ASGE Adult and Pediatric Gastroenterology and Endoscopy Board Preparatory and Review Course | 2022-Konda_Diagnosis and Management of Malignant Esophageal Disease

Konda_Diagnosis and Management of Malignant Esophageal Disease

Pdf Summary

The document is a presentation summary on the diagnosis and management of malignant and precancerous esophageal diseases, specifically focusing on esophageal cancer, Barrett's esophagus, and esophageal squamous cell carcinoma. The presenter, Dr. Vani Konda from Baylor University Medical Center, discusses various aspects related to the diagnosis and management of these conditions.<br /><br />The presentation starts with the disclosure of the presenter's financial conflicts of interest related to the content, which have been reviewed and mitigated.<br /><br />The objectives of the presentation include providing an overview of the implications of diagnosis, histological classification, clinical stage, and endoscopic information in managing esophageal cancer, reviewing screening and surveillance recommendations for Barrett's esophagus, and highlighting management principles for superficial esophageal neoplasia.<br /><br />The presentation includes case scenarios and response options for appropriate next steps in managing esophageal cancer. It emphasizes the importance of obtaining biopsies for histology and considering endoscopic ultrasound with fine-needle aspiration (FNA) for tissue sampling, cytology brushings or endoscopic resection for lesions, and calling for urgent esophagectomy or performing biopsies and planning for a CT scan for further evaluation.<br /><br />The document also provides information on the world distribution of esophageal cancer by type, symptoms and staging of esophageal cancer, diagnosis and staging methods, and the classification and risk factors of esophageal adenocarcinoma and Barrett's esophagus. It discusses the role of endoscopic screening, surveillance, and the risk of progression to cancer in patients with Barrett's esophagus.<br /><br />The presentation emphasizes the need for high-quality endoscopic examinations, including thorough inspection and documentation of landmarks, mucosal abnormalities, tumor morphology, and biopsy of suspicious lesions. It also discusses various treatment options for esophageal neoplasia, such as endoscopic resection, radiofrequency ablation, cryotherapy, and esophagectomy, based on the stage and characteristics of the tumors.<br /><br />The document concludes by providing helpful resources for further information on Barrett's esophagus, endoscopic submucosal dissection, and guidelines for esophageal and esophogastric junction cancers.<br /><br />In summary, the document provides a comprehensive overview of the diagnosis and management of malignant and precancerous esophageal diseases, highlighting key considerations and treatment options for different stages and types of esophageal cancer.

Keywords

esophageal cancer

Barrett's esophagus

esophageal squamous cell carcinoma

diagnosis

management

histological classification

clinical stage

endoscopic information

screening

surveillance