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Procedural Gastroenterology: A Brief Overview
Dr Damian Dowling Gastroenterologist Geelong Hospital
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Tools of the trade
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Gastrointestinal bleeding
Culprit lesions Esophageal varices Banding Peptic ulcer Injection Heater probe Clipping Malignancy Angiodysplasia Gastric antral vascular ectasia
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Esophageal Varices
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Banding Devices
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Peptic Ulcer
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Peptic ulcer- bleeding
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Injection sclerotherapy & Heater probe
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Endoclips / Haemoclips
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Gastric Antral Vascular Ectasia
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Angiodysplasia
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Endoscopic management of GI neoplasia
Polypectomy +/- submucosal injection Endomucosal resection Stenting (Laser) (Ethanol injection)
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Polypectomy snare
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Polypectomy with submucosal injection
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Endomucosal resection
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Obstructing Esophageal Malignancy
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Esophageal stents
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Esophageal strictures
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Esophageal dilators
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Balloon dilatation
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Balloon dilatation (cont)
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Percutaneous gastrostomy (PEG)
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Percutaneous gastrostomy: low profile device
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Nasojejunal feeding tube
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