ASGE Weekend Endoscopy - Esophageal Testing: Endoscopy, ph, HRM and Beyond

Video Transcription

Video Summary

The video is a recording of a session called "Weekend Endoscopy Live" from the IT&T Center, ASG headquarters in Chicago. The session is focused on esophageal testing and includes discussions on topics such as endoscopy, pH monitoring, high-resolution manometry, and the use of FLIP (functional luminal imaging probe). The session features two experts, Vani Konda and John Panolfino, who provide insights and demonstrate the evaluation of various esophageal conditions using different techniques.<br /><br />The experts emphasize the importance of careful examination and documentation during endoscopy, highlighting the need to identify landmarks, such as the gastroesophageal junction and diaphragmatic impression. They also discuss the interpretation of endoscopic findings, including the identification of normal and abnormal characteristics, such as hiatal hernia and Barrett's esophagus.<br /><br />The session then moves on to high-resolution manometry, with the experts showcasing normal and abnormal tracings. They explain various measurements, including the integrated relaxation pressure (IRP), distal latency, and distal contractile integral (DCI), which provide information about LES relaxation and esophageal contractility. The experts also introduce the use of FLIP, discussing its role in evaluating esophageal function and its potential applications in different clinical scenarios.<br /><br />The session concludes with a discussion on pH monitoring, specifically the use of Bravo capsules to assess esophageal acid exposure. The experts explain how to interpret pH tracings and calculate parameters such as acid exposure time, DeMeester score, and symptom association indices. They also highlight the importance of correlating pH findings with patient symptoms and consider additional factors, such as reflux episodes and symptom association probability.<br /><br />Overall, the video provides a comprehensive overview of different esophageal testing techniques, offering insights into their utility and interpretation in clinical practice.

Keywords

Weekend Endoscopy Live

esophageal testing

endoscopy

pH monitoring

high-resolution manometry

FLIP

gastroesophageal junction

Barrett's esophagus

Bravo capsules

clinical practice