Masterclass: Advanced GI Endoscopic Imaging (Live/Virtual) | December 2025-VIrtual Masterclass - Endoscopic Imaging

VIrtual Masterclass - Endoscopic Imaging - Panel Discussion 01

Video Transcription

Video Summary

In this expert discussion on esophageal examination and cancer detection, the panel emphasized the importance of thorough training in recognizing normal and pathological squamous mucosa, noting that foundational exam skills are often under-taught in the U.S. Incorporating systematic, consistent examination methods and learning classification systems stepwise can improve diagnostic accuracy. They highlighted the role of acetic acid and Lugol’s iodine in enhancing mucosal visualization, balancing benefits with potential procedural challenges like mucosal spasms. Regarding staging, CT PET is primary, with EUS used selectively for lymph node assessment rather than determining resectability. Detailed localization techniques using clock positions and depths aid in biopsy accuracy. Advanced imaging, like VLE, proves helpful in detecting subtle or subsquamous lesions post-treatment. Overall, a methodical, fundamental endoscopic exam remains crucial for proper lesion identification, guiding appropriate therapeutic pathways and minimizing unnecessary procedures.

Keywords

esophageal examination

cancer detection

squamous mucosa

acetic acid

endoscopic imaging