The Interventional Endoscopist

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.

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

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.

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.

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

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.

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
 
 

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
 

Episode 23: The one where I talk about Endosound

Exciting News for Interventional Endoscopy Enthusiasts! 
In my latest episode of "The Interventional Endoscopist" podcast, I delve into the rapidly evolving world of interventional endoscopy and its expanding opportunities within ambulatory surgical centers (ASCs).
Previously, we explored the performance of endoscopic ultrasound (EUS) in ASCs. Now, I'm thrilled to share insights on a groundbreaking development: the FDA's recent approval of Endo Sound technology. I had the unique opportunity to trial this innovative tool a few weeks ago, and I am sharing my opinions on its potential impact on our field.
Tune in to hear my thoughts and join the conversation about how Endo Sound could revolutionize interventional endoscopy practices in ASCs.
 
https://www.endosound.com/
 
link to Dr. Steinberg's interview : https://www.podbean.com/ew/dir-r8mtb-1d95aba4
 
Link to the EUS in ASC discussion: https://TheIE.podbean.com/e/eus-in-the-asc/
 
Listen now and stay at the forefront of endoscopic advancements!
 

Episode 22: The one where I Interview Dr. Austin Chiang, MD

In this riveting episode of "The Interventional Endoscopist," we had the privilege to sit down with Dr. Austin Chiang, the Chief Medical Officer of Medtronic GI. Dr. Chiang shared his inspiring journey from academia to becoming the CMO, providing valuable insights into his journey.
We also delved into his literary contribution, as he shared the impetus and process behind his book - a must-hear for all budding authors in the medical field.
Harnessing the power of social media in the medical landscape, Dr. Chiang discussed its impact and influence on his career and the broader healthcare industry.
Our conversation also explored the realm of Artificial Intelligence (AI). Dr. Chiang shared his views on the current state of AI in healthcare, its potential, and the direction he believes it's heading.
Lastly, we gave Dr. Chiang the floor to chat about topics close to his heart, resulting in a fascinating dialogue you won't want to miss. Tune in for an enlightening and engaging conversation filled with wisdom, experiences, and forward-thinking perspectives.
 
 
Links:
https://www.austinchiang.com/
https://www.austinchiang.com/gut-book