ASGE Annual GI Advanced Practice Provider Course (On-Demand) - Clinical Case-Based Learning (Day Two) | April 2023-GERD, Barrett’s Esophagus and Barrett’s Endotherapy

Video Transcription

Video Summary

In this video, the speaker discusses gastroesophageal reflux disease (GERD), Barrett's esophagus, and Barrett's endotherapy. The speaker covers the presentation, diagnostic parameters, management, potential complications, and screening for these conditions. <br /><br />GERD is a common GI diagnosis characterized by symptoms such as heartburn, water brash, and dysphagia. The speaker emphasizes the importance of ruling out cardiac causes for atypical chest pain in patients with GERD symptoms. Lifestyle modifications and proton pump inhibitors (PPIs) are recommended as initial treatment for GERD. <br /><br />Barrett's esophagus is a precancerous condition characterized by the presence of columnar lined epithelium. The speaker explains the risk factors, natural history, and management of Barrett's esophagus. Surveillance with endoscopy is recommended for patients with non-dysplastic Barrett's, while endoscopic eradication therapy is recommended for patients with dysplasia. <br /><br />The speaker also discusses different endoscopic techniques for Barrett's endotherapy, including endoscopic resection, radiofrequency ablation (RFA), and cryotherapy. Multimodality therapy combining these techniques has shown high rates of dysplasia eradication. The speaker highlights the importance of patient adherence, challenges in managing elderly patients, and indications for surgery in Barrett's esophagus and esophageal cancer. The speaker also emphasizes the role of advanced practice providers (APPs) in supporting the management and treatment of Barrett's esophagus.

Asset Subtitle

Vivek Kaul, MD, FASGE

Keywords

GERD

Barrett's esophagus

endoscopy

dysplasia

management

complications

patient adherence