1174

953907865

[{"id":"1174","chapterid":"7153","timeTo":"20.99 ","timeFrom":"6 ","number":"1","chaptername":"Esophagus Issues ","description":"In this chapter, the focus is on the chronic inflammation and stenosis observed in the oesophagus, specifically at a site that has undergone radiotherapy for a squamous cell carcinoma. The detailed exploration of the oesophagus, beginning from the upper section and moving down to the affected area at 33 centimeters, provides valuable insights into post-treatment changes such as stenosis due to the chronic inflammation following radiotherapy."},{"id":"1174","chapterid":"7154","timeTo":"54.99 ","timeFrom":"21 ","number":"2","chaptername":"Surveillance & Biopsies ","description":"In this chapter, the focus is on the management of patients entering surveillance following detection of high-grade squamous dysplasia in the oesophagus. It is demonstrated that precise navigation around the Z line is crucial for effective biopsy collection. The chapter highlights the importance of thorough visualization methods to ensure comprehensive assessment of interesting lesions and possible relative stenosis identified during the endoscopic examination."},{"id":"1174","chapterid":"7155","timeTo":"125.99 ","timeFrom":"55 ","number":"3","chaptername":"Abnormalities & Insufflation ","description":"In this chapter, a detailed evaluation of oesophageal stenosis is demonstrated, with a focus on positioning and the clockface orientation of lesions. Virtual chromoendoscopy via the Olympus 1500 platform is used to assess abnormal areas, highlighting keratinization at specific orientations, which may require further investigation. The discussion emphasizes the importance of correct positional assessment in detecting and evaluating oesophageal lesions."},{"id":"1174","chapterid":"7156","timeTo":"254.99 ","timeFrom":"126 ","number":"4","chaptername":"Resection Planning ","description":"In this chapter, the technique of endoscopic marking for resection is explored, emphasizing the strategic application of Lugol's iodine to highlight squamous dysplasia without compromising marking accuracy. The challenges of marking near stenosis are discussed, along with the use of near focus for clearer margin visualization. The approach balances traditional and virtual chromoendoscopy tools to optimize procedure outcomes."},{"id":"1174","chapterid":"7157","timeTo":"600.99 ","timeFrom":"255 ","number":"5","chaptername":"Procedure Evaluation ","description":"This chapter examines the intricate process of endoscopic evaluation, emphasizing the importance of identifying dysplastic areas and preventing stenosis through staged procedures. Specific attention is paid to visualizing abnormal IPCL patterns, utilizing imaging techniques, and assessing keratosis. Challenges in differentiating dysplasia from cancer, especially post-radiotherapy, are discussed. Techniques for marking, inflating loops, and applying contrast agents like iodine are highlighted to enhance visualization and decision-making."},{"id":"1174","chapterid":"7158","timeTo":"693 ","timeFrom":"601 ","number":"6","chaptername":"Future Considerations ","description":"This chapter discusses the examination of certain unstained areas during endoscopy, emphasizing the complexities of assessing boundaries. It highlights the role of AI in enhancing decision-making, recommending a further look at suspect areas and considering the full circumference for examination. The narrative underscores the importance of additive information techniques in improving assessment accuracy, suggesting that future advancements in AI will significantly aid endoscopists in such complex evaluations."}]

[{"id":"1174","split":"1","chapterid":"7153","timeFrom":"6 ","timeTo":"20.99 ","number":"1","chaptername":"Esophagus Issues ","description":"In this chapter, the focus is on the chronic inflammation and stenosis observed in the oesophagus, specifically at a site that has undergone radiotherapy for a squamous cell carcinoma. The detailed exploration of the oesophagus, beginning from the upper section and moving down to the affected area at 33 centimeters, provides valuable insights into post-treatment changes such as stenosis due to the chronic inflammation following radiotherapy.","tagid":"880","tagName":"Marking pre-ESD"},{"id":"1174","split":"1","chapterid":"7153","timeFrom":"6 ","timeTo":"20.99 ","number":"1","chaptername":"Esophagus Issues ","description":"In this chapter, the focus is on the chronic inflammation and stenosis observed in the oesophagus, specifically at a site that has undergone radiotherapy for a squamous cell carcinoma. The detailed exploration of the oesophagus, beginning from the upper section and moving down to the affected area at 33 centimeters, provides valuable insights into post-treatment changes such as stenosis due to the chronic inflammation following radiotherapy.","tagid":"255","tagName":"Endoscopic Video only"},{"id":"1174","split":"1","chapterid":"7154","timeFrom":"21 ","timeTo":"54.99 ","number":"2","chaptername":"Surveillance & Biopsies ","description":"In this chapter, the focus is on the management of patients entering surveillance following detection of high-grade squamous dysplasia in the oesophagus. It is demonstrated that precise navigation around the Z line is crucial for effective biopsy collection. The chapter highlights the importance of thorough visualization methods to ensure comprehensive assessment of interesting lesions and possible relative stenosis identified during the endoscopic examination.","tagid":"425","tagName":"Endoscopic Submucosal Dissection (ESD)"}]

[{"name":"Recurrent Oesophageal Squamous Dysplasia after Radiotherapy.","description":"The video explores a case of chronic esophagus inflammation with stenosis, resulting from previous radiotherapy for squamous cell carcinoma. The patient undergoes surveillance, leading to the detection of high-grade squamous dysplasia through biopsies. The video further delves into the complexities of the procedure, including marking, resection, and confirmation with Lugol's iodine. The potential role of AI in future cancer detection is also highlighted.","summary":"

In this video, an examination of the esophagus, showing chronic inflammation and relative stenosis post-radiotherapy for squamous cell carcinoma, is demonstrated. At 33 cm from the incisors, the esophagus exhibits high-grade squamous dysplasia confirmed by biopsy. The procedure involves the use of virtual chromoendoscopy with Olympus 1500 platform and bright NBI to discern the extent of abnormality and mark the lesion for resection. Challenges in demarcating due to the extensive nature of the lesion are discussed. The application of Lugol's iodine after marking enhances the visualization of squamous dysplasia. Caution is advised during the marking to avoid inaccurate assessment which might complicate resection. Emphasis is placed on ensuring adequate insufflation and using dual-focus endoscopes for clear visualization of the margins. The importance of consideration for potential stenosis, especially in patients with a history of radiotherapy, is underscored. The role of AI in improving dysplasia detection and aiding in decision making is touched upon. Finally, particular techniques for marking are demonstrated, including the use of the tip of a knife and potential adjustments based on virtual chromoendoscopy outcomes.<\/p>","detailedSummary":"

Learning Objectives :<\/p>\n

\n
• Identifying chronic inflammation and stenosis in the esophagus post-radiotherapy.<\/li>\n
• Recognizing high-grade squamous dysplasia via biopsy.<\/li>\n
• Utilizing virtual chromoendoscopy for enhanced visualization.<\/li>\n
• Techniques for marking lesions accurately.<\/li>\n
• Application of Lugol's iodine for confirming squamous dysplasia.<\/li>\n
• Challenges in demarcation of extensive lesions.<\/li>\n
• Importance of adequate insufflation and dual-focus scopes..<\/li>\n
• Management strategies to prevent stenosis post-resection.<\/li>\n
• Role of AI in enhancing detection and decision-making in endoscopy.<\/li>\n
• Adjusting procedural techniques based on imaging outcomes.<\/li>\n<\/ul>","author":"David Tate","tagger":"1","editor":"1","recorder":"1","authorid":"1","centreName":"University Hospital of Ghent","centreCity":"Ghent","centreCountry":"Belgium"}]

[{"chapterTagid":"23234","tagName":"Endoscopic Submucosal Dissection (ESD)","id":"425"},{"chapterTagid":"23233","tagName":"Endoscopic Video only","id":"255"},{"chapterTagid":"23232","tagName":"Marking pre-ESD","id":"880"}]

Array ( [0] => Array ( [id] => 10052 [tagCategoryName] => Accessories for Gastroscopy ) [1] => Array ( [id] => 109 [tagCategoryName] => Adjunctive Techniques in Polypectomy ) [2] => Array ( [id] => 99 [tagCategoryName] => Adverse Events ) [3] => Array ( [id] => 119 [tagCategoryName] => Adverse events after ERCP ) [4] => Array ( [id] => 10045 [tagCategoryName] => Altered Upper GI Anatomy ) [5] => Array ( [id] => 47 [tagCategoryName] => Anatomy ) [6] => Array ( [id] => 10020 [tagCategoryName] => Appearances during ESD ) [7] => Array ( [id] => 84 [tagCategoryName] => Artificial Intelligence ) [8] => Array ( [id] => 10004 [tagCategoryName] => Barretts Oesophagus ) [9] => Array ( [id] => 126 [tagCategoryName] => Cholangiography ) [10] => Array ( [id] => 128 [tagCategoryName] => Cholangioscopy ) [11] => Array ( [id] => 137 [tagCategoryName] => Cholecystoduodenostomy ) [12] => Array ( [id] => 10001 [tagCategoryName] => Choledocho-duodenostomy ) [13] => Array ( [id] => 140 [tagCategoryName] => Coeliac Plexus Block ) [14] => Array ( [id] => 10015 [tagCategoryName] => Cold Snare Polypectomy Theory ) [15] => Array ( [id] => 55 [tagCategoryName] => Colonoscope Handling ) [16] => Array ( [id] => 41 [tagCategoryName] => Colonoscopy Trainer ) [17] => Array ( [id] => 102 [tagCategoryName] => Decision making in Polypectomy ) [18] => Array ( [id] => 77 [tagCategoryName] => Deconstructed Cold Snare Polypectomy ) [19] => Array ( [id] => 118 [tagCategoryName] => Deconstructed LAMS placement technique ) [20] => Array ( [id] => 65 [tagCategoryName] => Deconstructed Polypectomy Technique ) [21] => Array ( [id] => 106 [tagCategoryName] => Defect inspection deconstructed ) [22] => Array ( [id] => 38 [tagCategoryName] => Diagnosis ) [23] => Array ( [id] => 134 [tagCategoryName] => Diagnostic Interventions ) [24] => Array ( [id] => 125 [tagCategoryName] => Difficult Cannulation ) [25] => Array ( [id] => 68 [tagCategoryName] => Difficult Polypectomy Locations ) [26] => Array ( [id] => 95 [tagCategoryName] => Dilatation ) [27] => Array ( [id] => 122 [tagCategoryName] => Duodenoscope Introduction ) [28] => Array ( [id] => 81 [tagCategoryName] => EBL for Barretts Oesophagus deconstructed ) [29] => Array ( [id] => 10041 [tagCategoryName] => Electrosurgical Unit ) [30] => Array ( [id] => 10002 [tagCategoryName] => Endoluminal functional lumen imaging probe (EndoFLIP) system ) [31] => Array ( [id] => 10053 [tagCategoryName] => Endoscope Manufacturer ) [32] => Array ( [id] => 10051 [tagCategoryName] => Endoscopes ) [33] => Array ( [id] => 90 [tagCategoryName] => Endoscopic Dilatation ) [34] => Array ( [id] => 39 [tagCategoryName] => Endoscopic Imaging ) [35] => Array ( [id] => 103 [tagCategoryName] => Endoscopic Markers of Submucosal Invasion [colon] ) [36] => Array ( [id] => 40 [tagCategoryName] => Endoscopic Resection ) [37] => Array ( [id] => 86 [tagCategoryName] => Endoscopically Placed Feeding Tubes ) [38] => Array ( [id] => 51 [tagCategoryName] => Equipment ) [39] => Array ( [id] => 117 [tagCategoryName] => ERCP technique ) [40] => Array ( [id] => 10021 [tagCategoryName] => ESD Techniques ) [41] => Array ( [id] => 130 [tagCategoryName] => EUS Guided Biliary Drainage ) [42] => Array ( [id] => 129 [tagCategoryName] => EUS Guided Rendez-vous ) [43] => Array ( [id] => 141 [tagCategoryName] => Fiducial Placement ) [44] => Array ( [id] => 85 [tagCategoryName] => Foreign body ingestion ) [45] => Array ( [id] => 10038 [tagCategoryName] => G-POEM Procedure Specifics ) [46] => Array ( [id] => 10039 [tagCategoryName] => G-POEM Pyloromyotomy ) [47] => Array ( [id] => 10000 [tagCategoryName] => Gastro-gastrostomy ) [48] => Array ( [id] => 135 [tagCategoryName] => Gastro-jejunostomy ) [49] => Array ( [id] => 43 [tagCategoryName] => Gastrointestinal bleeding ) [50] => Array ( [id] => 63 [tagCategoryName] => Gastrointestinal Location ) [51] => Array ( [id] => 87 [tagCategoryName] => Gastroscopy technique ) [52] => Array ( [id] => 10012 [tagCategoryName] => Gastroscopy training ) [53] => Array ( [id] => 83 [tagCategoryName] => GI Bleeding Techniques ) [54] => Array ( [id] => 46 [tagCategoryName] => GIEQs ) [55] => Array ( [id] => 9999 [tagCategoryName] => GIEQs Digital Edition I ) [56] => Array ( [id] => 10009 [tagCategoryName] => Global Endoscopic Techniques ) [57] => Array ( [id] => 73 [tagCategoryName] => Granularity ) [58] => Array ( [id] => 136 [tagCategoryName] => Hepatico-gastrostomy ) [59] => Array ( [id] => 10013 [tagCategoryName] => Histopathological Assessment (Colon) ) [60] => Array ( [id] => 10014 [tagCategoryName] => Histopathological Assessment (Upper GI) ) [61] => Array ( [id] => 10043 [tagCategoryName] => Histopathological Staging ) [62] => Array ( [id] => 71 [tagCategoryName] => Imaging Classifications for Colorectal Polyps ) [63] => Array ( [id] => 72 [tagCategoryName] => Imaging modalities ) [64] => Array ( [id] => 89 [tagCategoryName] => Inflammatory Bowel Disease ) [65] => Array ( [id] => 96 [tagCategoryName] => Injection ) [66] => Array ( [id] => 50 [tagCategoryName] => Insertion ) [67] => Array ( [id] => 10007 [tagCategoryName] => JNET Classification ) [68] => Array ( [id] => 75 [tagCategoryName] => Kudo Classification ) [69] => Array ( [id] => 48 [tagCategoryName] => Level of Difficulty ) [70] => Array ( [id] => 110 [tagCategoryName] => Location Upper GI ) [71] => Array ( [id] => 52 [tagCategoryName] => Loops ) [72] => Array ( [id] => 121 [tagCategoryName] => Major papilla cannulation ) [73] => Array ( [id] => 67 [tagCategoryName] => Markers of Polypectomy Difficulty ) [74] => Array ( [id] => 97 [tagCategoryName] => Marking ) [75] => Array ( [id] => 10022 [tagCategoryName] => Materials for ESD ) [76] => Array ( [id] => 10008 [tagCategoryName] => Miscellaneous Imaging Findings ) [77] => Array ( [id] => 10024 [tagCategoryName] => Negative Outcomes after Colonoscopy or Polypectomy ) [78] => Array ( [id] => 74 [tagCategoryName] => NICE Classification ) [79] => Array ( [id] => 10011 [tagCategoryName] => Normal Anatomy ) [80] => Array ( [id] => 132 [tagCategoryName] => Normal Landmarks ) [81] => Array ( [id] => 94 [tagCategoryName] => Nursing Techniques ) [82] => Array ( [id] => 93 [tagCategoryName] => Nursing Training ) [83] => Array ( [id] => 10017 [tagCategoryName] => Oesophageal POEM ) [84] => Array ( [id] => 101 [tagCategoryName] => Other techniques ) [85] => Array ( [id] => 133 [tagCategoryName] => Pancreatic Disorders ) [86] => Array ( [id] => 76 [tagCategoryName] => Paris Classification ) [87] => Array ( [id] => 53 [tagCategoryName] => Pathology ) [88] => Array ( [id] => 57 [tagCategoryName] => Patient Management ) [89] => Array ( [id] => 120 [tagCategoryName] => Pedunculated Polypectomy ) [90] => Array ( [id] => 10044 [tagCategoryName] => Perforation ) [91] => Array ( [id] => 78 [tagCategoryName] => Piecemeal cold snare polypectomy ) [92] => Array ( [id] => 10019 [tagCategoryName] => Planning Prior to ESD ) [93] => Array ( [id] => 10037 [tagCategoryName] => POEM - After Procedure ) [94] => Array ( [id] => 10031 [tagCategoryName] => POEM - Complications ) [95] => Array ( [id] => 10027 [tagCategoryName] => POEM - Equipment ) [96] => Array ( [id] => 10032 [tagCategoryName] => POEM - Identification of the GOJ ) [97] => Array ( [id] => 10029 [tagCategoryName] => POEM - Incision ) [98] => Array ( [id] => 10033 [tagCategoryName] => POEM - Myotomy ) [99] => Array ( [id] => 10035 [tagCategoryName] => POEM - Periodic Checks ) [100] => Array ( [id] => 10034 [tagCategoryName] => POEM - post POEM Hemostasis ) [101] => Array ( [id] => 10025 [tagCategoryName] => POEM - Pre-procedure ) [102] => Array ( [id] => 10026 [tagCategoryName] => POEM - Preparation ) [103] => Array ( [id] => 10028 [tagCategoryName] => POEM - Strategy ) [104] => Array ( [id] => 10030 [tagCategoryName] => POEM - Tunnel ) [105] => Array ( [id] => 10036 [tagCategoryName] => POEM - Tunnel Closure ) [106] => Array ( [id] => 10040 [tagCategoryName] => POEM Training ) [107] => Array ( [id] => 69 [tagCategoryName] => Polyp Size ) [108] => Array ( [id] => 56 [tagCategoryName] => Polypectomy ) [109] => Array ( [id] => 66 [tagCategoryName] => Polypectomy Adverse Events ) [110] => Array ( [id] => 10016 [tagCategoryName] => Polypectomy Scoring Systems ) [111] => Array ( [id] => 70 [tagCategoryName] => Polypectomy technique ) [112] => Array ( [id] => 108 [tagCategoryName] => Poor polypectomy technique ) [113] => Array ( [id] => 10005 [tagCategoryName] => Post Endoscopic Mucosal Resection ) [114] => Array ( [id] => 79 [tagCategoryName] => Post Polypectomy Surveillance ) [115] => Array ( [id] => 105 [tagCategoryName] => Prevention of adverse events at polypectomy ) [116] => Array ( [id] => 10006 [tagCategoryName] => Prior to Endoscopic Resection ) [117] => Array ( [id] => 64 [tagCategoryName] => Procedure Intention ) [118] => Array ( [id] => 36 [tagCategoryName] => Procedure type ) [119] => Array ( [id] => 138 [tagCategoryName] => Pseudocyst Drainage ) [120] => Array ( [id] => 10049 [tagCategoryName] => Quality Measures in Gastroscopy ) [121] => Array ( [id] => 98 [tagCategoryName] => Resection ) [122] => Array ( [id] => 91 [tagCategoryName] => Room and generator setup ) [123] => Array ( [id] => 10018 [tagCategoryName] => Scope Guide Appearances ) [124] => Array ( [id] => 10050 [tagCategoryName] => Sedation for Gastroscopy ) [125] => Array ( [id] => 92 [tagCategoryName] => Serrated polyps ) [126] => Array ( [id] => 10023 [tagCategoryName] => Settings for ESD ) [127] => Array ( [id] => 10010 [tagCategoryName] => SMSA Score ) [128] => Array ( [id] => 10042 [tagCategoryName] => Specimen Retrieval ) [129] => Array ( [id] => 60 [tagCategoryName] => Splenic Loops ) [130] => Array ( [id] => 100 [tagCategoryName] => Stenting ) [131] => Array ( [id] => 127 [tagCategoryName] => Stenting ) [132] => Array ( [id] => 123 [tagCategoryName] => Stone Extraction ) [133] => Array ( [id] => 42 [tagCategoryName] => Submucosal Endoscopy ) [134] => Array ( [id] => 104 [tagCategoryName] => Submucosal Injection Technique ) [135] => Array ( [id] => 10048 [tagCategoryName] => Surveillance after Gastroscopy ) [136] => Array ( [id] => 131 [tagCategoryName] => Technique ) [137] => Array ( [id] => 44 [tagCategoryName] => Techniques ) [138] => Array ( [id] => 80 [tagCategoryName] => Techniques for non-lifting polyp ) [139] => Array ( [id] => 114 [tagCategoryName] => Techniques in diagnostic gastroscopy ) [140] => Array ( [id] => 107 [tagCategoryName] => Techniques to improve visualisation ) [141] => Array ( [id] => 54 [tagCategoryName] => Training ) [142] => Array ( [id] => 82 [tagCategoryName] => Type of Gastrointestinal Bleeding ) [143] => Array ( [id] => 59 [tagCategoryName] => Unconventional Loops ) [144] => Array ( [id] => 58 [tagCategoryName] => Unedited Training ) [145] => Array ( [id] => 10047 [tagCategoryName] => Upper GI Adverse Events ) [146] => Array ( [id] => 116 [tagCategoryName] => Upper GI Classifications ) [147] => Array ( [id] => 144 [tagCategoryName] => Upper GI Diagnoses (specific) ) [148] => Array ( [id] => 112 [tagCategoryName] => Upper GI diagnostic techniques ) [149] => Array ( [id] => 113 [tagCategoryName] => Upper GI Image Enhancement ) [150] => Array ( [id] => 143 [tagCategoryName] => Upper GI Imaging Classifications ) [151] => Array ( [id] => 111 [tagCategoryName] => Upper GI lesion assessment ) [152] => Array ( [id] => 88 [tagCategoryName] => Upper GI Lesions (categorical) ) [153] => Array ( [id] => 115 [tagCategoryName] => Upper GI Pathologies ) [154] => Array ( [id] => 10046 [tagCategoryName] => Upper GI Protocols ) [155] => Array ( [id] => 145 [tagCategoryName] => Upper GI Therapeutic techniques ) [156] => Array ( [id] => 61 [tagCategoryName] => Video Navigation ) [157] => Array ( [id] => 62 [tagCategoryName] => Video Type ) [158] => Array ( [id] => 49 [tagCategoryName] => Visualisation ) [159] => Array ( [id] => 139 [tagCategoryName] => Walled of necrosis drainage ) [160] => Array ( [id] => 37 [tagCategoryName] => Website Role ) )

https://player.vimeo.com/video/953907865?badge=0&autopause=0&player_id=0&app_id=141577