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A medical education podcast focusing on Gastroenterology and Gastrointestinal Endoscopy.
22 Episodes
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The Gastroenterology & Endoscopy PodcastEpisode 147: Endoscopic Management of Premalignant LesionsQuick Summary:An evidence-based overview of EMR vs ESD for premalignant lesions, including technique selection, outcomes, and complication rates.Key Points:• EMR: Preferred for lesions <15mm, 0.5-1% perforation risk• ESD: Better for lesions >20mm, 83-98% en bloc resection rate• Technique selection based on lesion size, location, and suspected invasion• Watch for delayed bleeding and str...
In this episode of the GI Endoscopy Update Podcast, Dr. Sarah Thompson explores the latest advancements in artificial intelligence (AI) for gastrointestinal endoscopy. Key topics include:Recent breakthroughs in video capsule endoscopyAI applications in colonoscopy and lesion characterizationAdvancements in esophageal neoplasia detectionBenefits of AI integration in endoscopic practiceChallenges and limitations of AI implementationFuture prospects for AI in GI endoscopyKey takeaways:AI signifi...
Join us for a deep dive into the cutting-edge world of polyp reshaping in colonoscopy. In this episode of The Gastroenterology & Endoscopy Podcast, we explore how these advanced techniques are transforming colorectal cancer prevention.Key Topics:The Evolution of Polyp ManagementFrom "detect and excise" to a nuanced, multifaceted approachBalancing precision, risk minimization, and colonic function preservationCornerstones of Effective Polyp ReshapingAdvanced classification systems: Paris c...
Welcome to our podcast on endoscopic resection of Zenker's diverticulum. Today, we'll dive deep into this condition, its treatment, and the benefits of endoscopic approaches.Zenker's diverticulum is a rare disorder of the esophagus, primarily affecting elderly individuals between their 70s and 90s. It's more common in men and occurs in about 0.01% to 0.11% of the population, with higher rates in northern Europe, the United States, and Canada[1].This condition involves a pouch forming in the h...
In this in-depth episode, we dive headfirst into one of the most polarizing topics in modern gastrointestinal medicine - the heated debate between cold snare polypectomy (CSP) and hot snare polypectomy (HSP) techniques. Our host provides a comprehensive overview of these two pivotal polyp removal methods, exploring their pros, cons, and appropriate use cases. We learn about:• The fundamentals of CSP and HSP • European guideline recommendations for each technique based on polyp size•...
The Couinaud classification is a vital tool in the field of hepatic surgery and diagnoses. It offers a comprehensive understanding of the functional anatomy of the liver by dividing it into eight independent segments. Unlike other classification systems, Couinaud classification focuses on the liver's functional aspects rather than its external appearance.Key Takeaways:The Couinaud classification divides the liver into eight independent functional units called segments.The classification aids ...
Episode OverviewDiscussion on the endoscopic resection of a laterally spreading tumor (LST) in the ascending colon.Examination of a flat polypoid lesion larger than 10 mm, classified as an LST.Key Steps in Resection PlanningDetermining the Lesion's Location: Found between two folds.Analyzing Morphology: Identified as LST-granular.Surface Analysis: Using high-definition white light and narrow-band imaging, revealing a regular, cerebroid mucosal pit pattern without ulcers or depressions (Kudo I...
In this episode of the Gastroenterology and Endoscopy podcast, we explore the importance of understanding and mastering different types of polypectomy snares in the endoscopic field. Not all lesions are the same, and using just one type of snare for all scenarios is often ineffective. We discuss the advantages of snares with expansial memory and hexagonal or oval snares with double buckles. The range of polypectomy snares available is vast, and each endoscopist will discover the snare that be...
In this episode, we delve into the intriguing world of Cameron lesions, a medical condition first identified in 1986. We explore what these lesions are, their causes, how they are diagnosed, and treatment options. This episode is a deep dive into the intricacies of medical diagnostics and highlights the importance of detailed observation in the field of gastroenterology.Key Points Discussed:Introduction to Cameron Lesions: Understanding what Cameron lesions are and their association with hiat...
In this episode of the Gastroenterology and Endoscopy Podcast, we explore the world of water-assisted colonoscopy (WAC). WAC is a technique that uses water instead of air or gas during the insertion phase of a colonoscopy, offering numerous benefits for both endoscopists and patients. By utilizing water's natural properties, WAC can reduce pain and discomfort, straighten out the colon, and enhance visibility of the mucosal surface. This technique not only improves patient comfort but also pla...
In this episode of the Gastroenterology and Endoscopy podcast, we discuss a challenging case involving a pedunculated duodenal adenoma. These types of polyps present unique challenges for endoscopists, requiring meticulous planning for a successful procedure. The goal is to achieve a complete R0 resection, removing the entire lesion without leaving any microscopic remnants. We explore strategies to prevent migration of the polyp into the bowel, such as positioning the patient in a decubitus s...
In this episode, we discuss the importance of improving colonoscopy prep and achieving better Boston bowel preparation scores. Colon cancer is the second leading cause of cancer death in the US, but it is preventable through colonoscopies. However, the success of a colonoscopy relies heavily on proper bowel preparation. Inadequate prep can decrease polyp detection rates by 27%. Patients are advised to follow a special diet and take a bowel cleansing solution prior to the procedure to ensure a...
In this episode we discuss using natural color changes called "biologic chromoendoscopy" to detect challenging flat colorectal lesions.Key Topics Discussed:- While sessile and pedunculated polyps are easy to spot endoscopically, flat and serrated lesions are challenging- AI, virtual chromoendoscopy, and dyes aren't reliable for flat lesions obscured by mucus/debris- Mucus changes light penetration, traps stool, and creates a hazy appearance - Two mucin secretion changes: lost O-acetyl groups ...
Episode Overview:In this episode, host Dr. Alan Smith discusses a new hybrid endoscopic technique that combines aspects of ESD and EMR to improve resection of difficult to remove gastrointestinal lesions. Key Topics Covered:- Limitations of traditional endoscopic resection techniques like ESD and EMR- Overview of the ESD-EMR hybrid technique (also called pre-cutting EMR)- Step-by-step explanation of how the hybrid technique works- Types of challenging GI lesions the hybrid technique is useful...
In the latest episode of the Gastroenterology & Endoscopy Podcast we explore the innovative realm of Hemoclips, or Through-The-Scope-Clips, and their pivotal role in enhancing endoscopic procedures. Initially designed for hemostasis, these multifaceted tools have now widened their scope, proving to be indispensable in a variety of clinical scenarios.HemoclipsHemoclips, now often referred to as "clips", have seen their application extend beyond their original purpose of hemostasis. They ar...
In this highly informative podcast, we explore the world of Inflammatory Fibroid Polyps or Vanek Tumors of the GI Tract. We discuss everything from their manifestation as submucosal lesions to their immunohistochemical characteristics. Get valuable insights into diagnosis techniques, anatomical locations, and treatment protocols. You'll also learn about the importance of immunohistochemistry in distinguishing between IFPs and other Gastrointestinal stromal tumors (GIST). Join us in our deep d...
A phrygian cap gallbladder is a congenital anomaly of the gallbladder with an incidence of 4%. It can simulate a mass in the liver during hepatobiliary imaging and is sometimes mistaken for pathology. A Phrygian cap, however, has no pathological significance and normally causes no symptoms. Links:What is a Phrygian (Cap) Gallbladder?https://www.gastroendopod.com
Ever wondered about the precision of medical instruments, how they are measured, or who pioneered this system? Join us on a captivating journey as we unearth the intriguing world of medical instrument measurements. We'll highlight the life and contributions of Swiss-French artisan, Joseph Frederick Benoit Chariere, the brain behind the French or Chariere gauge system. Used widely in endoscopy units worldwide, Chariere's precision instrument designs changed medical science forever. We'll discu...
00:00 Intro00:01:43 Spindle cell proliferation evaluation with Gave syndrome00:03:07 Visit endocollab.com for more tipsGastric antral vascular ectasia (GAVE) or watermelon stomach is an uncommon but important cause of gastrointestinal bleeding and anemia, first described in 1953 by Rider et al (1). GAVE is characterized by a “characteristic” endoscopic pattern, mainly represented by red spots either organized in stripes radially departing from pylorus (“watermelon stomach”, or arranged in a d...
- Importance of having a range of endoscopic tools - Different types of tools (snares, basket nets, caps, over tubes, etc.) - Choosing the right tool - Teeth for firm grip on foreign bodies- Dealing with capsule endoscopes in the GI tract - 1% getting stuck in the small bowel - Double balloon enteroscopy for removal - Visualizing strictures and ulcers via fluoroscopy - Preferred retrieval method: Rothnet or plain snares- Extraction of gastric bands th...
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