ASGE Annual Postgraduate Course: Clinical Challenges and Real-Time Decision Making in GI Endoscopy (On-demand) | May 2023-Endoscopic Classification of Barrett’s Esophagus

Endoscopic Classification of Barrett’s Esophagus

Video Transcription

Video Summary

In this video, the speaker discusses the classification and measurement of Barrett's esophagus, a condition where the lining of the esophagus changes. It was previously believed that only the long segment of Barrett's esophagus led to cancer, but this is now known to be false. The video explains the confusion in accurately measuring the extent of Barrett's esophagus, especially when "tongues" of Barrett's mucosa are present. The Prague C and M classification, proposed in 2004, attempts to standardize measurements. The video includes an illustration that clarifies the classification, and provides an example of how to measure and classify Barrett's esophagus using the Prague system. Islands of Barrett's esophagus are not considered in this classification.

Keywords

Barrett's esophagus

classification

measurement

lining changes

Prague C and M classification