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

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