Video Tip: Principles of Gastroesophageal Junction (GEJ) Endoscopic Evaluation - LA Classification | November 2023-Video Tip: LA Classification

Video Transcription

Video Summary

In this video, the speaker discusses the evaluation of the gastroesophageal junction (GE junction) and the Spiemocolumner junction. They explain that in a normal patient, these three landmarks should coincide. However, in cases of a hiatal hernia or proximal displacement of the Spiemocolumner junction, other conditions such as Barrett's esophagus may be suspected. The speaker also emphasizes the importance of assessing and grading esophagitis using the Los Angeles classification system, as it impacts treatment and follow-up recommendations. Additionally, they highlight the need to carefully evaluate the GE junction to avoid overdiagnosing Barrett's esophagus. The video concludes by discussing biopsy recommendations and biopsying Barrett's appearing mucosa.

Keywords

gastroesophageal junction

Spiemocolumner junction

hiatal hernia

Barrett's esophagus

Los Angeles classification system