Procedural Gastroenterology: A Brief Overview

1
Procedural Gastroenterology A Brief Overview

• Dr Damian Dowling
• Gastroenterologist
• Geelong Hospital

2
Tools of the trade
3
(No Transcript)
4
(No Transcript)
5
Gastrointestinal bleeding

• Culprit lesions
• Esophageal varices
• Banding
• Peptic ulcer
• Injection
• Heater probe
• Clipping
• Malignancy
• Angiodysplasia
• Gastric antral vascular ectasia

6
Esophageal Varices
7
(No Transcript)
8
Banding Devices
9
(No Transcript)
10
Peptic Ulcer
11
Peptic ulcer- bleeding
12
Injection sclerotherapy Heater probe
13
(No Transcript)
14
Endoclips / Haemoclips
15
(No Transcript)
16
(No Transcript)
17
Gastric Antral Vascular Ectasia
18
(No Transcript)
19
Angiodysplasia
20
Endoscopic management of GI neoplasia

• Polypectomy
• /- submucosal injection
• Endomucosal resection
• Stenting
• (Laser)
• (Ethanol injection)

21
(No Transcript)
22
Polypectomy snare
23
(No Transcript)
24
(No Transcript)
25
Polypectomy with submucosal injection
26
Endomucosal resection
27
Obstructing Esophageal Malignancy
28
Esophageal stents
29
(No Transcript)
30
(No Transcript)
31
Esophageal strictures
32
Esophageal dilators
33
Balloon dilatation
34
Balloon dilatation (cont)
35
Percutaneous gastrostomy(PEG)
36
(No Transcript)
37
(No Transcript)
38
(No Transcript)
39
(No Transcript)
40
(No Transcript)
41
(No Transcript)
42
Percutaneous gastrostomy low profile device
43
Nasojejunal feeding tube
44
(No Transcript)