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OasisLMS
Catalog
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 the video, the speaker discusses Barrett's esophagus endotherapy, focusing on which patients should be treated and the differentiation between endoscopic therapy and surgery for early esophageal neoplasia or cancer. They also review the limitations of current therapeutic regimens. The speaker emphasizes the differences in the definition of Barrett's esophagus between the United States and Europe, and highlights the importance of following the pathology criteria for diagnosis. They discuss the classification of Barrett's based on the length of the segment of columnar lined epithelium, as well as the progression rate from Barrett's to esophageal carcinoma. The speaker mentions the natural history of Barrett's, including the various stages of dysplasia and carcinoma, and the need for surveillance to prevent progression to cancer. They explain the principles of endoscopic eradication therapy, including resection of visible lesions and ablation of the residual Barrett's epithelium. Different ablation techniques, such as radiofrequency ablation and cryotherapy, are discussed, as well as their indications and potential complications. The speaker also mentions the importance of ongoing surveillance after endoscopic therapy due to the risk of recurrence. They outline the indications for surgical intervention and the role of a multidisciplinary team in the management of Barrett's. The speaker concludes by highlighting the specific roles of the advanced practice providers in a Barrett's practice, including initial evaluation, peri-procedure management, facilitating tumor board discussions, and recognizing contraindications and indications for surgical referral.
Asset Subtitle
Vivek Kaul, MD, FASGE
Keywords
Barrett's esophagus endotherapy
endoscopic therapy
surgery
esophageal neoplasia
Barrett's diagnosis
progression rate
endoscopic eradication therapy
surgical intervention
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