Adenocarcinoma in Barrett's Esophagus - Detection zu Treatment with TXI, Nbi and RDI

2024-2-7 17:42

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Professor Rajvinder Singh, University of Adelaide This case involved an 81-year-old man with Barrett’s esophagus and a history of previous endoscopic submucosal dissection for invasive adenocarcinoma. On surveillance endoscopy a few small subtle areas of nodularity were biopsied, with one area demonstrating the presence of adenocarcinoma. At repeat endoscopy 10 days later there were no nodules, however there were a few small depressed areas at the site of recent biopsies. These areas were more conspicuous using TXI. Once localized, the area of concern was carefully examined using WLI, TXI, NBI and high-magnification. On inspection using NBI with high-magnification and the underwater technique, tortuous vessels were noted at the base of the depressed area, representing residual adenocarcinoma. A single-piece EMR was performed, with histology confirming the presence of pT1a adenocarcinoma with clear deep and lateral margins. Scope:GIF-EZ1500 Case: pT1a esophageal adenocarcinoma Organ: Lower esophagus Patient information: M, 82 Medical history: Autoimmune hemolytic anemia, atrial fibrillation, pacemaker, sleep apnea, hypertension, congestive cardiac failure

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