Endoscopy Live: GERD & Barrett's Esophagus: The Journey Continues | December 2021-Procedure 5: Imaging of BE and Neoplasia

Video Transcription

Video Summary

In this video, Dr. Rehan Haidry from University College London Hospital demonstrates imaging of Barrett's esophagus and neoplasia. He discusses the importance of going back to basics in endoscopy, such as washing, looking, and using the switches on the endoscope. He uses a Pentax Highline series magnification scope to examine a patient with an endoscopic lesion in a segment of Barrett's esophagus. He demonstrates different imaging modes, including surface enhancement, contrast enhancement, and tone enhancement. He also showcases a computer-aided diagnostics system called CADU, which helps identify high-risk lesions. Based on the imaging findings, Dr. Haidry determines that the lesion is high-grade dysplasia and plans to perform an endoscopic mucosal resection (EMR) rather than a more invasive procedure like endoscopic submucosal dissection (ESD). He also discusses the potential for mucosal ablation after the resection. The video emphasizes the importance of accurate imaging in guiding treatment decisions for patients with Barrett's esophagus and neoplasia.

Asset Subtitle

Rehan Haidry, MD

Keywords

Barrett's esophagus

neoplasia

endoscopy

imaging modes

high-grade dysplasia