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ASGE Annual GI Advanced Practice Provider Course - ...
Barrett's Esophagus and Endotherapy
Barrett's Esophagus and Endotherapy
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Video Transcription
Video Summary
In this video, Dr. Majumder discusses Barrett's esophagus endotherapy. He first talks about which patients with Barrett's esophagus should be treated, as this is a hotly debated issue in the medical community. He then discusses the differentiation between patients with early esophageal neoplasia or cancer who can be effectively treated with endoscopic therapy versus those who should be referred for surgery. Dr. Majumder also reviews the limitations of current therapeutic regimens and emphasizes the importance of defining Barrett's esophagus accurately. He explains that there are differences between the United States and Europe in the definition of Barrett's esophagus, with the US requiring specialized intestinal metaplasia on pathology, while Europe only requires a visual confirmation of a one centimeter columnar lined epithelium. Dr. Majumder also discusses the classification of Barrett's esophagus based on the length of the segment and the risk of progression to esophageal carcinoma. He explains that Barrett's esophagus is a precancerous condition and emphasizes the need for surveillance to prevent progression to cancer. Dr. Majumder then discusses the various treatment options for Barrett's esophagus, including endoscopic resection and ablation techniques like radiofrequency ablation and cryotherapy. He explains the pros and cons of each technique and the potential complications. Dr. Majumder also highlights the importance of multidisciplinary collaboration and the role of advanced practice providers in the evaluation, management, and follow-up care of patients with Barrett's esophagus. He concludes by providing some practice pearls, including the importance of multimodality therapy, post-ablation surveillance, and anti-reflux therapy. Overall, Dr. Majumder provides a comprehensive overview of Barrett's esophagus endotherapy and highlights key considerations and recommendations for the management of this condition. No specific credits were granted in the video.
Asset Subtitle
Vivek Kaul, MD, FASGE
Keywords
Barrett's esophagus
endotherapy
treatment
esophageal neoplasia
endoscopic therapy
surgery referral
therapeutic regimens
intestinal metaplasia
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