EGD Masterclass: EoE, Strictures, and Pre-malignant Gastric Conditions (On-demand) | January 2023-Session 3 Case Study Question and Answer

Video Transcription

Video Summary

The video discusses a case of a 78-year-old patient with multiple gastric polyps. The patient had undergone a repeat endoscopy which revealed low-grade dysplasia in one of the polyps. The video emphasizes the difficulty in examining hyperplastic polyps due to ulceration and bleeding. It suggests that endoscopic resection is a good strategy for further examination of larger polyps. The video further discusses the findings of the polyps, including the presence of dysplasia and intramucosal carcinoma. The panel also discusses the need for surveillance and the risk of endoscopy in this patient. Additionally, the discussion includes the use of electronic chromoendoscopy and dye spray chromoendoscopy for lesion detection, as well as the choice of snare technique for resection. The panel also addresses the role of PPI use and its potential association with gastric cancer. Finally, the panel provides guidance on pathology reports, including the need to comment on chronic atrophic gastritis and gastric intestinal metaplasia. That concludes the summary of the video transcript.

Keywords

gastric polyps

endoscopy

dysplasia

endoscopic resection

surveillance