797

757142022

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The discussions emphasize meticulous examination and documentation to avoid missing significant lesions."},{"id":"797","chapterid":"4040","timeTo":"2668.99 ","timeFrom":"2019 ","number":"4","chaptername":"L2: Imaging features of early Oesophagus Squamous ","description":"This chapter discusses imaging features and endoscopic resection of early squamous cell carcinoma, focusing on detection, characterization, and delineation for resection. Key methods such as white light imaging, Narrow Band Imaging (NBI), and Lugol staining are reviewed. The importance of intrapapillary capillary loops (IPCL) for classification and the latest guidelines for endoscopic resection are emphasized. The talk concludes with examples and a discussion on ongoing studies and techniques to improve diagnosis and treatment of squamous lesions."},{"id":"797","chapterid":"4041","timeTo":"3086.99 ","timeFrom":"2669 ","number":"5","chaptername":"L3: Case based imaging examples ","description":"In this chapter, the discussion emphasizes the importance of detailed examination of squamous lesions using white light and advanced imaging techniques. Key points include assessing superficial growth patterns without fibrin, recognizing predictive signs of deep submucosal invasion, and the strategic use of biopsies. The potential role of AI in enhancing diagnostic accuracy is also highlighted."},{"id":"797","chapterid":"4042","timeTo":"3601.99 ","timeFrom":"3087 ","number":"6","chaptername":"LC2: Case based imaging examples including Live Ca ","description":"The chapter discusses the management of duodenal polyps in an elderly patient with significant comorbidities. The lesion's characteristics and appropriate techniques for resection are analyzed, highlighting the importance of careful decision-making to avoid unnecessary procedures. The discussion includes insights on the use of pediatric colonoscopes, cold resections, and strategic approaches to optimize patient outcomes."},{"id":"797","chapterid":"4043","timeTo":"3899.99 ","timeFrom":"3602 ","number":"7","chaptername":"L4: Imaging features of early Gastric Adenocarcino ","description":"In this chapter, the importance of thorough examination and mucosa cleaning during gastroscopy is emphasized. The discussion includes the identification of high-risk patients, particularly those with Helicobacter pylori and intestinal metaplasia. The use of scoring systems like the Porto group's grading for gastrointestinal metaplasia is highlighted. Additionally, techniques such as high-definition white light, virtual chromoendoscopy, and artificial intelligence for lesion detection and classification are discussed."},{"id":"797","chapterid":"4044","timeTo":"4261.99 ","timeFrom":"3900 ","number":"8","chaptername":"L5: Case based imaging examples ","description":"In this chapter, the endoscopic identification of dysplasia in an atrophic stomach is discussed. Key indicators such as the demarcation line, vascular patterns, and pit patterns are examined. The importance of differentiating between regular and irregular patterns, as well as the need for biopsies in suspicious areas, is emphasized. The macroscopic features of atrophic gastritis and its differentiation from neoplastic lesions are also highlighted."},{"id":"797","chapterid":"4045","timeTo":"4936.99 ","timeFrom":"4262 ","number":"9","chaptername":"LC2: Part 2 ","description":"This chapter explores the methodology of performing a cold snare polypectomy using a side-view duodenoscope. The session details the collaborative technique, challenges in maintaining stability, and the nuances of working with an elevator channel. The comparative benefits of using a side-view versus a forward-view endoscope for lesion visualization and resection are also discussed. Specific strategies for managing and aspirating resected polyps are demonstrated."},{"id":"797","chapterid":"4046","timeTo":"5614.99 ","timeFrom":"4937 ","number":"10","chaptername":"L6: Imaging features of Duodenal Adenomas ","description":"This chapter discusses the imaging characteristics and diagnostic nuances of sporadic duodenal adenomas. Detailed descriptions of their appearance under white light endoscopy and chromoendoscopy are provided, alongside the importance of distinguishing them from ampullomas. Techniques to enhance detection and avoid misdiagnosis are covered, with an emphasis on the use of narrow band imaging (NBI) and high-definition white light endoscopy (HDWL). Management strategies, including the use of cold snare polypectomy, are also discussed."},{"id":"797","chapterid":"4047","timeTo":"6846.99 ","timeFrom":"5615 ","number":"11","chaptername":"L7: Video based discussion ","description":"The chapter discusses the significance of identifying intestinal metaplasia (IM) in the stomach and its association with gastric cancer. Key insights include the importance of differentiating diffuse from focal IM and the implications for surveillance intervals. The discussion emphasizes the need to take a thorough and detailed approach in endoscopic examination to accurately assess cancer risks."},{"id":"797","chapterid":"4048","timeTo":"6886.84 ","timeFrom":"6847 ","number":"12","chaptername":"Result quiz question ","description":"In this chapter, it is revealed that drinking hot liquids increases the risk of developing squamous cell carcinoma of the oesophagus by 1.8 times. The importance of cooling liquids before consumption is emphasized. The session concludes with thanks to the participants and a note about a break for lunch."}]

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[{"name":"Application of High Quality UGI Endoscopy to the Patient","description":"Structured approach: detection, characterization, features under white light and chromoendoscopy.","summary":"

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.<\/p>","detailedSummary":"

Learning Objectives: <\/p>\n

\n
• Emphasize careful examination of Barrett's dysplasia lesions during upper GI endoscopy.<\/li>\n
• Utilize imaging enhancements and techniques to improve lesion visibility.<\/li>\n
• Recognize challenges in surveying atrophic stomach regions and employ dedicated approaches.<\/li>\n
• Prioritize systematic inspection for early gastric cancer detection.<\/li>\n
• Understand the importance of papilla relation in identifying duodenal adenomas.<\/li>\n
• Dedicate time for thorough examination, taking photos before intervention, and using appropriate imaging modalities.<\/li>\n
• Avoid damaging lesions with excessive water jet use.<\/li>\n
• Employ acetic acid for enhanced visualization and targeted biopsies.<\/li>\n
• Utilize scoring systems to predict risk and guide decision-making for early gastric cancer.<\/li>\n
• Continuously update surveillance guidelines for improved patient care.<\/li>\n<\/ul>","author":"Raf Bisschops","tagger":"1","editor":"1","recorder":"9","authorid":"35","centreName":"University Hospitals Leuven","centreCity":"Leuven","centreCountry":"Belgium"}]

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