EGD Masterclass: EoE, Strictures, and Pre-malignant Gastric Conditions (On-demand) | January 2023-Improving Quality in Upper Endoscopy

Video Transcription

Video Summary

In this video, the speaker discusses tips for improving the quality of upper endoscopic examinations. The speaker emphasizes the importance of obtaining informed consent from patients and documenting their medical history. They also highlight the significance of good posture and ergonomics during the procedure to prevent wrist injuries. The speaker recommends checking the knobs and ensuring the endoscope is straight before insertion. They stress the importance of thorough inspection, stating that more time spent inspecting increases the likelihood of detecting lesions, such as Barrett's esophagus and gastric neoplasia. The speaker discusses biopsy protocols for different conditions, such as eosinophilic esophagitis and Barrett's esophagus. They also discuss the importance of retroflection in certain cases, such as gastroesophageal reflux disease and screening for Barrett's esophagus. The speaker emphasizes the use of standardized classification systems for reporting abnormal findings, including the Prague classification for Barrett's esophagus, the Los Angeles classification for reflux esophagitis, and the Paris classification for GI tract lesions. They also advise against overusing upper endoscopy and provide a list of scenarios that do not require repeat endoscopy.

Keywords

upper endoscopic examinations

informed consent

thorough inspection

Barrett's esophagus

standardized classification systems