Masterclass: EndoQuest - Endoscopy in the GI Unit (On-demand) | September 2025-Mastering the Flow: Feeding and Decompression Tubes in Endoscopy

Video Transcription

Video Summary

This presentation discusses the management of gastrointestinal strictures, enteral nutrition, and colon decompression. For esophageal strictures like Schatzki rings and post-surgical anastomotic strictures, endoscopic dilation techniques using wire-guided Savary dilators and balloon dilators are preferred over non-wire-guided Maloney dilators due to safety concerns. Balloon dilation is gentler, suitable for complex or angulated strictures, while Savary dilators better treat fibrotic short strictures. Enteral nutrition via percutaneous endoscopic gastrostomy (PEG) tubes is indicated for patients requiring feeding for over 30 days, such as those with impaired swallowing from stroke or neurological diseases. PEG placement should follow guidelines to avoid complications, including timing for tube replacement after tract maturation. Colon decompression, especially for sigmoid volvulus or acute colonic pseudo-obstruction (Ogilvie syndrome), is an emergency requiring endoscopic decompression with specialized tubes over guidewires to relieve obstruction and prevent ischemia or perforation. Videos and references provide detailed procedural guidance.

Asset Subtitle

Dr. Shou Tang

Keywords

gastrointestinal strictures

endoscopic dilation

enteral nutrition

percutaneous endoscopic gastrostomy

colon decompression

sigmoid volvulus