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...

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 Analysis: Using high-definition white light and narrow-band imaging, revealing a regular, cerebroid mucosal pit pattern without ulcers or depressions...

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...

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...

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...

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...

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...

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...

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. Hemoclips Hemoclips, now often referred to as "clips", have seen their application extend beyond their original purpose of hemostasis. They...

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...

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?

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...

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” endoscopic pattern, mainly represented by red spots either organized in stripes radially departing from pylorus (“watermelon stomach”, or arranged in...

- 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 that migrate into the...

- 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 techniques   - Possibility of using a combination of these techniques - Explanation of endoloops and their operational difference from...

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.Identification: The significance of India Ink tattoo marking in medical procedures.Cavernous Lymphangiomas: What are they? Where are they typically...