Procedural Gastroenterology: A Brief Overview

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Presentation transcript:

Procedural Gastroenterology: A Brief Overview Dr Damian Dowling Gastroenterologist Geelong Hospital

Tools of the trade

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

Esophageal Varices

Banding Devices

Peptic Ulcer

Peptic ulcer- bleeding

Injection sclerotherapy & Heater probe

Endoclips / Haemoclips

Gastric Antral Vascular Ectasia

Angiodysplasia

Endoscopic management of GI neoplasia Polypectomy +/- submucosal injection Endomucosal resection Stenting (Laser) (Ethanol injection)

Polypectomy snare

Polypectomy with submucosal injection

Endomucosal resection

Obstructing Esophageal Malignancy

Esophageal stents

Esophageal strictures

Esophageal dilators

Balloon dilatation

Balloon dilatation (cont)

Percutaneous gastrostomy (PEG)

Percutaneous gastrostomy: low profile device

Nasojejunal feeding tube

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