Endoscopy Unplugged by ESGE

All Eyes on Barrett's Esophagus, Part 1: Expert Tips for Diagnosis

The detailed discussion includes: • How do you define Barrett's esophagus? • What tools do you use during the endoscopy when you are inspecting for BE? • How do you measure in a patient with a hiatal hernia? • What should be the standard scope for diagnosing BE? • How do you use simethicone and other drugs during the endoscopy? • Do you have any preferred biopsy techniques or equipment? • How do you plan your re-scopes and re-biopsies? • What are your thoughts about using biomarkers to predict patient risks? • And finally, how does Dr Pouw spend her time outside of the endoscopy suite?

• Transcript

Snare Smart: Cold and Hot Techniques for Colon Polyp Resection

Tune in to hear the discussion cover… • How do you decide whether a polyp is appropriate for cold snare versus hot snare resection? • Should we be getting rid of biopsy forceps as part of polypectomy? • What type of snare is best for cold snaring? • What type of diathermic unit, and with which settings, should be used when hot snaring? • How do you handle polyps with big, thick stalks? • Aside from thermal injury and post-polypectomy syndrome, what else should be a concern with hot snaring? • How do patient factors influence your resection decisions in the colon? • How does a trainee become competent in snare resection of polyps? • And finally, how does Professor Pellise spend her time outside of the endoscopy suite?

• Transcript

Crisis Management 101: Endoscopic Haemostasis for Peptic Ulcer Bleeding

Tune in to hear the discussion cover… Which scopes are recommended when dealing with an upper GI bleed from a peptic ulcer? In terms of the Forrest classification, who receives endoscopic hemostasis? What concentration of epinephrine should be injected? How do you choose between a through-the-scope clip or an over-the-scope clip? What is the best approach when using contact thermal therapies? What does the evidence tell us about using topical powders or gels? If you're not able to treat something endoscopically, when do you pick up the phone, and who do you call? How do you give PPI post-therapy, and for how long? And finally, how does Dr Morris spend his time outside of the endoscopy suite?e endoscopy suite?

• Transcript

Acute Upper GI bleeding: What to do BEFORE endoscopy!

Tune in to hear to hear us debate… 02:02: How do you first approach evaluation of patients with acute upper GI bleeding? 04:14: What is your strategy for use of crystalloid fluids, IVs, and blood transfusions? 04:51: How important are comorbidities when treating the patient? 07:20: What is the role of an upfront IV PPI prior to endoscopy? 10:37: What do you do when you suspect variceal upper GI bleeding? 12:28: How do you manage anticoagulants and antiplatelet agents? 17:54: Where do you routinely do urgent upper endoscopies - operating theatre? Endoscopy unit? Emergency department? 18:52: Once you've hemodynamically stabilized a patient, what is your recommended time to endoscopy? 22:35: And finally, how does Professor Laursen spend his time outside of the endoscopy suite?

• Transcript

That's not supposed to be there! The Food Impactions Playbook

The detailed discussion covers all aspects of dealing with food impactions, answering questions including… 03:38 - What other hospital teams do you involve when you have a food impaction case? 06:19 - Is your first choice a diagnostic or a therapeutic gastroscope? 07:54 - When do you pull and when do you push? 12:32 - What other devices are in your toolkit - caps, snares or nets? 16:45 - How do you manage biopsies when you suspect an EOE? 17:48 - What is your technique when you suspect a peptic stricture? 18:55 - Beyond giving PPIs, what is your standard post-endoscopy management? 20:27 - And finally, how does PD Dr Heinrich spend her time outside of the endoscopy suite?

ERCP Mastery: Expert tricks for seamless CBD cannulation

The detailed discussion covers all aspects of the CBD cannulation procedure, answering questions including… 02:15 - What influences successful CBD cannulation the most? 03:44 - What should be used if there is too much peristalsis during the procedure? 04:51 - How do you define a difficult cannulation? 05:40 - What is your escalation sequence when standard cannulation techniques fail? 11:40 - How do you minimize the risk of post-ERCP pancreatitis, especially in difficult cases? 13:14 - How do you approach patients with altered anatomy during ERCP? 21:30 - And finally, how does Professor Beyna spend his time outside of the endoscopy suite?

• Transcript

Tips and Tricks in Achieving Success in Colonoscopy 

The detailed discussion covers all aspects of the colonoscopy proceedure, answering questions such as 02:00 - How do you approach bowel prep with patients? 03:40 - What patient screening and review processes are taking place? 04:50 - What sedation practices are being used? 08:56 - Are high-definition colonoscopes a necessity? 11:55 - How do you facilitate getting to the caecum every time? 16:42 - Are there any tricks to ensure high quality photo documentation? 20:20 - And finally, how does Dr Matharoo spend her time outside of the endoscopy suite?

• Transcript

From good to great: How to perform a high-quality upper endoscopy

The detailed discussion covers all aspects of the upper endoscopy procedure, answering questions including… 02:55 - What are the latest recommendations for fasting prior to the exam? 03:54 - What mucolytic should you be using – how much and how is it administered? 06:10 - What is the recommended duration for an upper endoscopy exam? 07:28 - Which endoscopic images should you be capturing? 09:41 - How do you create a high-quality endoscopy report? 14:40 - How do you assess the patient experience? 16:08 - Are high-definition endoscopes a necessity? 18:28 - And finally, how does Dr Areia spend his time outside of the endoscopy suite?

• Transcript