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

Video Transcription

Video Summary

Dr. Arvind Trinidad discusses ablation therapy for Barrett's esophagus in this video. The goal of this therapy is to eliminate all Barrett's neoplasia after resection of endoscopically visible vessels. Ablation therapy, specifically radiofrequency ablation (RFA), has been shown to have a significant impact on the natural history of esophageal adenocarcinoma. It reduces the rate of progression to cancer in low-grade and high-grade dysplasia. The use of RFA has led to a decrease in the number of esophagectomy procedures performed. The video also introduces cryotherapy as an alternative treatment, particularly for patients who cannot tolerate RFA. Cryotherapy has shown good efficacy and is associated with less post-treatment pain compared to RFA. Other techniques, such as hybrid argon plasma coagulation (APC), have also been used successfully in treating Barrett's esophagus. The speaker concludes by emphasizing the importance of thorough examination, resection of nodular disease, and using the appropriate ablation therapy based on the patient's condition. The video provides detailed explanations, supported by studies and case examples, of the various ablation techniques and their effectiveness. No specific credits are mentioned or listed in the transcript.

Asset Subtitle

Dr. Arvind Trindade

Keywords

ablation therapy

Barrett's esophagus

radiofrequency ablation

cryotherapy

hybrid argon plasma coagulation