ASGE Postgraduate Course at ACG: Innovative Practices for the Endoscopist of Today, Tomorrow and Beyond

Video Transcription

Video Summary

Dr. Andy Tao from Austin Gastroenterology in Austin, Texas gave a presentation on "hot cases with videos using old devices in new ways". He discussed 10 tools that can be used in endoscopy, all of which cost less than $50. <br /><br />One technique he discussed is how to augment suction by reducing the length of the tubing, which allows for a greater flow rate. He also showed a scope with a six millimeter channel that can suction large clots. <br /><br />Dr. Tao also discussed the use of the Clear Cap, a transparent distal attachment that can tamponade bleeding and isolate the visual field. It can also be used for suctioning food boluses. He demonstrated how to use the Clear Cap to tamponade bleeding and control a food bolus. <br /><br />Another technique he discussed is the use of hemostatic forceps for various procedures, such as post-polypectomy arterial bleeds and sphincterotomy bleeding. He showed videos of how to use hemostatic forceps in these situations. <br /><br />Dr. Tao also discussed endoscopic vacuum therapy for fistula closure, percutaneous suture closure of fistulas using spy bite forceps, and the use of rotating clips for removing extractions and dragging intraluminal tubes. <br /><br />He also discussed the use of fully covered self-expanding esophageal metal stents for refractory esophageal bleeding and esophageal perforations, and the use of band ligation for diverticular bleeding and gastric varices. <br /><br />Lastly, he discussed the use of bone wax and borrowing CO2 for hemo spray delivery, and the use of spray coagulation as an alternative to APC.

Asset Subtitle

J. Andy Tau, MD

Keywords

endoscopy tools

suction techniques

Clear Cap

hemostatic forceps

esophageal stents

band ligation

spray coagulation