ASGE Annual GI Advanced Practice Provider Course (Virtual) - Clinical Case-Based Learning (Day Two) | April 2023-GERD and Barretts Esophagus and Endotherapy

Pdf Summary

This document summarizes a course on GERD (gastroesophageal reflux disease), Barrett's esophagus, and Barrett's endotherapy. The document covers the presentation, diagnosis, management, and complications of GERD, including lifestyle modifications and when to perform an endoscopy. It also discusses the definition of Barrett's esophagus (BE), risk factors for BE, and its natural history. The document addresses the treatment and surveillance of BE, including the use of endoscopic eradication therapy (ETT) and different modalities such as radiofrequency ablation (RFA) and cryotherapy. It also mentions the challenges and considerations for BE endotherapy in elderly patients, the role of multidisciplinary teams, and the involvement of advanced practice providers (APPs) in the management of Barrett's practice.<br /><br />According to the document, the ideal ablation technique for BE should balance mucosal injury to the desired depth without inducing strictures. It discusses the use of RFA, cryotherapy, and other modalities for ablation therapy. The document also mentions complications that can arise from Barrett's endotherapy, such as bleeding, perforation, delayed perforation, and strictures. It highlights the importance of a multidisciplinary team approach and the role of APPs in a Barrett's practice.<br /><br />Lastly, the document touches on new developments in swallowable devices for screening and surveillance of BE. It emphasizes the importance of adherence to guideline-based recommendations for BE screening and surveillance and the need for ongoing research in the field. The document concludes with polling questions to assess knowledge on the topic.

Asset Subtitle

Vivek Kaul, MD, FASGE

Keywords

GERD

Barrett's esophagus

endoscopy

endoscopic eradication therapy

RFA

cryotherapy

complications

multidisciplinary teams

elderly patients

screening