ASGE-JGES Endoscopic Submucosal Dissection ESD (On-demand) | October 2025-Indications Upper ESD - Barret Associated Cancer

Indications Upper ESD - Barret Associated Cancer - Yamamoto

Video Transcription

Video Summary

Keiko Yamamoto from Hokkaido University discussed the diagnosis and endoscopic management of variceal esophagus (VE)-related dysplasia and adenocarcinoma. She highlighted differences between Japan and the U.S. in terminology, diagnosis, and treatment approaches. In the U.S., random biopsies and ablation therapy such as radiofrequency ablation (RFA) are common, while Japan relies on targeted biopsies and endoscopic submucosal dissection (ESD) without ablation approval. ESD offers higher complete resection rates, crucial for tumor assessment. Challenges include managing extensive dysplasia and post-ESD strictures, with imaging techniques aiding precise lesion detection. Treatment varies by healthcare context and tumor extent.

Keywords

variceal esophagus

endoscopic management

radiofrequency ablation

endoscopic submucosal dissection

dysplasia diagnosis