Endoscopic Management of Early Stage Cancers of the Esophagus and Stomach (DV057 LC)

Type: DVDs


This CME activity consists of the ASGE video, Endoscopic Management of Early Stage Cancers of the Esophagus and Stomach , followed by a post-assessment and evaluation.

This program is a comprehensive, evidenced-based review of the current endoscopic techniques for endoscopic resection of malignant and premalignant lesions of the esophagus and stomach.  The recommended, as well as the evolving, indications for EMR/ESD are introduced. Prior to showing the detailed procedure, the needed preparations, learning curve, various accessories, and equipment needed for EMR/ESD are introduced. Also included are novel methods (magnifying NBI, confocal endomicroscopy, chromoscopy, etc.) for precise delineation of the margins prior to EMR/ESD of the lesion. Detailed demonstrations of EMR/ESD in the esophagus and stomach are shown. These demonstrations are in HD and categorized by specific location (Cardia, body, antrum, prepyloric area). Detailed explanation of the different strategies for EMR/ESD according to the specific location, and nature of the tumor (depth of invasion, presence of fibrosis, size, etc.) is given. The limitations of EMR/ESD (incomplete resection, under staging) and novel techniques to cope with these problems are shown. The various immediate and delayed complications of EMR/ESD and how to manage them are explained. Finally, the appropriate method for handling resected specimens and how to prepare specimens for optimal pathological analysis is demonstrated. This program is comprehensive and concise and focuses on delivering practical information for beginner as well as advanced endoscopists.    

Target Audience:

Practicing gastroenterologists, gastroenterology fellows and trainees, medical residents, physician assistants and nurses.

Learning Objectives:

Upon completion of this educational activity, participants will be able to:
• Recognize the indications, limitations, and preparations for EMR/ESD of the esophagus and stomach.
• Describe how to approach the target lesion according to specific anatomical location and what accessories can provide the 'edge' in specific situations such as bleeding, perforation, fibrosis, etc. during EMR/ESD.
• Discuss the importance of specimen handling and describe how to prepare the specimen for final pathological analysis.

Video Release Date:  May 1, 2013
Online CME Release Date:  May 1, 2013
Most Recent CME Review Date:  January 23, 2016
CME Expiration Date:  January 23, 2019

Expected Time of Activity Completion:  1 hours 15 Minutes (1.25 CME Credit)


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