Endoscopy Live: GERD & Barrett's Esophagus: The Journey Continues (On-Demand) | December 2021-Procedure 6: Imaging of BE and Neoplasia

Video Transcription

Video Summary

In this video, Dr. Horst Neuhaus from Dusseldorf discusses a case of a 66-year-old patient with Barrett's esophagus. The patient had occasional heartburn until September when it became more severe. They underwent their first gastroscopy and were diagnosed with severe reflux esophagitis and Barrett's epithelium with adenocarcinoma. The patient was treated with PPI for four weeks, and the inflammation disappeared. Dr. Neuhaus demonstrates the use of the new ADIS-1 technology, which combines the processor and light source in a single machine. He uses the Lucera series endoscope to examine the Barrett's esophagus and identifies a suspicious lesion. The plan is to perform EMR for the lesion and then ablate the remaining Barrett's tissue. Dr. Neuhaus emphasizes the importance of precise diagnosis before resection and the need to take time for accurate evaluations. Dr. Torston Beiner will present another case using Exera in a more advanced stage of Barrett's esophagus. Dr. Neuhaus briefly mentions RDI (residual disease identification) as a possible method for ablating the Barrett's tissue.

Asset Subtitle

Horst Neuhaus, MD

Keywords

Barrett's esophagus

reflux esophagitis

adenocarcinoma

PPI treatment

ADIS-1 technology