The Detection, Diagnosis
and Treatment of Superficial
Nonpolypoid Barrett’s Neoplasia
• A Potential New Approach
Roy Soetikno, MD, FASGE, Tonya Kaltenbach, MD, FASGE,
Noriya Uedo, MD, and Takuji Gotoda, MD VA Palo Alto, Palo Alto CA
This 25-minute learning video provides new concepts of the detection, diagnosis and treatment of superficial nonpolypoid Barrett’s neoplasia. The concept of the detection of neoplasia using white light endoscopy and image enhanced endoscopy is explained in detail through the use of numerous examples. Similarly, a new concept of the diagnosis of superficial Barrett’s neoplasia using the microvessels and surface findings is described. Technique of using indigo carmine to help define the border of the neoplasia is shown. The video also describes the concept of using the resection and ablation technique in order to perform an oncologic R0 resection and ablate the remaining Barrett’s. This presentation is designed to provide new ideas that hopefully can lead to a renaissance in the detection, diagnosis and treatment of superficial nonpolypoid Barrett’s neoplasia.
Upon completion of this educational activity, participants will be able to:
- Discuss the potentials of new techniques and technologies to detect, diagnose and treat superficial nonpolypoid Barrett’s neoplasia.
- Restate the importance of the superficial nonpolypoid lesions in Barrett’s neoplasia.
- Determine the importance of looking at the mucosa in detail in order to appreciate the subtle changes of the nonpolypoid Barrett’s neoplasia.
Target audience: Practicing gastroenterologists, gastroenterology fellows and trainees,medical residents, physician assistants, and nurses.
[2014 - TRT 25:00] 0.50 AMA PRA Category 1 CreditsTM