ASGE Esophagology: Tailoring Management from Testing to Treatment (Live and Virtual) | July 2022-Endoscopic Resection in Barrett's Esophagus

Video Transcription

Video Summary

Dr. Ken introduces his talk on endoscopic resection techniques in the esophagus. He discusses the rationale for endoscopic resection, which includes improved histology and staging in patients with visible lesions and the presence of cancer. He presents a case of a 72-year-old male with Barrett's esophagus and high-grade dysplasia, and explains the need for standardized terminology and assessment of mucosal patterns and vascular patterns. He emphasizes the importance of making the right resection choice based on whether the lesion is likely benign or malignant. He discusses various resection techniques, such as EMR and ESD, and their pros and cons. He presents a second case of a T2 junctional mass in a patient who had completed RFA ablation, and highlights the challenges of predicting resectability using EUS. He concludes by recommending ESD for larger tumors and discusses the complications and outcomes associated with these procedures.<br /><br />Credit: This video is a part of the American Society for Gastrointestinal Endoscopy (ASGE) educational programming. The presenter is Dr. Ken Wang.

Keywords

endoscopic resection techniques

esophagus

histology

EMR

ESD

resectability