ASGE Esophagology: Tailoring Management from Testing to Treatment (Live and Virtual) | July 2022-Ablation Techniques for Barrett's Esophagus

Video Transcription

Video Summary

In the video, Dr. Arvind Trinidad discusses ablation therapy for Barrett's esophagus. He explains that after resecting visible vessels, the goal of treatment is to eradicate all Barrett's esophagus, as it is a microscopic field defect. Ablation therapy is described as a disruptive technology that has dramatically reduced the need for esophagectomy. The effects of ablation on the progression to esophageal adenocarcinoma are discussed, showing significant reductions in rates with ablation therapy. Dr. Trinidad also discusses the guidelines for who should receive ablation therapy, emphasizing the need for proper pathology review and consultation. The video then delves into the various modalities for ablation therapy, including radiofrequency ablation and cryotherapy. The techniques and tools used for each modality are described, with videos demonstrating their application. Pain tolerance with cryotherapy is also highlighted, with studies showing decreased pain compared to radiofrequency ablation. The video concludes by emphasizing the effectiveness of endoscopic eradication therapy and the expanding toolbox of treatment options.

Asset Subtitle

Arvind Trindade

Keywords

ablation therapy

Barrett's esophagus

esophagectomy

esophageal adenocarcinoma

endoscopic eradication therapy