Endoscopy Live: GERD & Barrett's Esophagus: The Journey Continues (On-Demand) | December 2021-Procedure 4: AI

Video Transcription

Video Summary

In this video, Bonnie Conda from Baylor Dallas introduces a session on Barrett's esophagus diagnosis and neoplasia. Prateek and Moen present a video case demonstrating the use of an AI system called Wise Vision for detecting lesions in Barrett's esophagus. The system uses reverse green L signs and heat maps to detect and locate lesions. They show several cases, including a subtle lesion only visible on retroflexion. They discuss the advantages of using AI in detecting lesions that can be easily missed by endoscopists. They also demonstrate how the AI system is set up with a separate screen next to the main endoscopy screen. They then present a patient case, a 75-year-old man with residual Barrett's and dysplasia near the anastomosis following surgery. They use the AI system, as well as other imaging modalities like LCI and BLI, to assess the extent of the neoplastic lesion and discuss their plan for performing an ESD. Prateek mentions that white light endoscopy is still the gold standard, and AI and advanced imaging should be used to confirm and further assess suspicious areas detected by AI.

Asset Subtitle

Pradeep Bhandari, MD

Keywords

Barrett's esophagus diagnosis

neoplasia

AI system

lesion detection

advanced imaging