ASGE Esophagology: Tailoring Management from Testing to Treatment (Live and Virtual) | July 2022-Performing a High Quality Upper Endoscopic Exam

Video Transcription

Video Summary

Dr. Sravanti Parasar, from the Swedish gastro institution in Seattle, discusses the importance of performing a high-quality upper endoscopic exam. The first goal of an endoscopy is to find or rule out lesions, as the diagnosis determines the treatment pathway. Dr. Parasar emphasizes the importance of using high-definition white light endoscopy and clearing the lumen to ensure visibility. She also discusses the use of additional imaging technologies, such as blue light imaging, linked color imaging, and narrow band imaging, to aid in identifying lesions and taking targeted biopsies. Dr. Parasar highlights the importance of spending adequate time inspecting and visualizing the esophagus and stomach, as longer inspection times have been shown to increase the detection rates of dysplastic lesions. She also provides guidelines for biopsy protocols based on different indications. Implementation of quality metrics and the use of automated machines or AI in documentation are also mentioned as potential strategies to improve the quality of upper endoscopic exams.

Asset Subtitle

Dr. Sravanthi Parasa

Keywords

upper endoscopic exam

lesions

high-definition white light endoscopy

biopsy protocols

quality metrics