ew Endoscopic Imaging Technique Ross M Bremner MD, PhD Director, Norton Thoracic Institute St Joseph’s Hospital and Medical Center William Pilcher Chair Thoracic Surgery and Transplantation Professor Surgery, Creighton Medical School Phoenix AATS 2015
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New Endoscopic Imaging Techniques Ross M Bremner MD, PhD Director, Norton Thoracic Institute St Joseph’s Hospital and Medical Center William Pilcher Chair.
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New Endoscopic Imaging Techniques
Ross M Bremner MD, PhDDirector, Norton Thoracic Institute
St Joseph’s Hospital and Medical CenterWilliam Pilcher Chair Thoracic Surgery and Transplantation
Professor Surgery, Creighton Medical SchoolPhoenix
AATS 2015
Disclosures
None relevant to this talk
Problem of Barrett’s
1. Barrett’s greatest risk factor for Cancer
2. Most will not develop cancer
3. No way to stratify risk at present with exception of degrees of dysplasia
4. Biopsies VERY unreliable• Histology difficult• Biopsies random!
5. Expense of surveillance very, very high
Biopsies are UNRELIABLE
• While 84% of GI’s will endoscope every 2 years, only 42% do adequate biopsies**– (4 quadrant every 2 cm)