ASGE Annual Postgraduate Course Endoscopy 2022 (On-Demand): Breakthrough to Excellence-Panel Discussion with Video Cases

Video Transcription

Video Summary

The video discussed several cases related to esophageal disorders. The first case involved a 40-year-old man with dysphagia, regurgitation, and weight loss. The high-resolution manometry showed type 2 achillesia with a high IRP score. The panel discussed various treatment options, including diet modification, calcium channel blockers, botox injection, pneumatic dilation, heller myotomy, and peroral endoscopic myotomy (POEM). They concluded that pneumatic dilation, heller myotomy, and POEM were all acceptable options, while botox injection should be avoided. They also discussed the increased risk of reflux after POEM and the importance of post-procedure management. The second case involved a patient with an anastomotic stricture after esophagectomy. The panel discussed the treatment options for this patient, including dilation and steroids injection. They emphasized the need for repeated dilations and close follow-up. Finally, the third case involved a patient with recurrent squamous cancer in the esophagus. The panel discussed the treatment options considering the patient's frailty and the difficulty of resection. They mentioned leaving the lesion alone, freezing it, or using radiofrequency ablation or hybrid argon plasma coagulation as potential treatment options.

Asset Subtitle

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

Keywords

esophageal disorders

dysphagia

achalasia

treatment options

pneumatic dilation

heller myotomy

POEM