Application of High Quality UGI Endoscopy to the Patient
Structured approach: detection, characterization, features under white light and chromoendoscopy.

In brief

In this comprehensive discussion on upper gastrointestinal endoscopy, experts delved into diagnosing and managing lesions. Key insights includes meticulous inspection of Barrett's esophagus for dysplasia, utilizing imaging enhancements like acetic acid, and noting demarcation lines. Gastric lesion identification was highlighted, especially in atrophic stomachs, emphasizing the use of multiple modalities and detecting signs of high-grade dysplasia or cancer. In duodenal adenomas, understanding their relation to the papilla and utilizing conventional endoscopy with dye for improved detection were crucial. The importance of taking dedicated time, systematic approaches, and creating surveillance lists for high-risk patients resonated throughout the discussion, facilitating accurate diagnosis and management in upper GI cases.

Detailed Summary

Learning Objectives: 

  • Emphasize careful examination of Barrett's dysplasia lesions during upper GI endoscopy.
  • Utilize imaging enhancements and techniques to improve lesion visibility.
  • Recognize challenges in surveying atrophic stomach regions and employ dedicated approaches.
  • Prioritize systematic inspection for early gastric cancer detection.
  • Understand the importance of papilla relation in identifying duodenal adenomas.
  • Dedicate time for thorough examination, taking photos before intervention, and using appropriate imaging modalities.
  • Avoid damaging lesions with excessive water jet use.
  • Employ acetic acid for enhanced visualization and targeted biopsies.
  • Utilize scoring systems to predict risk and guide decision-making for early gastric cancer.
  • Continuously update surveillance guidelines for improved patient care.
Tags
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Barretts Oesophagus
Assessment in RetroflexionDisrupted pit patternIdentification of LandmarksVisible Lesion
Imaging modalities
Dye based chromoendoscopyRDI (Red Dichromatic Imaging)Virtual chromoendoscopy
Upper GI Image Enhancement
Acetic acidLugol iodineNarrow Band Imaging (NBI)
Upper GI Lesions (categorical)
Oesophageal lesions, Barretts
Video Type
Lecture with Audio
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