Masterclass: Advanced GI Endoscopic Imaging (Live/Virtual) | December 2025-VIrtual Masterclass - Endoscopic Imaging - 01 - Mastering a High-quality Examination of the Esophagus and a Barrett’s Segment

VIrtual Masterclass - Endoscopic Imaging - 01 - Mastering a High-quality Examination of the Esophagus and a Barrett’s Segment - Konda

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Video Transcription

Video Summary

This presentation focuses on mastering high-quality endoscopic examination of the esophagus, particularly for Barrett's esophagus, eosinophilic esophagitis, and motility disorders. It emphasizes detailed inspection techniques, including retroflexed views and use of enhanced imaging like narrowband imaging, to detect subtle lesions and mucosal irregularities. Validated scoring systems such as EREF for eosinophilic esophagitis, CARS for achalasia, and LA grading for esophagitis guide diagnosis and documentation. Accurate measurement and classification of Barrett's esophagus using the Prague classification and Seattle biopsy protocol are stressed to optimize detection and surveillance. The speaker advocates for systematic photodocumentation, careful biopsy sampling at multiple levels, and expert pathological confirmation of dysplasia to guide management. Key to improved outcomes is spending adequate time during endoscopy, utilizing high-resolution scopes and image enhancement, and following structured protocols—summarized by the "five L's": landmarks, length, look, lesions, and levels—to enhance lesion detection and documentation quality.

Keywords

Endoscopic examination

Barrett's esophagus

Eosinophilic esophagitis

Motility disorders

Enhanced imaging

Biopsy protocols