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🎥 Endoscopy Essentials Ep. 5 | Invisible Gastric Cancer: How Imaging Can Reveal What Endoscopy Misses In this episode, Professor Thomas Rösch is joined by Prof. Stefan Seewald (Zurich) to explore one of the most pressing issues in upper GI endoscopy: "endoscopically invisible early gastric cancer." 🔬 Despite advances in technology, early gastric cancer can remain undetectable with standard white-light endoscopy. This episode highlights how a combination of advanced imaging and biopsy strategy can change the outcome for these patients. ________________________________________ 🔍 What you’ll learn in this video: 🔸 Why early gastric cancers often go unnoticed during routine endoscopy 🔸 The role of Olympus XZ1 1200 zoom endoscope in improving mucosal detail 🔸 How NBI (Narrow Band Imaging) and underwater techniques enhance cancer visibility 🔸 Best practices in biopsy mapping when no clear lesion is visible 🔸 How precise localization leads to effective treatment (e.g., ESD or gastrectomy) 👨⚕️ With decades of clinical experience, Prof. Seewald shares real cases and practical workflows to handle this diagnostic challenge. If you’re involved in upper GI diagnostics, this is an essential watch. ________________________________________ 🗣️ Key Quotes: ✔️ “Invisible gastric cancer is more common than we think—especially in high-risk patients.” ✔️ “If your biopsy says cancer but you see nothing, imaging and mapping become your tools.” ✔️ “Early detection is possible—if you look properly and systematically.” ________________________________________ ⏱️ Chapters / Timestamps 00:00 – Welcome & Episode Overview: Invisible Gastric Cancer 01:25 – Why early gastric cancer is often missed 04:10 – What makes a lesion "invisible" during endoscopy? 06:30 – The Olympus XZ1 1200 zoom endoscope: benefits and usage 09:20 – Enhancing visualization with Narrow Band Imaging (NBI) 11:45 – Underwater endoscopy: When and why to use it 14:20 – Biopsy strategy when no lesion is seen 17:50 – Case study: Biopsy mapping leads to detection 21:10 – Treatment options: ESD vs. partial gastrectomy 25:30 – Surveillance and follow-up for high-risk patients 30:15 – Final thoughts: Improving outcomes through technology & vigilance 🌐 Learn more about ESD tools & techniques ➡️ http://spkl.io/6052APBpG ________________________________________ 🌐 Follow us on: ➡️ LinkedIn: http://spkl.io/6059frT7t ➡️ Twitter: http://spkl.io/6050frT7Q 📌 Don’t forget to like, subscribe, and share for more expert-led discussions on endoscopy innovation. #Colonoscopy #ADR #EndoscopyEssentials #MichalKaminski #ThomasRösch #OlympusEndoscopy #BowelPrep #Retroflexion #Endocuff #EFTR #ESD #PolypDetection #EndoscopyQuality #AIinEndoscopy #ColorectalCancerScreening #GIEndoscopy #Gastroenterology The content of this video is intended for healthcare professionals and is provided for educational and informational purposes only. It should not be considered medical advice, nor a promotion a promotion or solicitation for any product or for an indication for any product or indication that is not approved in the jurisdiction where this content is viewed. Olympus does not practice medicine or provide medical services. Healthcare professionals must use their independent clinical judgment in each individual case. Patient-specific factors – including changes in disease state or medications – may impact the performance or appropriateness of any medical device or changes in a patient’s disease and/or medication may alter the efficiency of a device’s programmed parameters or related features. Clinical outcomes may vary. This video may reference products, indications, or therapeutic options that are not approved or available in all countries. Product features, labeling, and availability may differ by region in accordance with local laws and regulatory requirements. Always consult your local representative or official product documentation for country-specific information. This video is published by Olympus Corporation, which is solely responsible for its contents and is intended for those audiences only. This content is presented in a global context and is intended for an international professional audience. Regional restrictions may apply. This site is intended for Healthcare Professionals. If you are a patient, it is important that you discuss information about the benefits and risks of products with your doctor. All trademarks are the property of their respective owners.