The Gastroenterology & Endoscopy Podcast Episode 147: Endoscopic Management of Premalignant Lesions Quick 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…

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 endoscopy AI applications in colonoscopy and lesion characterization Advancements in esophageal neoplasia detection Benefits…

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 Management From "detect and excise" to a nuanced, multifaceted approach Balanci…

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%…

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…

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 appe…

Episode Overview Discussion 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 Planning Determining the Lesion's Location: Found between two folds. Analyzing Morphology: Identified as LST-granular. Surface Anal…

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 he…

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 fie…

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…

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…

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…

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 obsc…

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 (al…

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 scenario…

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 …

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.g…

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 Ch…

00:00 Intro 00:01:43 Spindle cell proliferation evaluation with Gave syndrome 00:03:07 Visit endocollab.com for more tips Gastric 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” end…

- 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 ul…

- Introduction to the management of colon polyps with thick and long stalks - Description of pedunculated polyps, specifically Paris zero ippy type with substantial stalk - Increased risk of bleeding during or post removal due to arteries in the stalk - Interventions to prevent postpolipectomy bleeding - Mention of clipping injection and endoloop t…

In this episode, we explore a fascinating medical case of Mid-GI bleeding caused by an uncommon tumor: Cavernous Lymphangiomas. Dive deep with us into the intricacies of its discovery, diagnosis, and treatment. Episode Highlights: Introduction: A 32-year-old patient's mysterious symptoms. Discovery: The revealing double balloon enteroscopy. Identif…