ASGE Annual Postgraduate Course: Clinical Challenges and Real-Time Decision Making in GI Endoscopy (On-demand) | May 2023-Session 2 Presentation 1

Video Transcription

Video Summary

In this video, the speaker discusses two cases related to upper gastrointestinal (GI) lesions. The first case involves a 65-year-old woman with anemia and GERD, who is found to have small sessile polyps in the stomach. The biopsy shows chronic atrophic gastritis and a well-differentiated neuroendocrine tumor. The speaker explains the different types of gastric neuroendocrine tumors (GNETs) and their clinical features. Management options are also discussed, with surveillance endoscopy recommended for small GNETs and extensive surgery and systemic therapy recommended for type 3 GNETs with a poor prognosis. <br /><br />The second case involves a 50-year-old man with cirrhosis and anemia. Multiple hyperplastic polyps are found during endoscopy, with some larger ones showing an ulcerative appearance. The speaker explains that hyperplastic polyps are usually benign and associated with mucosal injury. Factors such as size and the presence of adjacent gastrointestinal metaplasia increase the risk of cancer. The risk of recurrence after endoscopic resection is high, regardless of the resection technique used. The speaker discusses the considerations for resection of hyperplastic polyps and emphasizes the importance of evaluating the rest of the stomach for associated conditions. Surveillance is recommended for this case as well.

Asset Subtitle

Dennis Yang, MD

Keywords

upper gastrointestinal lesions

anemia

GERD

gastric neuroendocrine tumors

hyperplastic polyps