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sachdevmd
United States
Приєднався 21 кві 2013
Hi, I am an interventional endoscopist and I like to share interesting techniques and cases. I focus on EUS, ERCP, and other therapeutic interventions
The interventional Endoscopist Podcast: Dr. Douglas G. Adler
In this episode of The Interventional Endoscopist Podcast, I sit down with Dr. Doug Adler, Director of the Center for Advanced Therapeutic Endoscopy at Porter Adventist Hospital. We discuss his transition from a 20-year academic career to a hybrid practice model, blending private practice with academic responsibilities-a trend gaining traction among interventional endoscopists.
Dr. Adler shares his journey from medical training at Cornell and the Mayo Clinic to becoming a leader in therapeutic endoscopy. He reflects on his mentors, his passion for procedural medicine, and the future of the field, including exciting new techniques like endoscopic retrograde appendiceal therapy (ERAT).
This episode offers valuable insights for young physicians navigating career transitions, mentorship, and the evolving landscape of interventional endoscopy.
Dr. Adler shares his journey from medical training at Cornell and the Mayo Clinic to becoming a leader in therapeutic endoscopy. He reflects on his mentors, his passion for procedural medicine, and the future of the field, including exciting new techniques like endoscopic retrograde appendiceal therapy (ERAT).
This episode offers valuable insights for young physicians navigating career transitions, mentorship, and the evolving landscape of interventional endoscopy.
Переглядів: 17
Відео
The interventional Endoscopist Podcast: Dr. Jason B. Samarasena
Переглядів 79Місяць тому
In the latest episode of The Interventional Endoscopist Podcast, Dr. Jason B. Samarasena, a prominent figure in the field of endohepatology, shares insights into his background and the innovative developments in this emerging specialty. Dr. Samarasena delves into the evolution of endohepatology, highlighting the potential it holds for transforming patient care. A significant portion of the disc...
The interventional Endoscopist Podcast: Scott Haack,
Переглядів 712 місяці тому
In this exciting episode of "The Interventional Endoscopist," I sit down with Scott Haack, a renowned inventor and innovator in the gastrointestinal (GI) space. With a career dedicated to advancing endoscopic technology and improving patient outcomes, Scott shares his journey, the challenges he has faced, and his vision for the future of GI procedures. Tune in as Scott delves into the intricaci...
The Interventional Endoscopist Podcast: Dr, Austin Chiang
Переглядів 414 місяці тому
In this riveting episode of "The Interventional Endoscopist," we had the privilege to sit down with Dr. Austin Chiang, the Chief Medical Officer of Medtronic GI. Dr. Chiang shared his inspiring journey from academia to becoming the CMO, providing valuable insights into his journey. We also delved into his literary contribution, as he shared the impetus and process behind his book - a must-hear ...
Endoscopic Powered Resection (EPR)
Переглядів 844 місяці тому
Another case using the Endorotor. I do have some concerns about the base of the resection site, and I will be bringing the patient back as per protocol in 3-6 months.
Endoscopic Cystgastrostomy with Necrosectomy
Переглядів 1095 місяців тому
this video was made in 2014. Beofr Hot axios we had cold
EPR
Переглядів 2735 місяців тому
Endoscopic Powered Resection (EPR) is a new addition to the toolkit for advanced tissue resection. I recently performed such a procedure, and upon reviewing the video, I sought ways to refine my technique. Interestingly, I opted not to use epinephrine during the procedure, a decision I would reconsider in retrospect. Regardless, the outcome was positive, effectively treating an adherent fibrose...
GallBladder drainage 2
Переглядів 3795 місяців тому
lderly Patient with ESLD, with fevers, chills, white count, and ruq abdominal pain. US showed signs of cholecystitis as did HIDA. IR was concerned about ascites and surgery declined due to being a poor surgical candidate. We did EUS guided GB drainage.
Axios in a Pseudocyst
Переглядів 305 місяців тому
In the correct setting EUS guided Cystgastrostomy can be an effective procedure to treat pseudocysts.
Axios in the duodenum
Переглядів 4046 місяців тому
An off label use of a 20mm Axios stent for the treatment of a ben ign duodenal stricture
The Interventional Endoscopist Interviews: Dr. Sunil Amin
Переглядів 777 місяців тому
In this episode I introduce Dr. Amin, the system wide Director of Endoscopy and Advanced Endoscopy at the University of Miami, Dr. Amin is recognized for his leadership in clinical outcomes of pancreatic cancer and his establishment of a practice specializing in POEM/g-POEM procedures. In this episode we discuss hisbackground, career path, and the way he developed his program. We also discuss h...
The Interventional Endoscopist Interviews: Dr. Neil R. Sharma
Переглядів 1498 місяців тому
🎙️ The Interventional Endoscopist Podcast #16 - "The One Where I Interview Neil Sharma" 🎙️ Join Mankanwal S. Sachdev in a captivating conversation with Dr. Neil Sharma, a luminary in Interventional Endoscopy. Former President of Parkview Cancer Institute, Dr. Sharma shares insights into his journey, from childhood influences to pioneering Endoscopic Oncology. 🌟 Key Highlights: Uncover Dr. Sharm...
Using Endorotor on a flat polyp IC valve
Переглядів 1418 місяців тому
In this video I use the endorotor to shave off a tough polyp from the IC Valve. I did consider Full Thickness resection but had concerns. ESD could have been done, but the positioning was difficult with the tools I had.
needle knife
Переглядів 1258 місяців тому
I don't use needle knives ioften, but here is a video of me using it to help remove a large stone. I also use DASE to assist with removal
Dilation Assisted Stone extraction (DASE)
Переглядів 2211 місяців тому
Dilation Assisted Stone extraction (DASE)
Endorotor Powered Endoscopic Necrosectomy
Переглядів 14011 місяців тому
Endorotor Powered Endoscopic Necrosectomy
Using clips to provide access to a difficult polyp HD 1080p
Переглядів 12911 місяців тому
Using clips to provide access to a difficult polyp HD 1080p
Indeterminant Stricture BX techniques HD 1080p
Переглядів 13011 місяців тому
Indeterminant Stricture BX techniques HD 1080p
The Interventional Endoscopist Interviews: Dr. Rashmi Advani
Переглядів 88Рік тому
The Interventional Endoscopist Interviews: Dr. Rashmi Advani
Great episode of your podcast, Mike. Toufic has such a fresh and vigorous approach to GI oncologic progress and I have been blessed to have been a part of its early advancement. I look forward to future episodes. Good luck in your endeavors.
Glad you enjoyed it! Thank you for your comments!
Hi, thanks for sharing your technique. May I ask, can you obtain the same excellent cores from pancreatic masses (like you did from the liver) by using a 19G FNA needle with wet suction technique too? We have plenty of 19G FNA needles left in our unit which we don't seem to be using, because we have always used 22G FNB needles for pancreatic masses.
HI, thank you for your comment and question. firstly, most people shy away from using 19 g in the pancreas primarily due to perceived increse risk in pancreatitis. I am not sure if there is data to support that and it should be ok. The issue is trying to use a 19g in the bulbor first portion of the duodenum, From the Body it should be fine. As far as wet suction is concerned, this is a personal choice. Any study looking at wet v dry suction v no suction really shows mixed results. USe what technique you like in this regard
Hi doctor, does the probe is a linear and convex probe in 1 ? 2 in 1 ? Or do i have to buy 2 butterfly probes ?
Im not sure, but they only sell one provbe. It looks like a "curvolinear" probe
🧐
Did it hurt?
It should not hurt the patient at all
اقمي
Congrats!!!, awesome job!!!
Thank you, endoscopy is an exciting field
No it wasn't fused, but the design of the stent shouldn't allow for migration. The stein is about 1cm long and it should appose the wall of go to the duodenum. I will remove it in a few weeks and I believe a fistula will have been formed.