Advanced Endoscopy Fellows Program | September 2024-Endo Hepatology Case Video

Video Transcription

Video Summary

Dr. Ken Chang, founder of the endohepatology field, shared insights into the discipline at a conference. Endohepatology combines advanced endoscopy techniques with hepatology to assess liver stiffness and disease progression efficiently. Dr. Chang explained the EOS shear wave elastography, which measures liver stiffness through wave propagation speed, comparing it with FibroScan, highlighting its advantage in integrating imaging and shear wave analysis.<br /><br />He presented a case of a 56-year-old female with a history of NALFD and suspected fibrosis, demonstrating endohepatology's potential in diagnosing liver conditions. Dr. Chang emphasized the importance of combining procedures—EGD, EUS, liver biopsy, and portal pressure measurement—for comprehensive diagnosis and staging, reducing the need for multiple patient visits.<br /><br />Furthermore, Dr. Chang discussed biopsy techniques that ensure quality samples using advanced needle and suction methods, stressing the need for precision and safety in obtaining biopsies. These innovations are crucial for precise diagnosis and treatment planning in liver disease management.

Asset Subtitle

Dr. Ken Chang

Keywords

endohepatology

liver stiffness

EOS shear wave elastography

liver biopsy

NAFLD

Dr. Ken Chang