Endoscopy Live: GERD & Barrett's Esophagus: The Journey Continues

Video Transcription

Video Summary

In this video, Dr. Kenneth Chang from the University of California Irvine demonstrates a hybrid argon plasma coagulation (APC) treatment for Barrett's esophagus. He presents the case of a 54-year-old male with obesity, refractory GERD, and a family history of metastatic adenocarcinoma of the esophagus. After assessing the patient's individualized risk for cancer development, Dr. Chang decides to perform an APC treatment to address the residual Barrett's esophagus. He explains that the hybrid APC combines semicosal injection and ablation using a catheter with a distal cap for visualization and stabilization. Dr. Chang performs the treatment, targeting specific areas of Barrett's esophagus, aiming for a tan coloration indicating successful ablation. He mentions that the hybrid APC technique offers precision and control. The video concludes by discussing post-treatment care and criteria for using hybrid APC versus radiofrequency ablation (RFA).

Asset Subtitle

Kenneth Chang, MD

Keywords

hybrid argon plasma coagulation

Barrett's esophagus

obesity

refractory GERD

metastatic adenocarcinoma of the esophagus