ESGE Academy Journal | Journal 01-2025 I Episode 2

Barrett esophagus surveillance, the basics - how to make sure to never miss a lesion again

COURSE
Series: ESGE Academy Journal
Season: Journal 01-2025
Episode 2 of 4: Barrett esophagus surveillance, the basics - how to make sure to never miss a lesion again


SPEAKERS
Dr. Roos Pouw, Dr. David Andreas Roser


DESCRIPTION
Barrett's esophagus surveillance ensures no lesions are overlooked. Proper endoscopy preparation is key, involving the right equipment and mindset. Effective cleaning of the esophagus enhances visibility, using water jets and simethicone. Accurate landmark measurement aids assessment, while pull-through techniques and thorough documentation are crucial for inspection. Biopsy techniques are necessary for obtaining tissue samples to identify dysplastic lesions. Post-procedure care focuses on patient comfort and emphasizes standardized approaches.


LEARNING OBJECTIVES
1. How to prepare for Barrett's esophagus surveillance endoscopy 2. Recognize landmarks and apply the Prague classification 3. Perform a standardised surveillance endoscopy 4. Obtain adequate biopsies according to the Seattle protocol

What to watch next...

ESGE Academy Journal | Journal 01-2025 | Episode 3
Comprehensive Endoscopic Assessment of Rectal Anatomy and Orientation (00:09:21)

Description
Explore the endoscopic assessment of rectal anatomy, focusing on the rectum's unique features and the importance of Houston valves. Key objectives include reviewing anatomical structures and understanding orientation during procedures. The video covers the rectum's relationships with nearby organs like the prostate and vagina, essential for diagnostics. Techniques for effective endoscopic examination are demonstrated, highlighting the need for thorough documentation of findings and structured lesion assessment.