ASGE Endo Hangout: Can GI do that? Understanding Interventional EUS/Third Space Endoscopy

Video Transcription

Video Summary

The ASGE Endo Hangout for GI Fellows featured a session titled "Can GI Do That? Understanding Interventional EUS and Third Space Endoscopy," hosted by Michael Dellutri with moderators Dr. Faisal and Dr. Salman. The webinar aimed to provide insights into the evolving capabilities of interventional endoscopic ultrasound (EUS) and third-space endoscopy procedures. Dr. Ryan Law gave an overview of therapeutic EUS procedures, emphasizing their roles in treating pancreatic and biliary conditions through minimally invasive techniques. He discussed the historical development of EUS, current practices like EUS-guided biliary and pancreatic drainage, and the importance of understanding patient anatomy and conditions. Challenges such as high technical demands and possible complications were also highlighted.<br /><br />Dr. Amritha Sethi presented on third-space endoscopy, focusing on endoscopic submucosal dissection (ESD) and Per-Oral Endoscopic Myotomy (POEM). She covered ESD indications for different gastrointestinal tract parts, highlighting the importance of identifying malignancy risks. Sethi emphasized the need for proficiency in using endoscopic tools and managing complications. She explored traction methods in dissection, explaining how they aid in safety and efficiency. Sethi concluded with complex cases showcasing advanced techniques like subserosal dissection and tunneling in scarred tissues.<br /><br />Both experts stressed the significance of comprehensive training, scope control, and understanding the potential and limitations of advanced endoscopic procedures, reinforcing the need for continuous learning and multidisciplinary collaboration in the field.

Keywords

Interventional EUS

Third Space Endoscopy

Endoscopic Ultrasound

Therapeutic EUS

Pancreatic Drainage

Biliary Drainage

Endoscopic Submucosal Dissection

Per-Oral Endoscopic Myotomy

GI Fellows

Endoscopic Techniques

Patient Anatomy

Multidisciplinary Collaboration

Advanced Endoscopic Procedures