ASGE Annual Postgraduate Course: Clinical Challenges and Real-Time Decision Making in GI Endoscopy (Live and Virtual) | May 2023-Barrett's Esophagus: What Every Senior Fellow Needs to Know

Video Transcription

Video Summary

The video is a presentation on Barrett's Esophagus, delivered by Dr. Samuel Han, Dr. Stuart Speckler, and Dr. Sachin Wan. They discuss the current guidelines and indications for screening and surveillance of Barrett's Esophagus, as well as the appropriate management and endoscopic eradication therapy. The presenters emphasize the importance of confirmatory diagnosis by an expert GI pathologist, the use of high-definition white light endoscopy for screening and surveillance, and the technique of endoscopic mucosal resection for T-staging and removal of visible lesions. They also discuss the use of radiofrequency ablation for ablation of Barrett's metaplasia. The presenters highlight the need for accurate T-staging and the risk of lymph node metastases in determining the feasibility of endoscopic therapy. They recommend surveillance endoscopy for patients with complete eradication of metaplasia due to the high rate of metacronous neoplasms. The presenters also address the challenges of determining the length of the Barrett's segment, the management of low-grade dysplasia, and the debate between endoscopic submucosal dissection and endoscopic mucosal resection. They conclude by highlighting the importance of documentation and tracking of adverse events and the need for ongoing surveillance and follow-up after endoscopic eradication therapy.

Keywords

Barrett's Esophagus

screening and surveillance

management

endoscopic eradication therapy

GI pathologist

high-definition white light endoscopy

endoscopic mucosal resection

radiofrequency ablation

T-staging

lymph node metastases