ASGE Esophagology: Tailoring Management from Testing to Treatment (Live and Virtual) | July 2022-CASE Based Discussion Session 5

CASE Based Discussion Session 5 – Peter Draganov and panel

Video Transcription

Video Summary

In this video, Dr. Peter Dragunov discusses an interesting case of a 31-year-old male who underwent an esophagogastroduodenoscopy (EGD) for dyspepsia. During the procedure, a subtle lesion was identified in the esophagus, and Dr. Dragunov presents several potential diagnoses for the lesion. These include inlet patch, squamous dysplasia, epidermoid metaplasia, squamous papilloma, zontomas, glycogenic acanthosis, and granular cell tumor. He explains the characteristics of each diagnosis and discusses the management options for each. The patient's history reveals HPV infection and high-grade squamous dysplasia, and ultimately, an endoscopic submucosal dissection (ESD) is performed with a diagnosis of high-grade squamous dysplasia. Dr. Dragunov emphasizes the importance of unblock resection for squamous lesions and provides insights on the use of Lugol's staining and the intrapapillary loop pattern in the evaluation of these lesions.

Asset Subtitle

Refractory Barrett’s esophagus
Squamous cell neoplasia in Esophagus

Keywords

esophagogastroduodenoscopy

lesion

diagnoses

squamous dysplasia

endoscopic submucosal dissection