Good evening and welcome. The American Society for Gastrointestinal Endoscopy appreciates your participation in tonight's webinar. My name is Ed Dellert and I will be the facilitator throughout this presentation. Our program tonight is entitled Endoscopic Video and Video GIE. Please note that this presentation is being recorded and will be posted on GILeap, ASGE's online learning management platform. You will have ongoing access to the recording in GILeap as part of your registration. Before we get started tonight, please note a number of features in tonight's platform so you are aware of many of the resources that are available to you during and after tonight's program. I'm going to share my screen for a moment and take a look at what we have to offer you. On screen you should see the main lobby of our new platform. You'll see many features that are in here. You'll see our corporate partners that is on at the signage on the left hand side. You will see our banner here. You'll see meeting information which has our agenda for tonight and some resources related to our topic. You'll also see a satellite symposia from this past weekend's program that's available for your viewing pleasure. You have already managed to get into the auditorium which is the main and you can navigate by using any of the buttons on the footer of your screen here. I would call your attention to the exhibit hall. We have a number of exhibitors that are available including ASGE. Feel free to visit during and after and logging back into this program to visit those sources. We have a resource room where you can if you're into history of endoscopy you can find resources there for that or meet the masters from our video GIE journal is available to you for your viewing pleasure. Access to our guidelines are available here. If you like gaming we have some US and ERCP games to play around with and then access to GIE. In our networking lounge you will notice that there is our survey for tonight's webinar. We would encourage you to come here at the end of the webinar and fill this out. It'll take you a couple of minutes. And then obviously there's some other networking social pieces that you can do with the people participating tonight. You can chat with them and then you can add things to your briefcase. So I'm going to stop sharing here and come back to our main part of our presentation. Now it is my pleasure to introduce Dr. Field Willingham. Dr. Willingham is a member of the Winship Cancer Institute of Emory University and serves as Director of Endoscopy and Emory University Division of Digestive Disease in Atlanta, Georgia. He began practicing with Emory Healthcare in 2009. His practice often involves ERCP, EOS, EMR, RFA, cryoablation, and minimally invasive hybrid endoscopic surgeries. His clinical practice manages diagnosis stages and in specialized cases treats a wide variety of gastrointestinal malignancies. Most recently and most excitingly he became ASGE's Video GIE's Editor-in-Chief in January. It is our great pleasure tonight to have Dr. Willingham and I turn tonight's presentation over to him. Dr. Willingham. Well hey everybody. Welcome. Thank you all so much for coming tonight, for spending your evening with us. We're very excited to talk about video endoscopy and GIE of course. We're going to look at some videos tonight. We're going to look at some of our highest rated content. I encourage everyone to jump in, ask questions if there's anything that you want to know about endoscopy or producing a video. You know this is a great time. I have invited the Associate Editors for Video GIE as well and we're going to talk about them in just a minute. Let me see if I can advance here. Let's see. Lyle, have you shared control of the screen? Yes, perfect. Okay, so welcome. As Ed mentioned, thank you Ed so much for the kind introduction. We are indeed going to be talking about endoscopic video and Video GIE tonight. I'm a huge proponent of endoscopic video. It's been a part of my entire academic career. It's a real honor for me to take over the editor position for Video GIE and I look forward to working with all of you on your videos. Let me just take a second and introduce some of the most important folks at Video GIE. My co-editors Ed Despot and Vishali Patel are dear colleagues. They're already doing a tremendous amount for Video GIE. Dr. Lisa Kasani and Dr. Selvi Thirumurthy are our quiz editors and so they create the CME questions that come from the Video GIE content. I'm just so grateful to all of them for all of their work and I believe they're going to be on the call tonight and can also answer questions about what we look for in videos and what makes a good Video GIE submission. Here they all are. Welcome. I hope everybody's on the call with me tonight. I wanted to say a special thanks to Stephanie Kinnan and Debra Bowman. They're really the lifeblood of GIE and Video GIE. Hey Lisa. They are the managing editor and the senior managing editor for clinical publications. They are really the lifeblood of the journals and what makes it all work. So big thanks to Stephanie and to Debra. Anybody know what this is? If you want to jump in or use the chat function, please do. I can't actually see the chat right now but this is the Dave Project logo. So many years ago, the Dave Project was starting at the Mass General. Peter Kelsey and Brenna Bounds really kind of launched the contemporary field, I think, of video endoscopy. I'm not sure I'm controlling it anymore. Let me see. Here we go. And now we have Video GIE which I think is really the top video journal for gastrointestinal endoscopy. So we're just thrilled to be with you tonight. Video GIE is thriving. We have more submissions year over year. There were 333. I think we're going to surpass that in 2021. But a great number of submissions to the journal. We look at all of your videos, every single one that's submitted. There's amazing stuff going on out there. Many times the videos, even videos that may not get accepted are usually incredible works. And so we can talk a little bit about what creates a successful submission. Video GIE is a very active platform on social media, Facebook, Twitter, and YouTube. And for me, video can explain things in ways that text cannot. You could imagine a slide like this being shown at a conference. Necrotizing pancreatitis may form a fistula. So this would be a pretty typical slide that you might see at a conference. Maybe it's better if you say necrotizing pancreatitis can form fistulas. This is a patient we saw recently with a spontaneous fistula into the duodenum, draining some pus. And the image is probably better than a word slide. This is a video that shows a fistula. So this is a distended papilla right here. And we tracked upwards from there. And this is a spontaneous fistula in the duodenum. You can see it draining some pus there and pus coming out of the major papilla. If we do a sphincterotomy here and pass a balloon into the bile duct, we're actually able to figure out where the fistula came from. So this is methylene blue injection in the bile duct that's tracking into the duodenum. So I think video has a way of conveying a message that words or text or even still images really can't capture. Video, we think it can tell a story. We think it can teach. It's also fast. So our videos are three or four minutes long and can convey very complicated procedures. The time to publication is another way that they're fast. So we're seeing things in video GIE that are not going to be out in the more typical media for many years. So remarkable techniques, new technology, new devices, new approaches may all make their launch in video GIE. Also, I think video, if you're going to make an academic career in advanced endoscopy, you almost have to be involved in endoscopic video. So I think all of these are reasons to embrace the platform. This is one of our favorite slides at video GIE. It shows the submissions by country. We're blessed by a very international audience and consumers and submitters for video GIE. About just under half of the submissions come from the United States. So over half are from abroad, which is wonderful. And we love seeing all the videos from being submitted from all over the world. Just a couple slides I have for you on some thoughts. Some of the pitfalls that we see when videos are submitted, patient identifiers. So these are not publishable or presentable. We see this at video GIE. We also see this in videos submitted to DDW. If there are any patient identifiers in the video, they can't be taken. So be very careful and make sure that there's nothing in your fluoro slides and your EOS images that might give away a patient's identity. Be careful at numbers sometimes. There's sometimes numbers in the EOS images. And at times it may not be clear if that's a medical record number or not. So it's better to block out all the identifiers. I actually love endoscopic videos with music, but we don't tend to take those for academic focused videos for video GIE. Another thing, we sometimes see videos that are submitted and there will be breaks in the audio. So there'll be video playing, but there won't be any narration. And in general, our audience thinks maybe the audio is not working there or there's been some sort of a glitch. So we really encourage you to talk over the entire video clip or narrate what's happening. A great videos show all of the elements. So if you have some imaging to show, scroll through that. If you're discussing pathology or histology, put the actual slide from your patient up there. Gross path from the OR, from resection is also very helpful. You can show stains, talk about those. So really collect all of the imaging for your case and include that in your video. And then many times arrows are helpful to call out specific features that you're seeing, specific elements of path or things that you're seeing endoscopically. Make sure to use the highest resolution and get a very clean lens. If the scope is high definition, but the lens is not clean, it won't result in your best video. Some thoughts for recording. Producing a good video really begins when you're in the endoscopy suite. It's very helpful to be able to record on the fly. You may never, you may not be expecting something and all of a sudden there's an amazing demonstration. Again, use your high resolution. In some ways we say record purposeful sequences. If you turn the video on, record at the beginning of the case and you just record throughout, you end up with gigabytes of endoscopic data that you may only keep a certain small segments from. Sometimes it's better to turn it on, record one very clear demonstration and then turn it off. That'll also keep you focused on what do I want to be showing right now, EOS or fluoro or endoscopy. Here's a case and this is actually from the Dave project. This was a video. Anyone know what this is? This is a patient who's having a colonoscopy and this parasite was discovered. You can see it here. We were fortunate to be able to activate the video quickly. However, we were a little slower with the snare and the endoscopist performing the case was unable to grab the the parasite there. That was of course an ascaris but mostly we just show it to say be prepared, be able to record on the fly and you will capture some remarkable video in your sweep. The sort of last concepts, just some pearls. If you use a graphic to convey complex approaches or challenging areas, a lot of times that's very helpful. We'll maybe see one tonight. If you use an ex vivo demonstration of a device or a technique or how you set up a certain instrument, that's often very helpful. It's nice to have a subtle pan and zoom effect. Some people call it the Ken Burns effect on still images. Think about your transitions. You want your transition to communicate something to your audience but you don't want them focusing on the transition itself. Subtle transitions that convey a change from endoscopy to EOS but in general avoid louder or attention grabbing transitions. One thing we see a lot, make sure that you have included the follow-up and the clinical outcome for the patient. It's even better if you can show the post procedure imaging. We see incredibly complex, amazing videos of endoscopic findings and oftentimes the video ends at the end of that demonstration. It's nice to say the patient did well or this was resolved over an eight-month period. Here's the follow-up upper GI series or CT scan. Very important to disclose the follow-up and show any relevant imaging. The review process, fortunately, we're very quick. All the credit goes to the associate editors. The submission to first decision time has decreased. It's now just under 18 days. That's a very quick platform to publish your work. Please think about your cases, submit them to VideoGIE and we will get you a turnaround very quickly. We also try and take a lot of the work that's submitted. There are journals that really accept 10-15% of their submissions. We want VideoGIE to be very inclusive. We have tended to take a lot of our submitted work. Again, think about preparing your cases and sending us a video. We'd love to review it. Here are some of our top videos. I asked our publisher to pull some of the most accessed content. This is a video from England and Japan. It is one of our most accessed for 2020. I'll just play some of it here and talk over it and call out some of the things that make it really a standout. They've got their title slide on there. Make sure your title slide in the video agrees with the title slide of your manuscript submission. You may be able to hear them beginning to speak in the background. They've done a nice job with the disclosures here. I wanted to mention on this slide where you indicate your instruments. Give the details as they have here. What exact instruments were used for the case. Oftentimes, this is very helpful. The audience that is viewing the videos is oftentimes very sophisticated. This is helpful for them to know exactly what was used during the case. This was a case. It's a complex method to resect large retro neoplasms. It's an ESD approach. The authors have done a very nice job demonstrating their work. Here's a diagram that walks you through what is a very complex approach to an ESD. I think a diagram like this at the beginning can really help orient the viewers and can really add a lot to your submission. Think about including a diagram, particularly if the topic is complex and difficult to explain. They presented the case here. We can walk through just a little bit of the video. This is demonstrating the submucosal dissection. You can see the video here is high definition. It's very clear. The lens is clean here. They've done a nice job of editing out segments where you can't see what's going on or where the lens is not clear. They're describing this method of a butterfly dissection starting on either side of the platform or a piece of tissue underneath a rectal tumor. Here we go. Can you guys hear the audio? This was a great demonstration, I thought, of a very well done video. This is another example here. This video is from Hyderabad. It's a bilateral balloon expandable biodegradable Y stent. This was also some of our very most accessed content. It's a very nice demonstration of several things. I'll try and play it for you here. The disclaimer, make sure to include your disclaimer here. Can you guys hear the audio? Yes. Okay, great. They've included their disclosures and here's the equipment that was used. I don't remember the clinical part of the case. This is a nice demonstration. Include your fluoro. Include your eulogy. So the fascinating concept of biodegradable balloon expandable biodegradable stent tightly crimped over a deflated balloon. This is an ex vivo image depicting stepwise stent expansion using balloon dilatation based on recommended pressure depending on stent diameter. So here they've done a nice job of including some demonstrations. This is a really nice example of an ex vivo example. So this is a model. They're going to leave a wire in place. After calibrated balloon dilatation, the second stent is placed through the mesh of the first stent. And this is how they create the Y stent draining both the left and the right. This stent is not FDA approved. A helpful comment. Coming back to the case, the blocked plastic stents were removed. Cholangiogram showing multiple filling defects. Balloon sweep cleared multiple soft stones. On subsequent right hepatic duct canalation, multiple filling defects were seen with persistence of perihalar stricture. So, it's nice that they've gone back and forth from endoscopic to fluoroscopic. So they're placing the first biodegradable stent here. cholangiogram showing expanded radiolucent biodegradable stent with radio opaque markers at upper and lower end of the stent. Another guide wire was negotiated through the mesh of the previously placed stent across the right hepatic duct structure. Balloon dilatation was done to allow the stent assembly to pass through the mesh of the first stent. Second balloon expandable biodegradable stent placed across the right hepatic duct structure. Post procedure fluoroscopic image showing radio opaque end markers of the stent and aerobilia. Patient did well post procedure. CT scan done 24 hours later showing opened up bilateral stents. Presently at eight weeks post procedure patient is asymptomatic with improved liver biochemical parameters. That's nice follow up. Standard endoscopic treatment options for Binion biliary sticture include incremental plastic stents or fully covered self-expandable metal stent. Placement of fully covered self-expandable metal stent in high-last sticture can cause contralateral blockage of the biliary system. Biliary balloon expandable biodegradable stent BEBS offers a promising therapeutic option in this subset of patient for adequate biliary drainage without the need for additional procedures to remove or replace the stent. So this is a great video showing a fascinating approach. It's a very nice demonstration mixing imaging cross-sectional imaging with fluoroscopy with endoscopy. They gave follow-up, showed how the patient was doing sort of subsequent to the procedure. So this is a great demonstration and one of our most accessed videos. So let's see. Here is another very nice video. So this is also one of our most accessed videos. This one is from Japan and it's showing a really a novel concept. So the procedure itself is straightforward. They're really just talking about biliary cannulation, but it's a conceptual method of visualizing the bile duct and assisting in your cannulation. And so let me show you this video here. A novel teaching tool for visualizing the invisible bile duct axis in three dimensions during biliary cannulation. Compact this method. Selected biliary cannulation is difficult to master even in cases with normal papillae. In the cases of a papilla with a long oral protrusion, the difficulty is greatly increased. In such cases, visualization of the invisible bile duct axis in three dimensions is required, but it's difficult to master even for experienced endoscopists. Individual trainers must commit to developing their teaching skills. However, there is no dedicated teaching tool for this difficult task. Therefore, we have developed a novel and simple teaching tool for recognizing the invisible bile duct axis in 3D called the compact this method. First, the trainee must imagine that a number of CDs are lined up in the oral protrusion three dimensionally. In cases with a normal papilla, one CD is imagined. In contrast, in cases of papilla with a LOP, several CDs are imagined. CDs were imaged at the horizontal direction of the several transverse folds of LOP. Next, to form an image of the invisible bile duct, the trainee should imagine that a line runs through the center hole of each imagined CD. In addition, the CD should be imaged a slightly offset when viewed from the front of the papilla. When you place an open catheter through the center hole of each imagined CD is a similar movement to that in the adjustment of the axis of a visible bile duct in cases of LOP. The trainee can become proficient in adjusting the invisible bile duct axis in LOP cases by the accumulation of affected feedback using the CD method. Typically, the trainee is only conscious of the hole in the papilla and not the bile duct axis. On the other hand, an experienced endoscopist can recognize the nearby bile duct axis but cannot imagine the bile duct axis at the back. In contrast, experts can imagine the invisible bile duct axis at the back and adjust the bile duct axis by manipulating the catheter through the hole. The CD method can be summarized using the following schema. First, CDs were imagined at the horizontal direction of the several transverse folds of LLP. Next, the endoscopist should assume the proper scope position such that the CDs of the papilla and catheter tip are face-to-face. However, despite the good position, if the endoscopist pushes the cannula with force, the bile duct axis of the LLP bends easily. The endoscopist must manipulate the catheter slowly and gently through the hole of each imagined CD. Likewise, when wire-guided cannulation is performed, if the endoscopist pushes with force, the guide wire can easily damage the bile duct. The endoscopist must manipulate the guide wire slowly and gently through the hole of each imagined CD when wire-guided cannulation is performed. The imagined invisible bile duct obtained by the CD method can contribute to proper and gentle guide wire manipulation with wire rotation under fluoroscopy. We now show how to provide feedback using the CD method. First, the endoscopist should imagine a CD on the papilla. Next, the endoscopist should assume the proper scope position such that the CD on the papilla and catheter tip are face-to-face. Here, the CD on the papilla and catheter tip are not face-to-face. The endoscopist misunderstood the orifice of the papilla. The endoscopist changed the endoscopic view and the direction of the CD on the papilla changed slightly. The CD on the papilla and catheter tip are almost face-to-face. The CD on the papilla and catheter tip are finally face-to-face. However, the imaginary line connecting the CDs and the oral protrusion clearly shows that the axis of the catheter and bile duct are not matched. The endoscopist changed the axis of the catheter to adjust the axis of the invisible bile duct and the oral protrusion. Selective deep biliary canalation was successful. When performing ESD, the adjustment of the bile duct axis by CG method allows for a safe incision direction. So this is a nice demonstration. They've put some text up here. They're describing what they're doing with each step. As you see, it's not a remarkable or novel technology or a new approach, but it's helpful for teaching about cannulation and about understanding your orientation. It is simply based on imaging CDs. Without words, it can be used in any country. So this has been a great video and one of our most accessed, probably folks wanting to learn more about a straightforward approach to cannulation. I see my colleagues on here, Ed and Vishali. They are also here, able to answer questions. So if they would like to jump in, please feel free. And we also have a question from the audience. Would someone be able to speak a bit more about preferred programs for video editing? I will tell you, it seems like a lot of our videos now are coming from iMovie, from a Mac platform. I would say that is one of the most common now that we're seeing. Vishali, Ed, you guys have any other thoughts about? Yeah, Lisa is saying she uses iMovie. If Ed and Vishali have any comments about programs, they can also share it with us in the screen. Hi, Phil, how are you? Hey, Ed, how are you? Not bad, thank you, not bad. Thanks for joining us. What time is it? So many educational things. It's a quarter to one here, but that's absolutely fine. I'm a night owl. So really educational, this is phenomenal, honestly, taking us through all these fantastic videos and it highlights how important the educational value can be raised by adding some little touches, especially graphics or diagrams, really, really cool. I play with iMovie, but I've also dabbled with the more serious ones such as Premiere. In the olden days, I used to use Windows Movie Maker, which is really, really simple. I don't think it's available anymore or it's difficult to get hold of, but I think iMovie is stable. It's easy, it's nice, and it contains all the proper features, I think. Excellent. Hi, Phil, how are you? Hey, Michelle, how are you? I'm good, I'm good. Yeah, I agree with Ed. So iMovie seems to be the most popular. And then we've also seen MP4s come through as well. So I think I would encourage people not to just use their iPhone to record something and then use that video directly because it becomes sometimes not as clear, might be choppy, and the image quality sometimes is not as good. So definitely transfer images over to one of these programs and allow for better editing as well. Yes, absolutely. Excellent point. Can I add something, Phil, regarding video capture? So some people ask about video capture. How do you do it? I mean, of course you can invest in the medical devices if your unit can afford it. But a trick that we found early on, which allows us to record high definition, are these video monitors that producers use to actually see what's happening on the proper camera when they're filming a movie. An example of a proprietary one, if I may mention it, is something called Blackmagic Video Assist. And it's really cheaply available. It's less than 500 pounds, which converts to about $400, I'd say. And it's really, really useful. And it's very easy to plug into any type of scope or a processor. Absolutely. Great points. There's another question coming through. How do you instruct your GI fellows today in using video in their training and then throughout their career? Well, our fellows, particularly those that are interested in endoscopy, are very involved with video. We encourage them to create videos and to submit videos. It's oftentimes the fellows that put together some of the most remarkable demonstrations of different techniques that are going on in the lab. I think the process of creating a video is then invaluable in crafting presentations. Obviously, some video is submitted for publication to a journal like Video GIE. But a lot of video will become a part of your PowerPoints and your academic presentation. So it's really a key skill to develop during fellowship that is gonna stay with you, especially if you're gonna end up in a career in advanced endoscopy. So thank you so much for all the questions. Keep them coming. This, I think, is the last video I have for you this evening. This one's from the US. It's called Every Trick in the Book, US Angiotherapy. And it's just a really terrific video. It goes through a number of remarkable techniques and does a very nice job of using multiple modalities to demonstrate a point. So I'm gonna just play it for you here. And we'll see. There's their disclaimer again. I'm skipping through a little bit. There's the title again. Important to make your disclosures at the beginning, particularly if some of the technology is used in your video, and then include a detailed list of your equipment. My gastric bypass and a perforated duodenal ulcer initially presented to our ED with melanic stools and hypotension. Can you guys hear the audio? Demonstrated a normal esophagus, normal gastric pouch and normal jejunum with no evidence of bleeding seen throughout the entire examination. Following the procedure, the patient had no further bleeding and was discharged. In the coming months, the patient was seen at different hospitals for current episodes of GI bleeding. Extensive workups at those facilities were also unable to localize the source of bleeding. Five months after his initial presentation for bleeding at our facility, the patient came back to our ED. This time, in addition to having melana, the patient also was experiencing severe right upper quadrant pain. An urgent CT scan revealed that the patient had a very distended discluded stomach and a duodenal perforation. The patient subsequently underwent an X-LAB and had a grand pass for management of the perforated duodenal ulcer. Four months later, the patient again came back to our ER after having recurrent bleeding and a syncopal episode. An urgent EGD was performed. Similar to our prior endoscopy, no blood was identified in the gastric pouch. The scope was advanced to the jejunal jejunostomy. And from there, a blood clot was seen coming from the pancreatic obiliary limb. Following the procedure, a CT angiogram was performed and demonstrated hyperdense material in the excluded stomach, suggestive of a blood clot. So notice they're going through multiple sections of a scan. So that's a nice demonstration of the imaging. Made to endoscopically access the excluded stomach. Here they've gone back and forth with endoscopic and EUS video. Access and expanded with a mixture of contrast and methylene blue. Subtle transition, it's not jarring. A 15 millimeter fully covered luminoposing metal stent was used to create a new jejunal gastric anastomosis between the blind root limb and the excluded stomach. To avoid stent migration or dislodgement during the hemostasis procedure, the luminoposy male stent was sutured to the adjacent jejunum using two 2-0 proline sutures. Yet another technique. Only a few seconds, so they're suturing the coaxial stent in place, just a few seconds of the video. It's a nice shot going back and forth between the different modalities. There, a large blood clot was seen and was eventually cleared from the stomach. Brisk bleeding was found to be originating from the duodenal apex. 20 cc's of dilute epinephrine was injected, then two hemostatic clips were placed over the site of bleeding for the purpose of localization in case future interventions were needed by interventional radiology. So this is a nice point IR can see with fluoroscopy exactly where the video, where the bleeding is coming from. So in case they needed to embolize it later. By 60 millimeter fully covered metal stent for tamponade. And a concern for a pseudoaneurysm. Later that evening the patient was taken by IR for a mesenteric angiography and an attempt at hemostasis. Again, showing all the modalities, even the ones that are not traditionally within our specialty. Given persistent bleeding overnight, surgery was consulted, but they recommended against any intervention due to concerns of a hostile surgical field. Thus, gastroenterology was reconsulted for another attempt at hemostasis. First, the previously placed stent was removed. Then, with great difficulty, the therapeutic EUS scope was advanced through the lumen-opposing metal stent and into the duodenal bulb. There, a 1.8 millimeter arterial vessel was seen extending into the ulcer bed. This was thought to be a branch of the GDA. Arterial flow was then confirmed using our EUS processor. Important to check these screens, make sure you don't have any identifiers here. Once we had confirmed the location of the arterial vessel, it was targeted with our EUS needle. We then injected two coils and a mixture of gelphone and epinephrine directly into the vessel. You get a really nice demonstration of a difficult technique. Demonstrated that we had successfully coiled a branch of the gastroduodenal artery leading into the ulcer bed. Following our last intervention, the patient has had no further bleeding. And a nice description of the follow-up. Several weeks later, we brought the patient back to our endoscopy suite to re-evaluate the duodenum. After passing through the luminoposing metal stent and the pylorus, we entered the duodenal apex and found the ulcer that had been bleeding previously. Compared to the appearance from the prior endoscopy, the ulcer appears to now be healing. Again, really nice to show all the follow-up, the video from the follow-up. We then evaluated the impact and vast array of therapeutic interventions available to endoscopists. In complex cases where interventional radiology and surgery are unable to achieve hemostasis, tracheodoscopy with intravascular treatment may be an option. So this is really nice, a really nice demonstration of multiple techniques. The video is very short, but it goes through a great many approaches. They've gone back and forth between the fluoro view, the EOS view, the endoscopic view. The audio was well synced, so this is a very nice demonstration of a very complicated and interesting case. So that's it for the videos. I just wanted to say, you know, the road ahead for VideoGIE, I'm just going to mention just a few things that we've been talking about and working on. There are several different things that we're having the works right now, and I'm just going to briefly mention five of them. The logo, the website, the social media, the DDW integration, and the new content types. So first, the logo. You may recognize the logo. This reminds me of a bank of CRT images here, you know, it's kind of retro, it's kind of focused on the video, which has served us well, and we are going to be taking off from there and trying to focus on the endoscopy part of the VideoGIE, and so stay tuned for a new logo, hopefully coming soon. We wanted to leverage and synchronize our opportunities with DDW, and so we are going to work closely with the groups that are leading the video forum and World Cup and online learning library, and we're going to try and do some simulcasting, actually, with the video forum on VideoGIE. We are going to look towards publishing a VideoGIE supplement of the videos that are accepted to DDW for the video forum or World Cup, just as abstracts accepted at DDW become published in a supplement of GIE, videos accepted to the key events at DDW are going to be published in a VideoGIE supplement. Also, there's going to be a VideoGIE award at the plenary session, so we're very excited about DDW. New content, so we're going to be creating some new content categories for VideoGIE. Just like a print journal may have a review article, we want to create an opportunity for video review articles. Instead of showcasing the most remarkable, amazing, groundbreaking procedure, we want to cover some content that may explain standard approaches to interventional endoscopy conditions and disease states. We're going to allow submission of these, and we're going to invite experts in the field as well, and we think there'll be a lot of interest in some review-type video articles. We are also going to create some patient-facing content, so if anybody wants to submit content that's oriented towards patients, so polypectomy, what is a polypectomy, how does that work, how do you prep, tell me about a colonoscopy. We think there may be a lot of great demand for video that's really focused on our patients. We're also working on industry-generated content, so this will be labeled and vetted and reviewed, but we think it'll be a place where you can go for specific manufacturer recommendations, complex animations to see approved device and cautery settings. All these are new content types that we're going to be incorporating ahead. So that's all I have for you this evening. Thank you for staying late and spending your Thursday with us. I wanted to open it up for any questions. Thank you to everybody who's commenting in the chat box. If you have any questions for me or for Vishali or Ed or any of the video GIE staff, please jump in now and ask, and I think Ed may also have a few ASGE comments as we close it out. Let's see. Is there any plan of starting editorial fellowship for trainees in video GIE? Well, that's a great question. We have a very active review panel. We have an editorial review board, and so if there's anybody who is really interested in working more with us, we would be delighted to work with you on being more involved with the journal. I know Vishali and Ed are always looking for good reviewers, and great reviewers become members of our editorial review board. So please do reach out. Vishali has just shared some of our Twitter handles and contact info down there. So please do reach out, and we would be delighted to have you more involved in the journal. Thank you. Thank you again, Dr. Willingham, for being here with us tonight, and thank you, Dr. Patel and Dr. Despat for jumping in. I appreciate you staying up late. Before we close out, just a quick reminder. I do want to let you know that your experience with these learning events is very important to ASGE, and we want to make sure we are offering interactive sessions that fit your educational needs. Please do go to the networking lounge and take our survey. It takes less than two minutes to complete, and we greatly appreciate your feedback. As a final reminder, please do check ASGE's calendar of events, as we will continue to feature relevant sessions to our Thursday Night Light series. In fact, our next webinar will be next Thursday, April 1st at 7 p.m., and the topic on that is pros and cons of pursuing a fourth-year fellowship, and it's sponsored and facilitated by the ASGE Women in Endoscopy Special Interest Group. Please do plan to attend that one. In closing, again, Dr. Willingham, Dr. Despat, Dr. Patel, thank you so much for being here, and thank you all to the attendants for being here as well. We hope this information has been useful to you in your practice, and with this, we'll conclude our presentation for tonight. Thank you. Thank you, everybody. Thank you, everyone.

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