ASGE Annual GI Advanced Practice Provider Course (On-demand) (Day One) | March 2026-Therapeutic Endoscopy Fundamentals for APPs

Video Transcription

Video Summary

The speakers introduce a foundational session on therapeutic (advanced/interventional) endoscopy, contrasting it with diagnostic endoscopy and setting up later talks. Therapeutic endoscopy involves interventions such as ERCP, EUS-guided sampling, endoscopic resections (EMR, ESD), full-thickness resection, stenting, and POEM for achalasia. They outline the typical training path: medical school, internal medicine, GI fellowship, plus 1–2 years of advanced endoscopy training; formal board certification in the U.S. is still evolving. The talk emphasizes that advanced endoscopy is resource-intensive, requiring specialized rooms, costly equipment, and multidisciplinary support (nursing, anesthesia, radiology, ICU), with APPs as key team members. APP roles include patient selection, guideline-based decision-making, contraindication management (anticoagulants, GLP-1s, altered anatomy), peri-procedure coordination, communication with patients/families and referring clinicians, complication support, and informed consent as an ongoing process. APPs also contribute to research through study screening, data work, authorship, and presentations. A quiz reinforces that advanced endoscopy needs added infrastructure and that ERCP is rarely purely diagnostic.

Asset Subtitle

Sarah Enslin, PA-C, and Vivek Kaul, MD, FASGE

Meta Tag

Concept Therapeutic Endoscopy

Concept Diagnostic Endoscopy

Concept Endoscopic Retrograde Cholangiopancreatography

Concept Endoscopic Ultrasound

Concept Multidisciplinary Team

Keywords

therapeutic endoscopy

advanced endoscopy training

ERCP

EUS-guided sampling

endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD)

advanced practice provider (APP) roles

Therapeutic Endoscopy

Diagnostic Endoscopy

Endoscopic Retrograde Cholangiopancreatography

Endoscopic Ultrasound

Multidisciplinary Team