Looking at the latest stories in the World of Endoscopy and what they mean for your practice and your patients.
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Endoscopy Insights is a podcast devoted to conversations with thought leaders in flexible and single-use endoscopy. In each episode we’ll explore the ways different clinical and technological innovations are moving the field of endoscopy forward. Endoscopy Insights is brought to you by Single-Use Endoscopy, part of the Ambu Learning Center. Ambu has been bringing healthcare solutions of the future to life since 1937.
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A Day in the Life of an ENT Resident
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Dr. Wesley Stepp is a resident at the University of North Carolina’s Department of Otolaryngology-Head and Neck Surgery. UNC is a national leader in training the next generation of ear, nose and throat surgeons and Dr. Stepp brings an interesting perspective to this kind of work. Not just because his first exposure to otolaryngology was having sinu…
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Comparing Single-Use and Reusable Bronchoscopes for Interventional Pulmonology
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The conventional wisdom in interventional pulmonology has long been that reusable bronchoscopes perform better than their single-use counterparts, but new research counters that thinking. A recent study, part of a poster presentation at the World Congress for Bronchology and Interventional Pulmonology (WCBIP) 2022 in Marseille, France, found that t…
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Navigating Career Paths and Challenges in Flexible Endoscopy
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Dr. Marybeth Spanarkel describes GI endoscopy as a labor of love. You can hear the passion in her voice when she talks about performing a procedure and the gratification that comes from getting an immediate medical answer to the clinical question that’s being asked. Spanarkel, however, suffered a career-ending neck injury after 28 years in private …
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Right Pocket, Left Pocket: Achieving Buy-In for Single-Use
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Healthcare staff shortages, while not new, have spawned a world today where it can take five hours to get an X-ray for a dislocated elbow and another two to get pain medication for the injury. Ambulances sometimes wait eight hours to drop off a patient, and nurses work 12- to 16-hour shifts, without a break. About 400,000 healthcare workers have le…
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Leading with Value to the Patient
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Medical device suppliers and group purchasing organizations are teaming to bring new healthcare innovations such as single-use endoscopes to hospitals and health systems. By creating specific single-use endoscope categories for their members, these healthcare improvement companies can help accelerate the transition from reusable devices to disposab…
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Calculating the Total Cost of Care
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Transitioning from reusable to single-use endoscopes has obvious infection control benefits and even provides workflow and efficiency advantages — but the financial implications are usually one of the biggest hurdles to implementation. That’s why it’s important to explore all the variables that go into achieving cost savings with single-use devices…
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When the U.S. Food and Drug Administration released a letter to healthcare providers in April 2021 announcing its investigation into numerous medical device reports involving reprocessed urological endoscopes, Dr. Seth Bechis and his colleagues set out to learn more about reprocessing and its effectiveness. They focused on flexible ureteroscopes in…
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Becoming a Next-Gen Urologist
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Matthew Katz was at Weill Cornell Medicine when a chance digital encounter ended up steering him into urology. “If you had asked me what a urologist did before medical school I probably wouldn’t have been able to answer the question,” he told me self-deprecatingly when we chatted at the American Urological Association’s annual conference in New Orl…
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Mentoring and Empowering Women in Endoscopy, Part 2
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Empowering women in endoscopy is something Dr. Arthi Sanjeevi is clearly passionate about. It shows in her work mentoring young gastroenterologists and in the way she tackles gender-related challenges in the field. In this conversation, Dr. Sanjeevi discusses what’s missing when it comes to empowering women in gastroenterology, and what still needs…
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Mentoring and Empowering Women in Endoscopy
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Dr. Arthi Sanjeevi remembers a fellowship during her residency, when a mentor played a key role in helping guide her career path. Seeing her passion for therapeutic endoscopy — and her ability to perform the complex procedures — he gave Sanjeevi the push she needed. Dr. Sanjeevi does the same today for the residents she mentors. This is particularl…
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Implications of the New Monitoring Guidelines in Endoscopy
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We can now offer patients procedures which, 20 yrs ago were unthinkable. Procedures which improves health, reduces morbidity and saves lives. But, these procedures are longer and more uncomfortable and therefore patients require deeper sedation than before. Unfortunately, at the same time, patients are older and with more comorbidities. This dual p…
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The State of Bladder Cancer Awareness and Research
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May was Bladder Cancer Awareness Month, so we wanted to share a conversation with Dr. Yair Lotan on the state of bladder cancer awareness and research, his work with the Bladder Cancer Advocacy Network, and some of the advancements in bladder cancer research that most excite him. Dr. Lotan is a urology professor and chief of urologic oncology at Un…
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Study Probes FDA Adverse Event Data Tied to Flexible Endoscopes
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A comprehensive review and analysis of adverse event reports involving flexible endoscopes filed with the U.S. Food and Drug Administration shows a marked increase for six types of scopes from 2014 through 2021. The analysis was undertaken by Dr. Larry Muscarella, president of LFM Healthcare Solutions and an independent safety expert who advises ho…
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How Single-Use Cystoscopes Solved Continuation of Care Challenges from Major Floods
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A storm dumped three to five inches of rain in the Detroit metro area one day in June 2021, and a major flood forced a Michigan urology clinic to close. Urologists with Henry Ford Health System were forced to quickly pivot and take all their patients coming in for clinic appointments and procedures and push them to a downtown Detroit campus. Single…
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Green Endoscopy - Time to ’Look UP’!
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COVID never posed an existential threat but nevertheless had a devastating impact, including on our Endoscopy services. Now we do have an existential threat which Endoscopy is actively driving us towards. Endoscopy is the third greatest hospital contributor to Global Warming !!! You may be tempted to 'cop out', deciding that you can do nothing, but…
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The Economics of Cystoscopy
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A micro-cost analysis published in Urology broke down per-procedural costs for cystoscopy and explored how single-use cystoscopes might provide a cost-effective option for providers. One of the authors of that study, Dr. Yair Lotan, is our guest on the newest episode of Endoscopy Insights and he walks us through his findings. Factors such as capita…
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Let’s Talk About Efficiency in Flexible Endoscopy
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Improving workflows to better meet your patients where they are — whether they find themselves in an ICU bed or at a satellite clinic — is something all patients and providers can be happy about. As we learn from two clinicians in this episode, when they have equipment that is portable, easily deployed, and does not require sterilization between us…
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Ergonomics Challenges in GI Endoscopy
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Dr. Marybeth Spanarkel loved the “immediate gratification” in performing a colonoscopy or upper GI endoscopy and getting an immediate answer to a medical question. Unfortunately, she had to step away from the field after 28 years in private practice in Durham, North Carolina, after a career-ending neck injury that caused sudden paralysis in her rig…
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Study: Single-Use Bronchoscope Can Reduce Readmission Rates, Infection Risk
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Hospitals that perform bronchoscopies can reduce readmission rates by over half, and potentially lower costs, by adopting single-use flexible bronchoscopes. That’s according to a new abstract that was submitted and presented at the recently completed CHEST 2021 annual meeting. The study examined the health outcomes of more than 14,000 patients who …
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The Evolution of Single-Use Urologic Endoscopy
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A recent study conducted at Duke University Hospital and published in the Journal of Endourology found that a new single-use cystoscope demonstrated superior flexion and comparable optics to the reusable scopes already being used in a hospital urology department. Dr. Michael Lipkin, a urologist in Durham, North Carolina, and one of the study’s auth…
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Bjorn gives an overview on the Endoscopic highlights of the UEG Week 2021.
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Topics included artificial intelligence, an overview of bariatric endoscopy, the less than straightforward management of early rectal cancer, how safe is spiral enteroscopy?, should we place a duodenal or a hot Axios stent in gastric outlet obstruction and why would you take papillary biopsies in FAP? What would you say to a patient, with a germlin…
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Best Practices in Endoscope Reprocessing
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The U.S. Food and Drug Administration revealed in a letter to healthcare providers that it’s investigating numerous medical device reports describing patient infections and other possible contamination issues potentially associated with reprocessed urological endoscopes. Dr. Larry Muscarella delves into more detail on reprocessing best practices an…
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FDA Investigating Reports of Infections Associated with Reprocessed Urological Endoscopes
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The U.S. Food and Drug Administration is investigating “numerous” medical device reports (MDRs) describing patient infections and other possible contamination issues possibly associated with reprocessed urological endoscopes. Dr. Larry Muscarella, an independent safety expert who advises hospitals, manufacturers and the public about medical device …
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The FDA’s Safety Communication Update for Reprocessing Bronchoscopes
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The U.S. Food and Drug Administration recently updated a safety communication on reprocessing flexible bronchoscopes. In that update, the FDA recommends, among other things, that healthcare providers consider using single-use bronchoscopes when there is increased risk of spreading infection and when treating COVID-19 patients. To break down this an…
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Infection Control Risks and Endoscopy
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What are the challenges, and potential missteps, when it comes to reprocessing bronchoscopes, GI endoscopes and ureteroscopes? How have guidelines and standards evolved? And how has COVID-19 flipped the script when it comes to pursuing evidence-based strategies to eliminate infections related to endoscopes? We explore these questions and more with …
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Launch of the Worlds largest audit of PCCRC
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Post colonoscopy colorectal cancer is arguable one of the 'hardest' quality measures in colonoscopy. Until now, it has been difficult to identify cases often presenting several years after their colonoscopy and sometimes to a different institution. From September, NHS endoscopy units will have access to a bespoke online resource identifying cases o…
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What can we do about endoscope contamination? An interview with Marco Bruno
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This week, Prof Marco Bruno, Department of Gastroenterology and Hepatology at the Erasmus University Medical Centre in Rotterdam is explaining about the problem we have with scope contamination. Last year his department published a Nationwide Study of bacterial colonization of endoscopes. The study included 74 Dutch Centres and reported that 17% of…
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Our Endoscopy News Review of the latest articles worth knowing about!
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Bjorn's trawl of newsworthy Endoscopy papers currently in press includes; Which patients don't heal well after RFA, Chances of successfully removing a 45mm polyp is only 75% in the Netherlands, What is 'tip-In EMR?, Tumour biology is important in UC-related PCCRC, We should be doing more TIPS (and presumably therefore, less emergency band ligation)…
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EoE, ERAT, BLI, NF-NBI and MSH6
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This time our Podcast is full of both important and interesting studies. We present new evidence on how to treat pancreatic pseudocysts with hydrogen peroxide, the benefit of PPI's on EoE, an large study of endoscopic treatment of appendicitis, and find that our trusty indigo carmine dye spray is still going strong! Then we have an interesting pape…
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Bjorn's Endoscopy News Review - April 2021
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Bjorn has reviewed the upcoming 'in-press' endoscopy related manuscripts and provides his usual opinionated and patronising feedback to the brave authors of 14 manuscripts. Of course, you may agree or disagree with his comments and could even find yourself fired up to read some of the articles yourself! But then again you don't need to, as everythi…
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You need to know this to reduce the risk of missing anal cancer ...
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Dr Andreia Albuguerque from Lisbon discusses her paper on the neglected topic of anal cancer recently published in Lancet Gastroenterology and Hepatology 2021;6:327-34. As larger endoscopy units should find 4-5 early anal cancers every year, I have a terrible suspicion that many of these lesions go undetected.…
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Neil Shepherd on serrated polyps and much much more!
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In this podcast we discuss Serrated Polyps with Professor Neil Shepherd. There is much more to these lesions than Size and Number! Did you know that there may be two distinct syndromes and it's the Site of the lesions which distinguishes the two? That is just the start. It gets weirder! We cover a huge amount of ground and headings include (in chro…
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Should we be more proactive in dealing with colonic lipomas and local recurrence after oesophageal CRT?
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Srisha Hebbar and Peter Siersema challenge my prejudices and suggest that endoscopy can help patients with colonic lipomas and local recurrence after chemo-radiotherapy, two relatively uncommon conditions. They both make convincing arguments! Srisha has also uploaded a video to explain how to safely deal with colonic lipomas. Of course, the video a…
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The NHS starts screening for 50 early cancers
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This week Nick Burr and Bjorn Rembacken are discussing the bright new world of molecular screening for occult cancers as the NHS starts screening for more than 50 cancers. This summer the “Galleri blood test”, developed by an American company called ‘GRAIL’ will be piloted on 140.000 healthy people in the UK. Naturally, Bjorn remains sceptical, and…
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The BSG Campus 2021 was a great success with nine half days of Gastroenterology news, 700 abstracts and 1400 delegates taking part. The podcasts gives you a 30 minute update on Endoscopy related news and research from the Campus meeting. A transcript and full list of references will be published on the www.friendsofendoscopy.org website…
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The pitfalls and problems which trips you up managing Gastric NET's
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Professor Mark Pritchard, has a simple plea; when you are dealing with gastric NET's, make sure that you know what you are doing! In this Podcast he highlights the pitfalls and provides us with Endoscopy Gold !!!Bjorn Rembacken
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Can we predict the risk of cancer in colitis?
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There have been some recent developments shedding welcome light on the issue of cancer in colitis. We take a closer look at the papers and have a chat with Lauranne Derikx about her recent GIE publication. To my surprise, I find that my long lamented 'cancer field theory' is very much alive ! References ■ Derikx LAAP, Kievit W, Drenth JPH et.al. Pr…
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Leeds Endoscopy Christmas Quiz 2020
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Jamal Al-Asiry (Wakefield), Mo Thoufeeq (Sheffield), Pradeep Mundre (Bradford) and Nick Burr, (Endoscopy Fellow at Leeds) Battle it out at this Years Leeds Endoscopy Christmas Quiz ! Ten Questions, 3 answer options and 1 correct answer.Bjorn Rembacken
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Promises and Pitfalls of sending your patient for an EUS-BD
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Arguably, the most exciting thing which has happen in ERCP, in the last 50 years, is EUS and the development of easy to place, 'lumen apposing metal stents' (LAMS). It's transforming ERCP for the benefits of patients who no longer need to put up with painful PTC's. Ideally, every region should offer this service but who should be referred for EUS-g…
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The UK 'National Endoscopy Database' - the most ambitious in the World !
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The UK 'National Endoscopy Database' (NED) is set to be the largest Endoscopy Dataset in the World. In theory, it should capture information on every single endoscopy carried out in the UK, providing detailed, up-to-the minute information. Matt Rutter has been there from the start and tells us about it's origins, current challenges and future hopes…
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News on the aetiology of achalasia and Sheffield changes its mind on Coeliac !
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Today we are reporting on the 'FLIP device' and give you an update on the likely aetiology of achalasia. There have been studies on 'motorised spiral enteroscopy'. Is a motor really a good thing inside the small bowel? We are surprised to see a complete turnaround in the recommendations from Sheffield on how to diagnose Coeliac disease ! Sadly, sur…
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Our obsession with ADR and PCCRC
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Today I am talking to Dr Nick Burr, one of our Rising Stars in Gastroenterology, working in Leeds. You may recognise his name from some of the most influential papers written on the topic of ADR and PCCRC in the recent past. I’ve decided to ambush him with some difficult questions about our unhealthy obsession with ADR and see if I can convince him…
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Effect of Covid on Endoscopy and more Endoscopy news
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Today we are reviewing 15 recent endoscopy publications ranging from the effect of Covid on our endoscopy service and training, a Delphi review of water immersion vs exchange, AI and scoring colitis, adrenaline and pancreatitis. We are asking if gastric GIST’s are not better removed laparoscopically after all. Finally, a reminder about the new WHO …
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UEG Week - Artificial intelligence
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Artificial Intelligence (AI) will soon be touching all areas of medicine. The first is already affecting lesion detection and characterisation. Hot on the heels of radiology and histopathology comes endoscopy ...Bjorn Rembacken and Monz Ahmed
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The annual UEG Week has gone virtualBjorn Rembacken
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