ASGE Esophagology: Tailoring Management from Testing to Treatment (On-Demand) | July 2022-Managing Esophageal Complications

Video Transcription

Video Summary

In this video, Dr. Katari from the University of Rochester discusses managing esophageal complications, including bleeding, perforation, and esophageal fistulas. She begins by discussing the different types of complications that can occur during endoscopic procedures and emphasizes the importance of early identification and prompt management. Dr. Katari explains that bleeding is more common during invasive procedures and provides various techniques for managing it, such as thermal therapies, mechanical therapies, and hemostatic sprays. She also advises on managing anticoagulation and collaborating with other specialties when necessary. Moving on to perforation, Dr. Katari highlights the risk factors and emphasizes the need for early diagnosis and immediate treatment. She discusses different closure methods, including through-the-scope clips, over-the-scope clips, and endoscopic suturing, along with fully covered self-expanding metal stents. Lastly, she briefly mentions esophageal fistulas, which are usually malignant or related to prolonged ventilation, and explains that they require a multidisciplinary approach for management. Dr. Katari emphasizes the importance of appropriate indications, informed consent, clear communication, teamwork, and patient safety throughout the talk.

Asset Subtitle

Dr. Shivangi Kothari

Keywords

esophageal complications

bleeding

perforation

endoscopic procedures

early identification

thermal therapies