a large clot burden in the esophagus but no obvious bleeding source. The patient's nose bleed is determined to be the cause of the hematomas in the esophagus. The speaker concludes by highlighting the importance of risk stratification and multidisciplinary care in managing upper GI bleeds.

Asset Subtitle

Esophageal Varices
Esophageal Emergencies that get you up in the Middle of the Night?

Keywords

esophageal varices

esophageal emergencies

variceal bleed

esophageal stent

achalasia