Video Tip: How to Perform Surveillance Biopsies in Barrett’s Esophagus | September 2021-How to Perform Surveillance Biopsies in Barrett’s Esophagus Video Tip

How to Perform Surveillance Biopsies in Barrett’s Esophagus Video Tip

Video Transcription

Video Summary

The video discusses the examination and biopsy process for Barrett's esophagus. It emphasizes the importance of thorough examination using high-definition white light and narrow-band imaging to identify areas of specialized intestinal metaplasia and squamous epithelium. When taking biopsies, it is recommended to keep the forceps close to the scope and target the mucosa using the scope instead of advancing the forceps. Biopsies should be taken in four quadrants every 2 cm for non-displastic Barrett's esophagus and every 1 cm for dysplasia. The video also highlights the need to spend adequate time inspecting each centimeter of the esophagus and to wash the mucous off the walls. The Seattle protocol is mentioned as the gold standard for tissue biopsies.

Keywords

Barrett's esophagus

examination

biopsy process

high-definition white light

narrow-band imaging