AATS General Thoracic Skills AATS General Thoracic Skills Course Course Esophageal Disease Esophageal Disease Endoscopic and Minimally Invasive Endoscopic and Minimally Invasive Techniques Techniques Thomas Varghese Jr, MD, MS Thomas Varghese Jr, MD, MS [email protected]@tomvarghesejr @tomvarghesejr April 25, 2015 April 25, 2015
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AATS General Thoracic Skills Course Esophageal Disease Endoscopic and Minimally Invasive Techniques Thomas Varghese Jr, MD, MS [email protected] @tomvarghesejr.
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AATS General Thoracic Skills CourseAATS General Thoracic Skills Course
Esophageal DiseaseEsophageal DiseaseEndoscopic and Minimally Invasive TechniquesEndoscopic and Minimally Invasive Techniques
Endoscopic evaluation of Barrett’s Endoscopic evaluation of Barrett’s Endoscopic staging and Rx of Esophageal CancerEndoscopic staging and Rx of Esophageal Cancer
EMR, RFA, CryoEMR, RFA, Cryo
Minimally Invasive Treatment of Benign DiseaseMinimally Invasive Treatment of Benign Disease EndoscopicEndoscopic
POEM, Linx, Endoscopic Anti-RefluxPOEM, Linx, Endoscopic Anti-Reflux Laparoscopic PEH RepairLaparoscopic PEH Repair Stitch, Stents and ClipsStitch, Stents and Clips
Ross Bremner MD
Wayne Hofstetter MD
Daniel Miller MD
John Wee MD
Brian Louie MD
Hiran C. Fernando MD
Virginia Litle MD
Shanda Blackmon MD
Barrett’sBarrett’s
Risk Factor for Esophageal CancerRisk Factor for Esophageal Cancer Most will not develop cancerMost will not develop cancer No way to risk stratify at present with exception of No way to risk stratify at present with exception of
degrees of dysplasiadegrees of dysplasia
Biopsies unreliableBiopsies unreliable
Expense of surveillance very, very highExpense of surveillance very, very high
Esophageal CancerEsophageal Cancer
HGD to T1a Esophageal CancerHGD to T1a Esophageal Cancer What is the ideal treatment?What is the ideal treatment?