Advanced Endoscopy Fellows Program | September 2022-Endoscopic Luminal Cases #1

Video Transcription

Video Summary

The video transcript is of a discussion about a case of a 79-year-old man with distal esophageal cancer. The patient was incidentally diagnosed after an upper endoscopy for a persistent cough. The patient had coronary artery disease, had undergone a cabbage procedure, was a heavy smoker with COPD, and had moderate aortic stenosis. The tumor was staged as T1BN1 based on an ultrasound, which also revealed a lymph node. A PET scan showed the tumor glowing brightly. The surgeons were unsure if the patient was a good candidate for endoscopic resection. The discussion revolved around the features of the tumor and the accuracy of various diagnostic tools, such as PET scan and ultrasound, in determining the risk of lymph node involvement. The video also touched on the importance of considering the curative nature of the pathology and the need for continued surveillance and potential adjuvant treatments after endoscopic resection. The discussion emphasized the importance of multidisciplinary tumor board review and personalized treatment decisions for each patient.

Asset Subtitle

ESD, POEM, Bariatrics, etc.
Amit Bhatt, Shaffer Mok, Sigh Pichamol Jirapinyo, Peter Draganov

Keywords

distal esophageal cancer

upper endoscopy

PET scan

endoscopic resection

lymph node

personalized treatment