Advanced Endoscopy Fellows Program | September 2024-Endohepatology Troubleshooting

Video Transcription

Video Summary

The video discusses endohepatology procedures, particularly EUS-guided techniques like liver biopsy, portal pressure gradient measurement, and the coiling of gastric varices. The speaker emphasizes the importance of troubleshooting and planning, especially for challenging cases such as cirrhotic patients with differing liver and spleen anatomy. They detail methods for liver biopsy, including the use of a flushed catheter or wet technique with 19-gauge needles and the significance of correctly identifying anatomical structures like the spleen and liver using Doppler flow imaging.<br /><br />Additionally, they explain EUS-guided coil therapy for gastric varices and describe a novel simulation model using a filled glove to mimic varices for practice. The speaker addresses the potential issues during procedures, such as blood tracking and embolization of coils, offering troubleshooting tips and emphasizing pre-procedural checks and measurements for achieving successful outcomes. The discussion also touches on using EUS to measure portal pressure, addressing measurement consistency, and ensuring accuracy by emphasizing sedation and proper equipment handling.

Asset Subtitle

Dr. Ahmad Bazarbashi

Keywords

endohepatology

EUS-guided techniques

liver biopsy

portal pressure measurement

gastric varices coiling