ASGE Annual Postgraduate Course Endoscopy 2022: Breakthrough to Excellence | DDW 2022-Panel Discussion with Video Cases

Video Transcription

Video Summary

The video transcript discusses several cases related to esophageal conditions. In the first case, a patient with dysphagia, regurgitation, and weight loss is shown to have type 2 achillesia based on high-resolution manometry. The panelists discuss various treatment options including diet modification, calcium channel blockers, botox injection, pneumatic dilation, Heller myotomy, and POEM. The patient's symptoms and age factor into the recommended treatment options, and the panelists suggest pneumatic dilation, Heller myotomy, or POEM as possible options. The video also highlights the increased risk of post-procedural reflux in patients undergoing POEM and discusses management strategies. In another case, a patient with an esophagogastric anastomotic stricture is examined. The panelists discuss dilation techniques and the importance of achieving mucosal disruption. They suggest repetitive dilations at regular intervals based on the patient's response. The video also includes a case involving the treatment of a recurrent squamous cancer in a patient who is not a candidate for resection due to stage IV ovarian cancer. The panelists discuss treatment options including leaving the lesion alone, freezing, radiofrequency ablation, or hybrid APC. Overall, the video provides insights into the diagnosis and management of various esophageal conditions.

Asset Subtitle

Michael Vaezi, MD , FASGE, Mouen A. Khashab, MD, MASGE, Uzma D. Siddiqui, MD, FASGE and Jonathan Cohen, MD, FASGE

Keywords

esophageal conditions

dysphagia

type 2 achalasia

treatment options

pneumatic dilation

Heller myotomy

POEM