ASGE Masterclass: Barrett’s Esophagus, GERD and Esophageal Adenocarcinoma (On Demand) | February 2022-Eradication of Barrett's: Once and for all: EMR, ESD, RFA and Cryotherapy

Eradication of Barrett's: Once and for all: EMR, ESD, RFA and Cryotherapy

Video Transcription

Video Summary

The video is a presentation on the eradication of Barrett's esophagus through endoscopic therapy. The speaker discusses the components of endoscopic therapy, including detection, tissue acquisition through endoscopic resection, elimination of intestinal metaplasia through ablation, and post-ablation surveillance. The primary goal of endoscopic therapy is to prevent cancer by removing and destroying abnormal tissue. The speaker emphasizes the importance of accurate histologic staging and obtaining prognostic information through endoscopic resection. The different techniques of endoscopic resection, such as cap-assisted EMR and ESD, are compared, with ESD providing higher rates of R0 resection but also having more adverse events. Ablation methods such as radiofrequency ablation and cryotherapy are also discussed, with radiofrequency ablation being the most well-studied method. The speaker notes that complete remission of intestinal metaplasia should be the endpoint of endoscopic therapy, and surveillance after successful ablation is important due to the risk of recurrence. Overall, the presentation highlights the effectiveness and benefits of endoscopic therapy for Barrett's esophagus. No credits are mentioned in the video.

Keywords

Barrett's esophagus

endoscopic therapy

tissue acquisition

intestinal metaplasia

endoscopic resection

ablation methods