ASGE Annual GI Advanced Practice Provider Course (Virtual) (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

Keywords

therapeutic endoscopy

advanced endoscopy training

ERCP

EUS-guided sampling

endoscopic mucosal resection (EMR/ESD)

advanced practice provider (APP) role