Advanced Endoscopy Fellows Program | September 2023-Presentation 2C

Presentation 2C - Endoscopic Luminal Cases 3 Esophagus

Video Transcription

Video Summary

The video transcript describes a case of an 82-year-old patient with a history of lung cancer, brain surgery, and reflux, who is scheduled for mucosal resection. The video transcript consists of various discussions among medical professionals regarding the diagnosis and management of a concerning esophageal lesion. There is a consensus that further investigation and pathology confirmation are necessary due to high-grade dysplasia found on biopsy. The possibility of submucosal invasion is discussed, and the use of endoscopic ultrasound (EUS) is suggested for staging. Various treatment options are considered, including ESD (endoscopic submucosal dissection), cryotherapy, and large-gap EMR (endoscopic mucosal resection). The importance of obtaining pathology and preserving the muscle layer is emphasized. The transcript highlights the challenges of managing ulcerated lesions and the potential for stricture formation after extensive resection. The need for close monitoring and patient education on PPI (proton pump inhibitor) use is also emphasized.

Keywords

mucosal resection

esophageal lesion

endoscopic ultrasound

high-grade dysplasia

pathology confirmation