ASGE Annual Postgraduate Course: Clinical Challenges and Real-Time Decision Making in GI Endoscopy (Live and Virtual) | May 2023-Session 2 Video Case Discussion 1

Video Transcription

Video Summary

In this video, Dr. Peter Dragunov from the University of Florida discusses upper endoscopy challenges. He presents a case of a 60-year-old female with a family history of gastric cancer and chronic dyspepsia. Dr. Dragunov emphasizes the importance of performing high-quality endoscopy, including ensuring mucosal visibility and adequate stomach distention. He also highlights the significance of spending at least seven minutes performing endoscopy to increase the detection of high-risk gastric lesions. The use of enhanced imaging and targeted biopsy is recommended for improved detection of gastric metaplasia. The patient in the case undergoes endoscopy, which reveals a displaced lesion with gastric metaplasia, biopsies confirm intramucosal adenocarcinoma. Endoscopic resection is chosen as the treatment option based on guidelines and the absence of risk factors for lymph node metastasis. The patient's lesion is successfully removed, and surveillance endoscopy is recommended to monitor for recurrence.

Asset Subtitle

Saowanee Ngamruengphon

Keywords

upper endoscopy challenges

mucosal visibility

stomach distention

gastric metaplasia

endoscopic resection