A medical education podcast focusing on Gastroenterology and Gastrointestinal Endoscopy.
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Looking at the latest stories in the World of Endoscopy and what they mean for your practice and your patients.
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Endoscopy Insights is a podcast devoted to conversations with thought leaders in flexible and single-use endoscopy. In each episode we’ll explore the ways different clinical and technological innovations are moving the field of endoscopy forward. Endoscopy Insights is brought to you by Single-Use Endoscopy, part of the Ambu Learning Center. Ambu has been bringing healthcare solutions of the future to life since 1937.
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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…
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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…
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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%…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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 …
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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…
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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…
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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…
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- 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…
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- 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…
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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…
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A Day in the Life of an ENT Resident
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Dr. Wesley Stepp is a resident at the University of North Carolina’s Department of Otolaryngology-Head and Neck Surgery. UNC is a national leader in training the next generation of ear, nose and throat surgeons and Dr. Stepp brings an interesting perspective to this kind of work. Not just because his first exposure to otolaryngology was having sinu…
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Comparing Single-Use and Reusable Bronchoscopes for Interventional Pulmonology
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The conventional wisdom in interventional pulmonology has long been that reusable bronchoscopes perform better than their single-use counterparts, but new research counters that thinking. A recent study, part of a poster presentation at the World Congress for Bronchology and Interventional Pulmonology (WCBIP) 2022 in Marseille, France, found that t…
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Navigating Career Paths and Challenges in Flexible Endoscopy
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Dr. Marybeth Spanarkel describes GI endoscopy as a labor of love. You can hear the passion in her voice when she talks about performing a procedure and the gratification that comes from getting an immediate medical answer to the clinical question that’s being asked. Spanarkel, however, suffered a career-ending neck injury after 28 years in private …
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Right Pocket, Left Pocket: Achieving Buy-In for Single-Use
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Healthcare staff shortages, while not new, have spawned a world today where it can take five hours to get an X-ray for a dislocated elbow and another two to get pain medication for the injury. Ambulances sometimes wait eight hours to drop off a patient, and nurses work 12- to 16-hour shifts, without a break. About 400,000 healthcare workers have le…
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Leading with Value to the Patient
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Medical device suppliers and group purchasing organizations are teaming to bring new healthcare innovations such as single-use endoscopes to hospitals and health systems. By creating specific single-use endoscope categories for their members, these healthcare improvement companies can help accelerate the transition from reusable devices to disposab…
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Calculating the Total Cost of Care
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Transitioning from reusable to single-use endoscopes has obvious infection control benefits and even provides workflow and efficiency advantages — but the financial implications are usually one of the biggest hurdles to implementation. That’s why it’s important to explore all the variables that go into achieving cost savings with single-use devices…
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When the U.S. Food and Drug Administration released a letter to healthcare providers in April 2021 announcing its investigation into numerous medical device reports involving reprocessed urological endoscopes, Dr. Seth Bechis and his colleagues set out to learn more about reprocessing and its effectiveness. They focused on flexible ureteroscopes in…
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Becoming a Next-Gen Urologist
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Matthew Katz was at Weill Cornell Medicine when a chance digital encounter ended up steering him into urology. “If you had asked me what a urologist did before medical school I probably wouldn’t have been able to answer the question,” he told me self-deprecatingly when we chatted at the American Urological Association’s annual conference in New Orl…
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Mentoring and Empowering Women in Endoscopy, Part 2
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Empowering women in endoscopy is something Dr. Arthi Sanjeevi is clearly passionate about. It shows in her work mentoring young gastroenterologists and in the way she tackles gender-related challenges in the field. In this conversation, Dr. Sanjeevi discusses what’s missing when it comes to empowering women in gastroenterology, and what still needs…
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Mentoring and Empowering Women in Endoscopy
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Dr. Arthi Sanjeevi remembers a fellowship during her residency, when a mentor played a key role in helping guide her career path. Seeing her passion for therapeutic endoscopy — and her ability to perform the complex procedures — he gave Sanjeevi the push she needed. Dr. Sanjeevi does the same today for the residents she mentors. This is particularl…
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Implications of the New Monitoring Guidelines in Endoscopy
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We can now offer patients procedures which, 20 yrs ago were unthinkable. Procedures which improves health, reduces morbidity and saves lives. But, these procedures are longer and more uncomfortable and therefore patients require deeper sedation than before. Unfortunately, at the same time, patients are older and with more comorbidities. This dual p…
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The State of Bladder Cancer Awareness and Research
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May was Bladder Cancer Awareness Month, so we wanted to share a conversation with Dr. Yair Lotan on the state of bladder cancer awareness and research, his work with the Bladder Cancer Advocacy Network, and some of the advancements in bladder cancer research that most excite him. Dr. Lotan is a urology professor and chief of urologic oncology at Un…
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Study Probes FDA Adverse Event Data Tied to Flexible Endoscopes
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A comprehensive review and analysis of adverse event reports involving flexible endoscopes filed with the U.S. Food and Drug Administration shows a marked increase for six types of scopes from 2014 through 2021. The analysis was undertaken by Dr. Larry Muscarella, president of LFM Healthcare Solutions and an independent safety expert who advises ho…
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How Single-Use Cystoscopes Solved Continuation of Care Challenges from Major Floods
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A storm dumped three to five inches of rain in the Detroit metro area one day in June 2021, and a major flood forced a Michigan urology clinic to close. Urologists with Henry Ford Health System were forced to quickly pivot and take all their patients coming in for clinic appointments and procedures and push them to a downtown Detroit campus. Single…
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Green Endoscopy - Time to ’Look UP’!
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COVID never posed an existential threat but nevertheless had a devastating impact, including on our Endoscopy services. Now we do have an existential threat which Endoscopy is actively driving us towards. Endoscopy is the third greatest hospital contributor to Global Warming !!! You may be tempted to 'cop out', deciding that you can do nothing, but…
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The Economics of Cystoscopy
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A micro-cost analysis published in Urology broke down per-procedural costs for cystoscopy and explored how single-use cystoscopes might provide a cost-effective option for providers. One of the authors of that study, Dr. Yair Lotan, is our guest on the newest episode of Endoscopy Insights and he walks us through his findings. Factors such as capita…
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Let’s Talk About Efficiency in Flexible Endoscopy
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Improving workflows to better meet your patients where they are — whether they find themselves in an ICU bed or at a satellite clinic — is something all patients and providers can be happy about. As we learn from two clinicians in this episode, when they have equipment that is portable, easily deployed, and does not require sterilization between us…
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Ergonomics Challenges in GI Endoscopy
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Dr. Marybeth Spanarkel loved the “immediate gratification” in performing a colonoscopy or upper GI endoscopy and getting an immediate answer to a medical question. Unfortunately, she had to step away from the field after 28 years in private practice in Durham, North Carolina, after a career-ending neck injury that caused sudden paralysis in her rig…
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Study: Single-Use Bronchoscope Can Reduce Readmission Rates, Infection Risk
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Hospitals that perform bronchoscopies can reduce readmission rates by over half, and potentially lower costs, by adopting single-use flexible bronchoscopes. That’s according to a new abstract that was submitted and presented at the recently completed CHEST 2021 annual meeting. The study examined the health outcomes of more than 14,000 patients who …
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The Evolution of Single-Use Urologic Endoscopy
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A recent study conducted at Duke University Hospital and published in the Journal of Endourology found that a new single-use cystoscope demonstrated superior flexion and comparable optics to the reusable scopes already being used in a hospital urology department. Dr. Michael Lipkin, a urologist in Durham, North Carolina, and one of the study’s auth…
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Bjorn gives an overview on the Endoscopic highlights of the UEG Week 2021.
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Topics included artificial intelligence, an overview of bariatric endoscopy, the less than straightforward management of early rectal cancer, how safe is spiral enteroscopy?, should we place a duodenal or a hot Axios stent in gastric outlet obstruction and why would you take papillary biopsies in FAP? What would you say to a patient, with a germlin…
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Best Practices in Endoscope Reprocessing
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The U.S. Food and Drug Administration revealed in a letter to healthcare providers that it’s investigating numerous medical device reports describing patient infections and other possible contamination issues potentially associated with reprocessed urological endoscopes. Dr. Larry Muscarella delves into more detail on reprocessing best practices an…
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FDA Investigating Reports of Infections Associated with Reprocessed Urological Endoscopes
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The U.S. Food and Drug Administration is investigating “numerous” medical device reports (MDRs) describing patient infections and other possible contamination issues possibly associated with reprocessed urological endoscopes. Dr. Larry Muscarella, an independent safety expert who advises hospitals, manufacturers and the public about medical device …
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The FDA’s Safety Communication Update for Reprocessing Bronchoscopes
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The U.S. Food and Drug Administration recently updated a safety communication on reprocessing flexible bronchoscopes. In that update, the FDA recommends, among other things, that healthcare providers consider using single-use bronchoscopes when there is increased risk of spreading infection and when treating COVID-19 patients. To break down this an…
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Infection Control Risks and Endoscopy
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What are the challenges, and potential missteps, when it comes to reprocessing bronchoscopes, GI endoscopes and ureteroscopes? How have guidelines and standards evolved? And how has COVID-19 flipped the script when it comes to pursuing evidence-based strategies to eliminate infections related to endoscopes? We explore these questions and more with …
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Launch of the Worlds largest audit of PCCRC
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Post colonoscopy colorectal cancer is arguable one of the 'hardest' quality measures in colonoscopy. Until now, it has been difficult to identify cases often presenting several years after their colonoscopy and sometimes to a different institution. From September, NHS endoscopy units will have access to a bespoke online resource identifying cases o…
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What can we do about endoscope contamination? An interview with Marco Bruno
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This week, Prof Marco Bruno, Department of Gastroenterology and Hepatology at the Erasmus University Medical Centre in Rotterdam is explaining about the problem we have with scope contamination. Last year his department published a Nationwide Study of bacterial colonization of endoscopes. The study included 74 Dutch Centres and reported that 17% of…
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Our Endoscopy News Review of the latest articles worth knowing about!
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Bjorn's trawl of newsworthy Endoscopy papers currently in press includes; Which patients don't heal well after RFA, Chances of successfully removing a 45mm polyp is only 75% in the Netherlands, What is 'tip-In EMR?, Tumour biology is important in UC-related PCCRC, We should be doing more TIPS (and presumably therefore, less emergency band ligation)…
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EoE, ERAT, BLI, NF-NBI and MSH6
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This time our Podcast is full of both important and interesting studies. We present new evidence on how to treat pancreatic pseudocysts with hydrogen peroxide, the benefit of PPI's on EoE, an large study of endoscopic treatment of appendicitis, and find that our trusty indigo carmine dye spray is still going strong! Then we have an interesting pape…
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