The Liver Meeting 2021-Clinical Challenges and Practical Solutions at the Interface of Liver Disease and Endoscopy

Clinical Challenges and Practical Solutions at the Interface of Liver Disease and Endoscopy

Video Transcription

Video Summary

The video discusses challenges in diagnosing indeterminate biliary strictures, especially in cases like PSC, and the role of cholangioscopy in improving diagnostic accuracy. It also outlines non-invasive methods like ultrasound and MR elastography for diagnosing portal hypertension in liver diseases. Furthermore, the video touches upon the use of intragastric balloons in managing non-alcoholic fatty liver disease, the impact of obesity on liver transplant outcomes, and bariatric surgery in resolving NASH and improving fibrosis post-transplant. Complications post-liver transplant, including biliary anatomy, anastomotic strictures, and bioleaks, are also covered, with a focus on management strategies like device-assisted enteroscopy, stent selection, and monitoring for strictures. The importance of a multidisciplinary approach in optimizing safety in ERCP following liver transplant is emphasized throughout the discussion.

Keywords

biliary strictures

PSC

cholangioscopy

diagnostic accuracy

ultrasound

MR elastography

portal hypertension

liver diseases

intragastric balloons

non-alcoholic fatty liver disease

obesity

liver transplant outcomes

bariatric surgery

NASH

fibrosis post-transplant