suchen
Generic filters

Esophagus

Esophagus

ASGE Journal Scan | Esophagus

Endoscopic Screening Reduces Mortality From Esophageal Cancer in High-Risk Population

Although esophageal adenocarcinoma (EAC) is the most common type of esophageal cancer in the Western world, esophageal squamous cell carcinoma (ESCC) is the dominant type

WATCH THE VIDEO

ASGE Journal Scan | Esophagus

Artificial Intelligence Accurately Identifies Esophageal Lesions

Artificial intelligence (AI) studies for detecting and differentiating gastrointestinal lesions are on the rise. Various groups have developed a multitude of machine-learning algorithms to accurately

WATCH THE VIDEO

ASGE Journal Scan | Esophagus

Recurrence of Intestinal Metaplasia in the Cardia After Barrett’s Endoscopic Therapy: What To Do?

In patients undergoing Barrett’s endoscopic therapy (BET), complete eradication of intestinal metaplasia (CE-IM) is the final goal. However, studies have reported recurrence of IM, specifically

WATCH THE VIDEO

ASGE Journal Scan | Esophagus

Reflux Monitoring Can Reduce the Inappropriate Use of Proton Pump Inhibitors in Patients With GERD

Proton pump inhibitors (PPIs) are the main treatment for gastroesophageal reflux disease (GERD). However, 30% to 50% of patients with GERD fail to achieve adequate

WATCH THE VIDEO

ASGE Journal Scan | Esophagus

Diaphragmatic Breathing Can Help Reduce GERD

Upright gastroesophageal reflux disease (GERD), also known as upright reflux, is thought to be a result of increased intragastric pressure. In turn, increases in intragastric

WATCH THE VIDEO

ASGE Journal Scan | Esophagus

Achalasia Patients at Increased Risk for Esophageal Cancer

Achalasia can cause food retention, leading to bacterial overgrowth, irritation, and chronic inflammation, a proposed pathophysiological process that may lead to squamous cell carcinoma (SCC).

WATCH THE VIDEO

ASGE Journal Scan | Esophagus

Cryoballoon Ablation Can Be Used for Barrett’s Esophagus Endoscopic Therapy

Cryotherapy involves the application of a cryogen by way of spraying liquid nitrogen to the esophageal mucosa or by surface contact with a nitrous oxide-filled

WATCH THE VIDEO

ASGE Journal Scan | Esophagus

Relapse in Eosinophilic Esophagitis Occurs Despite Treatment With Swallowed Topical Corticosteroids

Swallowed topical corticosteroids (STC) are effective as initial treatment in patients with eosinophilic esophagitis (EoE) and in achieving histological remission. However, their role in the

WATCH THE VIDEO

ASGE Journal Scan | Esophagus

Neoplasia Detection Rate in Barrett’s Esophagus: A Measure of High-Quality Upper Endoscopy

Studies have reported that up to 25% of esophageal adenocarcinomas (EACs) are detected within 1 year of index endoscopy (missed cancer), emphasizing the need for

WATCH THE VIDEO

ASGE Journal Scan | Esophagus

Budesonide Can Be Used for Maintaining Long-Term Remission in Eosinophilic Esophagitis

Eosinophilic esophagitis (EoE) is a chronic antigen-mediated immunological disorder that has a high relapse rate of >80% with cessation of therapy. Although corticosteroids (both topical

WATCH THE VIDEO

ASGE Journal Scan | Esophagus

Implementing a Standardized Protocol Helps to Increase Diagnosis of Eosinophilic Esophagitis

The incidence of eosinophilic esophagitis (EoE), a condition characterized by esophageal eosinophilia and dysfunction, has been reported in about 5 to 10 per 100,000 individuals.

WATCH THE VIDEO

ASGE Journal Scan | Esophagus

Motility Disorders Can Exist in Patients With Eosinophilic Esophagitis, Specifically in Those Not Responding to Therapy

Eosinophilic esophagitis (EoE) is characterized by the presence of esophageal dysfunction along with histological evidence of ≥15 eosinophils per high-power field from esophageal biopsies. Recent

WATCH THE VIDEO

ASGE Journal Scan | Esophagus

Dysphagia Is Common After Bariatric Surgery

Symptoms of dysphagia due to obstruction (mechanical or functional) can be caused by a noncompliant gastric pouch after bariatric surgery and, theoretically, could lead to

WATCH THE VIDEO

ASGE Journal Scan | Esophagus

Nonendoscopic Screening for Barrett’s Esophagus: Are We There?

Upper endoscopy (EGD) with biopsy remains the gold standard for the diagnosis of Barrett’s esophagus (BE). Several nonendoscopic techniques (sponge, capsule) have utilized biomarkers, such

WATCH THE VIDEO

ASGE Journal Scan | Esophagus

Peroral Endoscopic Myotomy Can Be Safe and Effective for Persistent Symptoms After Heller Myotomy

Persistent and recurrent symptoms have been reported in up to 20% of patients with achalasia after surgical treatment with Heller myotomy. The aim of this

WATCH THE VIDEO

ASGE Journal Scan | Esophagus

Is Barrett’s Esophagus Thickness a Marker for Response to Radiofrequency Ablation Therapy?

Radiofrequency ablation (RFA) is a widely used modality for treating flat Barrett’s esophagus (BE) dysplasia, with the goal of achieving complete eradication of intestinal metaplasia

WATCH THE VIDEO

ASGE Journal Scan | Esophagus

Is Obesity a Risk Factor for Barrett’s Esophagus?

While the role of obesity in gastroesophageal reflux disease (GERD) and the role of GERD in Barrett’s esophagus (BE) are independently well established, there is

WATCH THE VIDEO

ASGE Journal Scan | Esophagus

Use of a Magnetically Assisted Capsule Device for Examining the Esophagus

The magnetically assisted capsule endoscopy (MACE) system (MicroCam Navi; IntroMedic) is a novel noninvasive technique for visualizing the upper GI tract. This device utilizes a

WATCH THE VIDEO

ASGE Journal Scan | Esophagus

ESD Versus EMR for Resecting Esophageal Neoplasia

Endoscopic submucosal dissection (ESD) is an effective method of resecting larger superficial esophageal lesions en bloc; however, it is fraught with advanced training needs, longer

WATCH THE VIDEO

ASGE Journal Scan | Esophagus

Which Upper GI Findings During EGD Do Not Require Follow-Up?

The European Society of Gastrointestinal Endoscopy (ESGE) has issued recommendations on conditions that do not require routine surveillance. Those related to upper GI endoscopy include:

WATCH THE VIDEO

ASGE Journal Scan | Esophagus

Is Cryoballoon Ablation Ready for Barrett’s Endoscopic Therapy?

The 90˚-swipe cryoballoon ablation system (CbSAS90) is a new technology incorporating cryotherapy that has been proposed to treat Barrett’s esophagus (BE) segments. This technology is

WATCH THE VIDEO

ASGE Journal Scan | Esophagus

What Therapy to Use for Patients With EoE: PPIs, Steroids, or Elimination Diets?

Prateek Sharma, MD, FASGE, reviewing Laserna-Mendieta EJ, et al. Clin Gastroenterol Hepatol 2020 Jan 25. Proton pump inhibitors (PPIs), steroids, elimination diets, and esophageal dilation

WATCH THE VIDEO

ASGE Journal Scan | Esophagus

Bile Acid Sequestrants Demonstrate Significant Benefit As Adjunctive Therapy in Refractory GERD

Prateek Sharma, MD, FASGE, reviewing Vaezi MF, et al. Gastroenterology 2020 Feb 21. Proton pump inhibitor- (PPI) refractory GERD, accounting for about one-third of all

WATCH THE VIDEO

ASGE Journal Scan | Esophagus

Patients With Barrett’s Esophagus and Indefinite Dysplasia: What To Do?

Prateek Sharma, MD, FASGE, reviewing Krishnamoorthi R, et al. Gastrointest Endosc 2020 Jan. The risk of progression in Barrett’s esophagus (BE) with low-grade dysplasia has

WATCH THE VIDEO

ASGE Journal Scan | Esophagus

The Battle Zone of Barrett’s Endoscopic Therapy: The Gastric Cardia

Prateek Sharma, MD, FASGE, reviewing Eluri S, et al. Clin Gastroenterol Hepatol 2020 Jan. Long-term durability of complete eradication of intestinal metaplasia (CE-IM) is the

WATCH THE VIDEO

ASGE Journal Scan | Esophagus

Dupilumab: A New Treatment Option for Patients With Eosinophilic Esophagitis

Prateek Sharma, MD, FASGE, reviewing Hirano I, et al. Gastroenterology 2020 Jan. Medical treatment options for patients with eosinophilic esophagitis (EoE) include proton pump inhibitors,

BEITRAG LESEN

ASGE Journal Scan | Esophagus

Physician and Patient Education Can Lead to Reduction in Inappropriate PPI Use

Prateek Sharma, MD, FASGE, reviewing Lin D, et al. Clin Gastroenterol Hepatol 2019 Dec 27. The use of proton pump inhibitors (PPIs) for the treatment

WATCH THE VIDEO

ASGE Journal Scan | Esophagus

POEM Versus Surgery for Achalasia Treatment: Which One To Select?

Prateek Sharma, MD, FASGE reviewing Werner YB, et al. N Engl J Med 2019 Dec 5. Both peroral endoscopic myotomy (POEM) and surgical laparoscopic Heller’s

WATCH THE VIDEO

ASGE Journal Scan | Esophagus

Does Prior Treatment Impact Outcomes of POEM in Patients With Achalasia?

Prateek Sharma, MD, FASGE reviewing Liu ZQ, et al. Endoscopy 2019 Apr. The major treatment options for achalasia include laparoscopic Heller myotomy, pneumatic balloon dilation,

WATCH THE VIDEO

ASGE Journal Scan | Esophagus

1% Lugol’s Iodine Solution Should Be Used for Esophageal Chromoendoscopy

Prateek Sharma, MD, FASGE reviewing Gotoda T, et al. Gastrointest Endosc 2019 Oct 25. Lugol’s iodine has been utilized for dye-spray chromoendoscopy to detect esophageal

WATCH THE VIDEO

ASGE Journal Scan | Esophagus

Medical Versus Surgical Treatment for Refractory Heartburn: What Should You Do?

Prateek Sharma, MD, FASGE reviewing Spechler SJ, et al. New Engl J Med 2019 Oct 17. Although proton pump inhibitors (PPIs) are widely utilized for

WATCH THE VIDEO

ASGE Journal Scan | Esophagus

How to Manage PPI-Refractory Regurgitation

Prateek Sharma, MD, FASGE reviewing Bell R, et al. Clin Gastroenterol Hepatol 2019 Sep 10. Magnetic sphincter augmentation (MSA) uses a series of titanium beads

WATCH THE VIDEO

ASGE Journal Scan | Esophagus

Patients With Eosinophilic Esophagitis Need Long-Term Treatment

Although it is known that eosinophilic esophagitis (EoE) is a chronic disease and recurs if treatment is discontinued, the rates of recurrence and the impact

READ MORE

ASGE Journal Scan | Esophagus

Are Potassium-Competitive Acid Blockers Superior to PPIs for GERD Treatment?

Proton pump inhibitors (PPIs) are widely used for the treatment of GERD, including healing erosive esophagitis. Since several PPIs have a slow, cumulative onset of

READ MORE

Scroll to Top