The Interventional Endoscopist

Mankanwal Sachdev
  • 5.0 (8)
  • MEDICINE
The Interventional Endoscopist

A podcast about technology, devices, and techniques in the therapeutic endoscopy space

  1. MAR 12

    Episode 31, The one where I Interview Dr. Sachin Wani

    I am excited to share insights from the Interventional Endoscopist podcast featuring Dr. Sachin Wani! The discussion centered on Barrett's esophagus, and strategies to improve detection and risk stratification Key takeaways:• The rising incidence of esophageal adenocarcinoma makes early detection crucial. Yet, survival rates remain low, highlighting the need for improved strategies • PEEC and PEEN underscore the issue of missed lesions during endoscopy, emphasizing the need for high-quality exam.• PEEC (postendoscopy esophageal adenocarcinoma) refers to cancer detected before the next recommended surveillance endoscopy in patients with non-dysplastic Barrett's esophagus. • PEEN (postendoscopy esophageal neoplasia) is a composite endpoint of high-grade dysplasia or cancer detected before the next recommended surveillance exam • A high-quality endoscopic exam is paramount, including meticulous inspection, standardized classification, and advanced imaging techniques like chromoendoscopy. • A 10-step approach to a high-quality exam includes identifying landmarks, spending adequate time inspecting the Barrett's segment, cleaning the distal esophagus, and using high-definition white light endoscopy and virtual chromoendoscopy • While the Seattle biopsy protocol is standard, it has limitations due to sampling errors• WATS (Wide Area Transepithelial Sampling) can enhance neoplasia detection as an adjunct to the Seattle protocol by sampling the entire Barrett's segment.• AI (artificial intelligence) holds promise for lesion detection, improved diagnostic accuracy, and quality assessment of endoscopic exams. AI platforms may help identify visible lesions and predict histology, as well as assess the quality of the endoscopic examination.• The Tissue Cypher test can aid in risk stratification by analyzing biomarkers to predict the risk of progression to high-grade dysplasia. It can also predict prevalent high-grade dysplasia or cancer.  • Dr. Wani also shared his journey into medicine, influenced by his family, and the challenges faced by foreign medical graduates. A key message was the importance of continuous improvement in endoscopic techniques and the integration of new technologies to combat esophageal adenocarcinoma   This episode was sponsored by Castle Biosciences the makers of the TIssue Cypher Test.

    54 min

  2. FEB 11

    Episode 30: The one where I revisit Dr. Toufic Kachaamy

    Join us for a deep dive into the world of endoscopic oncology with Dr. Toufic Kachaamy! This episode explores the rapidly evolving field of endoscopic oncology, highlighting its importance in cancer care and the need for multidisciplinary collaboration. My second visit with Dr. Kachaamy discussed his innovative endoscopic oncology course, now in its fourth year, designed to bridge the gap between gastroenterology and oncology. Learn about the course's unique format, diverse faculty, and focus on cutting-edge topics, including early cancer detection, multidisciplinary strategies for managing metastasis, and organ preservation techniques. Don't miss this insightful conversation with a leader in the field!     If you want to join us at the course here is the registration link : https://cme.cityofhope.org/content/2025-annual-advances-and-innovations-endoscopic-oncology-and-multidisciplinary#group-tabs-node-course-default6

    52 min

  3. JAN 28

    Episode 29: The one where I interview Dr. Cadman Leggett

    In episode 29 of the Interventional Endoscopist Podcast, join us for an insightful conversation with Dr. Legett from the Mayo Clinic, Rochester. We delve into his extensive experience in treating esophageal disorders, focusing on Barrett's esophagus. Dr. Legett shares his journey and training at Mayo Clinic, highlighting his expertise in leveraging artificial intelligence and precision medicine, such as the TissueCypher test, to enhance early detection and management of Barrett's esophagus and esophageal cancer. The episode explores the challenges of diagnosing dysplasia, the transformative potential of AI in standardizing pathology, and improving patient care. Additionally, we discuss the role of molecular profiling in risk stratification and emphasize the critical need for ongoing research to optimize management strategies for Barrett's esophagus. This episode is proudly sponsored by Castle Biosciences, the innovators behind TissueCypher, a test designed to predict esophageal cancer risk in patients with Barrett’s esophagus.

    52 min

  4. 10/15/2024

    Episode 28: The one where I interview Dr. Stuart Akerman (part 2)

    In this episode of The Interventional Endoscopist Podcast, Dr. Stuart Akerman joins host Dr. Mankanwal Sachdev to explore the evolving role of AI in gastroenterology and endoscopy. They dive into AI's impact on polyp detection, note writing, and patient engagement, and how it enhances both efficiency and care quality. Dr. Akerman reviews leading AI systems like GI Genius, Magenta, and Scalp, while discussing their potential to improve adenoma detection rates and reduce withdrawal times. Together, they address ethical concerns, AI fatigue, and the importance of balancing technology with human touch. Tune in to hear how AI is reshaping the future of GI practice.

    1h 12m

  5. 10/08/2024

    Episode 27: The one where I interview Dr. Stuart Akerman (part 1)

    In this episode of The Interventional Endoscopist, Dr. Mankanwal Sachdev and Dr. Stuart Akerman explore the pivotal role of endoscopic ultrasound (EUS) in ambulatory surgical centers (ASCs) and its impact on both patient care and physician work-life balance. Dr. Akerman, a physician advisor for Endosound, shares how EUS has transformed his practice. He also reflects on his unique journey from a career in finance to becoming a physician, his mentorship under Dr. Mickey Goldschmidt, and his current role at Digestive Health Associates of Texas (DHAT), where he balances general gastroenterology with interventional endoscopy. This episode highlights the value of mentorship and the evolving role of medical technology in enhancing patient outcomes   This is part one of a special two part episode

    1h 11m

  6. 09/25/2024

    Episode 26: The one where I interview 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.

    1h 8m

  7. 08/20/2024

    Episode 25: The one where I interview Dr. Jason B. Samarasena

    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 discussion focuses on Endoscopic Ultrasound-guided Portal Pressure Gradient (EUS-PPG), a cutting-edge procedure that Dr. Samarasena helped to pioneer. He explains the technique, its clinical applications, and its importance in assessing portal hypertension non-invasively. This conversation offers valuable perspectives on the future of endoscopic interventions in hepatology, emphasizing the role of interdisciplinary collaboration and technological advancements in improving patient outcomes.     Links: Dynamic suction: a novel technique to optimize EUS-guided liver biopsy My method for liver biopsy processing Dr. Samarasena's Linkedin profile EUS-guided portal pressure gradient measurement with a simple novel device: a human pilot study Youtube Video of Podcast

    1h 18m

  8. 07/30/2024

    Episode 24: The one where I Interview Scott Haack, Executive Global R&D Director of Micro-Tech Endoscopy

    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 intricacies of his groundbreaking work, offering insights into the latest innovations and the impact they have on both practitioners and patients. Whether you're an endoscopist, a medical professional, or simply fascinated by medical technology, this episode promises to be an enlightening and inspiring listen. Join me for a deep dive into the world of GI innovation and discover what drives the passion behind Scott Haack's remarkable contributions to the field.   Video of Podcast: https://youtu.be/p2p0gGiVLHI for those who transitioned to the video to watch the innovations discussed by Scott, please forward to 38:00

    1h 3m
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    Ratings & Reviews

    5
    out of 5
    8 Ratings

    About

    A podcast about technology, devices, and techniques in the therapeutic endoscopy space

    Information

    • Creator
      Mankanwal Sachdev
    • Years Active
      2023 - 2025
    • Episodes
      31
    • Rating
      Clean
    • Copyright
      © Copyright 2023 All rights reserved.
    • Show Website
      The Interventional Endoscopist

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