Procedural Procedural Gastroenterology: Gastroenterology: A Brief OverviewA Brief Overview
Dr Damian DowlingDr Damian Dowling
GastroenterologistGastroenterologist
Geelong HospitalGeelong Hospital
Tools of the tradeTools of the trade
Gastrointestinal bleedingGastrointestinal bleeding
Culprit lesionsCulprit lesionsEsophageal varicesEsophageal varices Banding Banding
Peptic ulcerPeptic ulcer InjectionInjection Heater probeHeater probe ClippingClipping
MalignancyMalignancyAngiodysplasiaAngiodysplasiaGastric antral vascular ectasiaGastric antral vascular ectasia
Esophageal VaricesEsophageal Varices
Banding DevicesBanding Devices
Peptic UlcerPeptic Ulcer
Peptic ulcer- bleedingPeptic ulcer- bleeding
Injection sclerotherapy & Injection sclerotherapy & Heater probeHeater probe
Endoclips / HaemoclipsEndoclips / Haemoclips
Gastric Antral Vascular Gastric Antral Vascular EctasiaEctasia
AngiodysplasiaAngiodysplasia
Endoscopic management Endoscopic management of GI neoplasiaof GI neoplasia
PolypectomyPolypectomy+/- submucosal injection+/- submucosal injection
Endomucosal resectionEndomucosal resection StentingStenting (Laser) (Laser) (Ethanol injection)(Ethanol injection)
Polypectomy snarePolypectomy snare
Polypectomy with Polypectomy with submucosal injectionsubmucosal injection
Endomucosal resectionEndomucosal resection
Obstructing Esophageal Obstructing Esophageal MalignancyMalignancy
Esophageal stentsEsophageal stents
Esophageal stricturesEsophageal strictures
Esophageal dilatorsEsophageal dilators
Balloon dilatationBalloon dilatation
Balloon dilatation (cont)Balloon dilatation (cont)
Percutaneous Percutaneous gastrostomygastrostomy
(PEG)(PEG)
Percutaneous Percutaneous gastrostomy: low profile gastrostomy: low profile
devicedevice
Nasojejunal feeding tubeNasojejunal feeding tube