ASGE Annual Postgraduate Course at DDW: UPPER GI Only (On-Demand) | May 2019-Upper GI Panel Discussion

Video Transcription

Video Summary

The video transcript includes discussions on various endoscopic procedures and management strategies for different conditions. One topic discussed is the use of prokinetics, specifically erythromycin, to clear blood before performing endoscopy in patients with active bleeding. Studies have shown that erythromycin can decrease the need for repeat endoscopy and decrease the length of stay in patients with variceal bleeding. Another topic covered is the use of endoscopic scoring documentation. The Glasgow score has been shown to decrease the need for admission in low-risk patients, and the consensus group recommends using the Blatchford scale to determine if patients can be sent home. The frequency and duration of endoscopic surveillance after successful endoscopic eradication therapy for dysplastic Barrett's is also discussed. Recommendations include repeating the endoscopy at 6 months and 1 year for low-grade dysplasia, and at 3, 6, 12 months, and annually for high-grade dysplasia and T1A cancer patients. The video also includes case presentations and discussions on management options for various conditions, such as a duodenal bulb lesion and a perforation after a myotomy for achalasia.

Keywords

endoscopic procedures

erythromycin

variceal bleeding

endoscopic scoring documentation

Barrett's dysplasia

achalasia