An Update on Endo-Hepatology | July 2021-An Update on Endo-Hepatology

Video Transcription

Video Summary

The video discusses coiling of gastroparesis as a treatment for bleeding gastric varices. The procedure involves the use of coils and an adjunct, such as glue or gel foam, injected into the varices using endoscopic ultrasound (EUS) guidance. Combination therapy with coils and glue has been found to be more effective than monotherapy with glue alone. The procedure has a lower adverse event rate (10%) and has shown high clinical success rates, reducing the need for re-intervention and re-bleeding.<br /><br />Dr. Ken Binmuller has been a key figure in developing the EUS coil-based therapy for bleeding gastric varices and has extensive experience in the field.<br /><br />The video also covers other topics in endohepatology, including the treatment of gastric varices and liver biopsy techniques. Sclerotherapy and glue injection are discussed as treatment options for gastric varices, along with the technical skills required and the risks associated with embolization of the glue. Different types of gastric varices and their treatment options are explored, such as band ligation and sclerotherapy.<br /><br />In terms of liver biopsy, the importance of collaboration among various specialties is emphasized, including hepatology, interventional radiology, and surgery. The panelists discuss the indications for liver biopsy and the ideal technique for obtaining liver tissue samples. The value of endoscopy and EUS in assessing portal hypertension and determining further interventions, such as liver transplantation or bariatric procedures, is also highlighted.<br /><br />The video concludes with considerations for starting an endohepatology program, emphasizing interdisciplinary collaboration, staff training, and research opportunities.

Keywords

coiling

gastroparesis

bleeding gastric varices

procedure

coils

glue

gel foam

endoscopic ultrasound (EUS) guidance

combination therapy

adverse event rate

clinical success rates

re-intervention