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

Video Transcription

Video Summary

Dr. Sravanti Parasar discusses the importance of performing a high-quality upper endoscopic exam. She emphasizes the need for a clear visualization of the mucosa and identifies the components necessary for a high-quality exam. These include using high-definition white light endoscopy, clearing the lumen of debris, and identifying landmarks such as the diaphragmatic pinch and the squamo-columnar junction. Dr. Parasar also discusses the use of advanced imaging techniques such as blue light imaging, linked color imaging, and narrow-band imaging to help identify abnormal lesions and take targeted biopsies. She highlights the importance of visualization time, recommending at least 10 minutes for Barrett's esophagus surveillance and 7 minutes for gastric inspection. Dr. Parasar also provides guidelines for biopsy protocols for different indications such as dysphagia, Barrett's esophagus, gastric premalignant disorders, and celiac disease. She concludes by discussing the implementation of quality measures and the potential use of automated machine learning algorithms to improve efficiency and accuracy in endoscopy.

Asset Subtitle

Dr. Sravanthi Parasa

Keywords

mucosa visualization

high-definition white light endoscopy

advanced imaging techniques

biopsy protocols

Sravanthi Parasa