[{"id":"276","chapterid":"749","timeTo":"195.26 ","timeFrom":"0 ","number":"1","chaptername":"Introduction of session ","description":"The chapter discusses the essential aspects of performing an optimal gastroscopy, emphasizing both technical proficiency and the identification of pre-malignant lesions. Advanced imaging techniques are showcased through live cases, accompanied by expert commentary from renowned professionals in endoscopy and oncology."},{"id":"276","chapterid":"789","timeTo":"243.914 ","timeFrom":"195.261 ","number":"2","chaptername":"First live endoscopy: \"How I perform gastroscopy\" ","description":"In this chapter, a 32-year-old female patient with persistent GERD symptoms, abdominal pain, and diarrhea is discussed. The European Society of Gastrointestinal Endoscopy (ESGE) key performance measures for upper GI endoscopy are mentioned. A poll question regarding the minimum acceptable inspection time for the stomach based on ESGE guidance is introduced."},{"id":"276","chapterid":"790","timeTo":"296.256 ","timeFrom":"243.915 ","number":"3","chaptername":"First inspection of oesophagus and GOJ ","description":"In this chapter, the technique of performing a gastroscopy on a sedated patient is demonstrated. Emphasis is placed on the importance of proper photo documentation of the Z line, as well as maintaining a straight orientation during the procedure. It is also discussed how to effectively use the gastroscope buttons to capture images."},{"id":"276","chapterid":"791","timeTo":"344.267 ","timeFrom":"296.256999","number":"4","chaptername":"Inspection of stomach ","description":"It is demonstrated how to effectively remove adherent bubbles on the mucosa using iNACOL during an endoscopic procedure. The process of suction is discussed to prevent patient aspiration, especially in those under sedation. Emphasis is placed on the importance of mucosal inspection and the differences in ease between patients under general anesthesia and those sedated."},{"id":"276","chapterid":"792","timeTo":"511.917 ","timeFrom":"344.268 ","number":"5","chaptername":"Inspection of bulb and duodenum ","description":"This chapter discusses techniques for advancing the gastroscope into the duodenum, emphasizing the importance of leveraging hand movements and scope manipulation. It highlights the significance of visualizing the major papilla during gastroscopy, noting quality measures and success rates. Observations on scope trauma, suggested visualizations around the junction, and approach nuances are also elaborated for enhanced endoscopic practice."},{"id":"276","chapterid":"793","timeTo":"725.314 ","timeFrom":"511.917999","number":"6","chaptername":"Retroflexion in stomach ","description":"This chapter provides a systematic approach to gastroscopy, emphasizing the importance of standardized photo documentation of the stomach, particularly the gastroesophageal junction. The use of enhanced imaging modes like BLI and the necessity of clean mucosa are highlighted. It discusses the visual identification of hiatus hernia and its role in reflux symptoms, along with techniques to position the endoscope effectively to view the z-line from below, crucial for Barrett\u2019s esophagus assessment."},{"id":"276","chapterid":"794","timeTo":"1022.501 ","timeFrom":"725.314999","number":"7","chaptername":"Second inspection of oesophagus ","description":"In this chapter, the assessment and classification of reflux esophagitis using the LA classification system is demonstrated. The importance of mucosal cleaning and careful fluid management, especially using simethicone for bubble removal, is emphasized. The utility of narrow band imaging (NBI) and blue light imaging (BLI) in detecting irregular patterns in the esophagus is also discussed, along with using a cap for better visualization."},{"id":"276","chapterid":"795","timeTo":"1440.689 ","timeFrom":"1022.502 ","number":"8","chaptername":"Discussion with moderators ","description":"The chapter discusses the potential role of opportunistic screening during gastroscopy, comparing it with colonoscopy practices. The conversation highlights differences in prevalence of precursor lesions between regions and addresses the utility of advanced imaging techniques for early detection of premalignant lesions. The importance of quality measures like identifying inlet patches is also considered."},{"id":"276","chapterid":"796","timeTo":"1947.216 ","timeFrom":"1440.69 ","number":"9","chaptername":"Second live endoscopy: \"Lesion Characterisation at Upper GI\" ","description":"This chapter discusses the importance of preparation in endoscopy, particularly the use of simethicone for mucosal cleaning, and the inspection techniques using advanced imaging like Narrow Band Imaging (NBI) for identifying intestinal metaplasia and other lesions. The procedure involves careful inspection and targeted biopsies to ensure accurate diagnosis and treatment."},{"id":"276","chapterid":"797","timeTo":"2242.549 ","timeFrom":"1947.21699","number":"10","chaptername":"Surprising detection of neoplastic lesion ","description":"This chapter discusses the importance of thorough examination during gastroscopy, highlighting the use of Linked Color Imaging (LCI) for better visualization of potential lesions. It underscores the significance of adequate visualization of areas such as scars and the papilla, and advocates for targeted biopsies in high-risk patients to detect neoplasia."},{"id":"276","chapterid":"798","timeTo":"2419.284 ","timeFrom":"2242.55 ","number":"11","chaptername":"Discussion with moderators ","description":"Chapter includes a discussion on the differentiation between reflux esophagitis and short segment Barrett's esophagus. The benefits of using simethicone pre-gastroscopy are highlighted. The need for biopsy of inlet patches based on abnormalities and changing vascular patterns is discussed, emphasizing it as a quality measure in gastroscopic examination."}]
[{"id":"276","split":"1","chapterid":"749","timeFrom":"0 ","timeTo":"195.26 ","number":"1","chaptername":"Introduction of session ","description":"The chapter discusses the essential aspects of performing an optimal gastroscopy, emphasizing both technical proficiency and the identification of pre-malignant lesions. Advanced imaging techniques are showcased through live cases, accompanied by expert commentary from renowned professionals in endoscopy and oncology.","tagid":"569","tagName":"GIEQs Digital Edition I"},{"id":"276","split":"1","chapterid":"749","timeFrom":"0 ","timeTo":"195.26 ","number":"1","chaptername":"Introduction of session ","description":"The chapter discusses the essential aspects of performing an optimal gastroscopy, emphasizing both technical proficiency and the identification of pre-malignant lesions. Advanced imaging techniques are showcased through live cases, accompanied by expert commentary from renowned professionals in endoscopy and oncology.","tagid":"256","tagName":"Endoscopic Video and Audio Narration"},{"id":"276","split":"1","chapterid":"790","timeFrom":"243.915 ","timeTo":"296.256 ","number":"3","chaptername":"First inspection of oesophagus and GOJ ","description":"In this chapter, the technique of performing a gastroscopy on a sedated patient is demonstrated. Emphasis is placed on the importance of proper photo documentation of the Z line, as well as maintaining a straight orientation during the procedure. It is also discussed how to effectively use the gastroscope buttons to capture images.","tagid":"369","tagName":"Assessment of the gastro-oesophageal junction"},{"id":"276","split":"1","chapterid":"790","timeFrom":"243.915 ","timeTo":"296.256 ","number":"3","chaptername":"First inspection of oesophagus and GOJ ","description":"In this chapter, the technique of performing a gastroscopy on a sedated patient is demonstrated. Emphasis is placed on the importance of proper photo documentation of the Z line, as well as maintaining a straight orientation during the procedure. It is also discussed how to effectively use the gastroscope buttons to capture images.","tagid":"174","tagName":"Tip attachments"},{"id":"276","split":"1","chapterid":"790","timeFrom":"243.915 ","timeTo":"296.256 ","number":"3","chaptername":"First inspection of oesophagus and GOJ ","description":"In this chapter, the technique of performing a gastroscopy on a sedated patient is demonstrated. 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Observations on scope trauma, suggested visualizations around the junction, and approach nuances are also elaborated for enhanced endoscopic practice.","tagid":"368","tagName":"Visualisation of posterior wall of D2 and junction"},{"id":"276","split":"1","chapterid":"792","timeFrom":"344.268 ","timeTo":"511.917 ","number":"5","chaptername":"Inspection of bulb and duodenum ","description":"This chapter discusses techniques for advancing the gastroscope into the duodenum, emphasizing the importance of leveraging hand movements and scope manipulation. It highlights the significance of visualizing the major papilla during gastroscopy, noting quality measures and success rates. Observations on scope trauma, suggested visualizations around the junction, and approach nuances are also elaborated for enhanced endoscopic practice.","tagid":"366","tagName":"Gastroscope handling"},{"id":"276","split":"1","chapterid":"792","timeFrom":"344.268 ","timeTo":"511.917 ","number":"5","chaptername":"Inspection of bulb and duodenum ","description":"This chapter discusses techniques for advancing the gastroscope into the duodenum, emphasizing the importance of leveraging hand movements and scope manipulation. It highlights the significance of visualizing the major papilla during gastroscopy, noting quality measures and success rates. Observations on scope trauma, suggested visualizations around the junction, and approach nuances are also elaborated for enhanced endoscopic practice.","tagid":"262","tagName":"Duodenum"},{"id":"276","split":"1","chapterid":"792","timeFrom":"344.268 ","timeTo":"511.917 ","number":"5","chaptername":"Inspection of bulb and duodenum ","description":"This chapter discusses techniques for advancing the gastroscope into the duodenum, emphasizing the importance of leveraging hand movements and scope manipulation. It highlights the significance of visualizing the major papilla during gastroscopy, noting quality measures and success rates. Observations on scope trauma, suggested visualizations around the junction, and approach nuances are also elaborated for enhanced endoscopic practice.","tagid":"367","tagName":"Visualisation of the major papilla"},{"id":"276","split":"1","chapterid":"793","timeFrom":"511.917999","timeTo":"725.314 ","number":"6","chaptername":"Retroflexion in stomach ","description":"This chapter provides a systematic approach to gastroscopy, emphasizing the importance of standardized photo documentation of the stomach, particularly the gastroesophageal junction. The use of enhanced imaging modes like BLI and the necessity of clean mucosa are highlighted. 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[{"name":"Enhancing Gastroscopy Quality Through Advanced Techniques and Meticulous Examination","description":"The discussion emphasized meticulous gastroscopy, advanced imaging, targeted biopsies, completeness, and potential quality indicators to improve lesion detection and patient care.","summary":"
The medical symposium discussion revolved around the meticulous and comprehensive approach to gastroscopy, particularly in high-risk patients. Key points included the importance of dedicating ample time to the procedure, focusing on patient preparation, and utilizing advanced imaging techniques like narrow-band imaging (NBI), blue light imaging (BLI), and virtual chromoendoscopy for enhanced lesion detection. Targeted biopsies were recommended for suspicious areas, emphasizing the significance of quality over quantity when it comes to biopsying. The presence of an inlet patch in the upper esophagus was discussed as an area that may warrant biopsy if there are notable irregularities. Ensuring the completeness of the examination was stressed, not only for patient care but also for legal reasons. Visualizing the Papilla of Vater during gastroscopy emerged as a potential quality indicator. In essence, the discussion underscored the need for a systematic and thorough gastroscopy approach, highlighting the value of advanced techniques, targeted biopsies, and a holistic examination to improve lesion detection and patient outcomes while emphasizing the importance of continuous research to refine best practices in gastroscopy.<\/p>","detailedSummary":"
Learning Objectives:\u00e2\u0080\u00af <\/p>\n
\n
Emphasize the importance of meticulous gastroscopy.<\/li>\n
Utilize advanced imaging techniques for improved lesion detection.<\/li>\n
Target biopsies based on suspicious findings.<\/li>\n
Recognize the significance of completeness in endoscopic examinations.<\/li>\n
Consider potential quality indicators to enhance patient care and outcomes.<\/li>\n<\/ul>","author":"Triana Lobaton","tagger":"14","editor":"15","recorder":"13","authorid":"55","centreName":"Triana Lobaton","centreCity":"Ghent","centreCountry":"Belgium"}]
[{"chapterTagid":"11585","tagName":"Assessment of the gastro-oesophageal junction","id":"369"},{"chapterTagid":"11588","tagName":"Benefit of simethicone","id":"370"},{"chapterTagid":"11605","tagName":"Blue Light Imaging (BLI)","id":"656"},{"chapterTagid":"11610","tagName":"Demarcated Area","id":"489"},{"chapterTagid":"11596","tagName":"Describing position within the stomach","id":"497"},{"chapterTagid":"11607","tagName":"Desufflation","id":"442"},{"chapterTagid":"11592","tagName":"Duodenum","id":"262"},{"chapterTagid":"11584","tagName":"Endoscopic Video and Audio Narration","id":"256"},{"chapterTagid":"11591","tagName":"Gastroscope handling","id":"366"},{"chapterTagid":"11583","tagName":"GIEQs Digital Edition I","id":"569"},{"chapterTagid":"11608","tagName":"High Definition White Light (HDWL)","id":"654"},{"chapterTagid":"11595","tagName":"Hill Classification","id":"499"},{"chapterTagid":"11604","tagName":"LA classification of reflux oesophagitis","id":"498"},{"chapterTagid":"11611","tagName":"Linked Colour Imaging (LCI)","id":"657"},{"chapterTagid":"11601","tagName":"Oesophageal lesions, inflammatory","id":"374"},{"chapterTagid":"11587","tagName":"Oesophagus","id":"260"},{"chapterTagid":"11594","tagName":"Retroflexion in the stomach (J manouevre)","id":"500"},{"chapterTagid":"11589","tagName":"Stomach","id":"261"},{"chapterTagid":"11609","tagName":"Targeted biopsies","id":"493"},{"chapterTagid":"11586","tagName":"Tip attachments","id":"174"},{"chapterTagid":"11597","tagName":"Virtual chromoendoscopy","id":"306"},{"chapterTagid":"11590","tagName":"Visualisation of posterior wall of D2 and junction","id":"368"},{"chapterTagid":"11593","tagName":"Visualisation of the major papilla","id":"367"}]
The medical symposium discussion revolved around the meticulous and comprehensive approach to gastroscopy, particularly in high-risk patients. Key points included the importance of dedicating ample time to the procedure, focusing on patient preparation, and utilizing advanced imaging techniques like narrow-band imaging (NBI), blue light imaging (BLI), and virtual chromoendoscopy for enhanced lesion detection. Targeted biopsies were recommended for suspicious areas, emphasizing the significance of quality over quantity when it comes to biopsying. The presence of an inlet patch in the upper esophagus was discussed as an area that may warrant biopsy if there are notable irregularities. Ensuring the completeness of the examination was stressed, not only for patient care but also for legal reasons. Visualizing the Papilla of Vater during gastroscopy emerged as a potential quality indicator. In essence, the discussion underscored the need for a systematic and thorough gastroscopy approach, highlighting the value of advanced techniques, targeted biopsies, and a holistic examination to improve lesion detection and patient outcomes while emphasizing the importance of continuous research to refine best practices in gastroscopy.
Detailed Summary
Learning Objectives:â¯
Emphasize the importance of meticulous gastroscopy.
Utilize advanced imaging techniques for improved lesion detection.
Target biopsies based on suspicious findings.
Recognize the significance of completeness in endoscopic examinations.
Consider potential quality indicators to enhance patient care and outcomes.
Assessment of the gastro-oesophageal junctionBenefit of simethiconeGastroscope handlingRetroflexion in the stomach (J manouevre)Visualisation of posterior wall of D2 and junctionVisualisation of the major papilla
GIEQs Digital Edition I
GIEQs Digital Edition I
Imaging modalities
Virtual chromoendoscopy
Other techniques
Desufflation
Techniques in diagnostic gastroscopy
Describing position within the stomach
Upper GI Classifications
Hill ClassificationLA classification of reflux oesophagitis
Upper GI diagnostic techniques
Targeted biopsies
Upper GI Image Enhancement
Blue Light Imaging (BLI)High Definition White Light (HDWL)Linked Colour Imaging (LCI)
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Join us for GIEQs II
Released prior to the early bird deadline these 6, 1-2 minute video
snippets
demonstrate the attention to detail, deconstructed approach and rock solid evidence
base of the GIEQs Approach.
1 - Over the Scope Clip for Upper
Gastrointestinal Bleeding Use of
OTSC as first-line for life
threatening upper gastrointestinal haemorrhage.
2 - Early Gastric Cancer Can you
identify and characterise
this early gastric cancer? Watch the video for more information
including endoscopic resectability
3 - The Demarcated Area as a Predictor of
Submucosal Invasion in Colon Polyps the Demarcated Area has emerged as a stable predictor
of submucosal invasive cancer. Find out more here.
4 - Dealing with Adverse Events at Colonic
Polypectomy
To be able to competently perform colonic polypectomy you must be able
to deal with adverse events. A deconstructed example is shown
here.
5 - Complex EUS applications to make Everyday
ERCP easier Endoscopic Ultrasound
is radically changing the way we approach biliary intervention and can
make a difference to everyday endoscopic problems.
6 - Decision Making after Large perforation and
life threatening Bleeding during Polypectomy Many of the GIEQs faculty spend their normal working
lives on complex endoscopy. Learning the lessons and approach from these
procedures, deconstructing them and bringing them to the everyday is a
crucial part of the GIEQs approach.