International Webinar on GI Emergencies | September 2025-Recorded Webinar

Video Transcription

Video Summary

The inaugural ASGE International Committee webinar focused on gastrointestinal (GI) emergencies, specifically GI bleeding, featuring expert speakers with diverse global perspectives. Dr. Sangeeta Aggarwal discussed the pre-endoscopic management of upper GI bleeding, emphasizing initial patient evaluation, resuscitation, and risk stratification using clinical scores like the Glasgow-Blatchford score. She highlighted the role of intravenous proton pump inhibitors, prokinetics like erythromycin, and specific therapies for cirrhotic patients, including vasoactive drugs and antibiotics, with endoscopy recommended within 24 hours after stabilization.<br /><br />Dr. Hamoud Ghassan covered the complex management of acute variceal bleeding in advanced chronic liver disease. He stressed the importance of assessing liver disease severity (Child-Pugh and MELD scores), early vasoactive medication, restrictive transfusion strategies, and cautious use of intubation. Endoscopic band ligation is the preferred treatment, avoiding sclerotherapy, with a multidisciplinary approach incorporating endoscopic ultrasound (EUS)-guided therapies, cyanoacrylate injection for gastric varices, and transjugular intrahepatic portosystemic shunt (TIPS) for high-risk cases.<br /><br />Dr. Tyler Burson focused on endoscopic management of non-variceal bleeding, particularly peptic ulcers. He explained the importance of correctly classifying ulcers (e.g., visible vessel, adherent clot) to guide treatment and discussed various tools such as injection therapy, thermal coagulation, hemoclips, over-the-scope clips (OTSC), and hemostatic sprays, noting evolving innovations and techniques like cap-fitted scopes and patient repositioning to improve visualization.<br /><br />The webinar concluded with an interactive Q&A session addressing practical management questions and an overview by Dr. Akwi Asombang on the benefits of ASGE membership, highlighting educational resources, global networking, and professional development opportunities. The event underscored international collaboration and advancements in GI bleeding management aimed at improving patient outcomes worldwide.

Keywords

ASGE International Committee

gastrointestinal emergencies

GI bleeding

upper GI bleeding management

Glasgow-Blatchford score

proton pump inhibitors

acute variceal bleeding

Child-Pugh score

MELD score

endoscopic band ligation

non-variceal bleeding

peptic ulcer treatment

transjugular intrahepatic portosystemic shunt