ASGE Annual GI Advanced Practice Provider Course (On-Demand) - Clinical Case-based Learning (Day Two)

Video Transcription

Video Summary

The video discusses the criteria for choosing Endoscopic Mucosal Resection (EMR) versus Endoscopic Submucosal Dissection (ESD) for early gastric cancer. EMR is typically used for lesions smaller than two centimeters that can be removed in one piece, while ESD is for larger lesions. POEM and gPOEM procedures, with an efficacy around 80%, are seldom repeated. Celiac plexus neurolysis can cause hypotension or, rarely, irreversible paralysis. For non-lifting lesions during EMR, clinical judgment and experience decide if resection should continue. Proton Pump Inhibitor (PPI) therapy is often required long-term post-POEM to manage GERD risks.

Keywords

Endoscopic Mucosal Resection

Endoscopic Submucosal Dissection

early gastric cancer

POEM procedures

Proton Pump Inhibitor therapy