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

Video Transcription

Video Summary

In this video, the speaker discusses endoscopic resection techniques in the esophagus, specifically focusing on Barrett's esophagus and esophageal cancer. The speaker highlights the importance of performing initial endoscopic resection before ablative therapy in patients undergoing endoscopic eradication therapy, based on guidelines. A case-based discussion is presented, showcasing a 72-year-old patient with high-grade dysplasia in Barrett's esophagus. The speaker emphasizes the need for standardized terminology and describes different techniques for resecting lesions, including EMR (endoscopic mucosal resection) and ESD (endoscopic submucosal dissection). The speaker also suggests using submucosal fibrosis as a predictor for increased risk of complications and reduced resectability. The benefits and risks of endoscopic resection are discussed, along with specific details about the different surgical knives used in ESD. Overall, the video provides an overview of endoscopic resection techniques in the esophagus and discusses their applicability and potential complications.

Asset Subtitle

Dr. Ken Wang

Keywords

endoscopic resection techniques

esophagus

Barrett's esophagus

esophageal cancer

endoscopic eradication therapy

high-grade dysplasia