EGD Masterclass: EoE, Strictures, and Pre-malignant Gastric Conditions (Virtual Only) | January 2023-EoE Endoscopic Assessment and Dilation

Video Transcription

Video Summary

In this video, Dr. Iko Hirano discusses esophageal strictures and eosinophilic esophagitis (EOE). He starts by stating the topics that will be covered in the session, which include endoscopic assessment and dilation of EOE, EOE diet and medical therapy. Dr. Hirano then discusses the various methods used to assess strictures, such as barium esophagram, endoscopy, impedance planimetry, and a shoot-first-ask-questions-later approach. He introduces the EOE Endoscopic Reference Score (EREF) as a system for evaluating the severity of EOE through endoscopy. He emphasizes the limitations of endoscopy in detecting strictures, particularly the difficulty in determining stricture diameter. Dr. Hirano discusses the importance of detecting subtle strictures and provides tips for dilation procedures, including the use of savory dilation and the bougie cap technique. He also addresses the safety and efficacy of stricture dilation in EOE, noting that it is a highly effective and safe method for managing dysphagia symptoms. The video is a part of a masterclass on EGD and EOE, with credit given to Dr. Dana Early for her earlier presentation on esophageal strictures.

Keywords

esophageal strictures

eosinophilic esophagitis

endoscopic assessment

dilation of EOE

EOE diet

medical therapy