Debates

Prevention of colorectal cancer through the endoscopic resection of pre-cancerous polyps is an important benefit of colonoscopy but is associated with a risk of serious adverse events, including bleeding. While immediate bleeding is usually managed at the time of the procedure, delayed post-polypectomy bleeding (after discharge from endoscopy unit, up to four weeks later) is […]

Debates

This is half of a two-part debate — read the opposing argument. Esophageal symptoms are common and affect at least a quarter of the population. There are a multitude of diagnostic tests available, but no true gold standard and each test is complementary.  Endoscopy allows direct visualization of the mucosa, biopsy acquisition and potential dilation […]

Debates

This is half of a two-part debate — read the opposing argument. Preamble to this article:  I did not volunteer to write this opinion paper, but was asked by the outgoing editor, Dr. Gary Falk. Why, I’m not sure, because I don’t have this technology in our Esophageal Center at the University of South Florida. […]

Debates

This is half of a two-part debate — read the opposing argument. Recurrent bleeding, along with advanced age and medical co-morbidities, is an independent predictor of mortality in patients with upper gastrointestinal (GI) hemorrhage. Although we as endoscopists cannot alter the patient’s age or their comorbidities, we may be able to reduce the risk of […]

Debates

This is half of a two-part debate — read the opposing argument. Why use Doppler endoscopic probe (DEP) in the management of severe non-variceal gastrointestinal hemorrhage (NVUGIH)? The fundamental reason is that DEP gives endoscopists a new dimension to help them treat patients: the ability to monitor arterial blood flow underneath stigmata of recent hemorrhage […]

Debates

This is half of a two-part debate — read the opposing argument. For most individuals with gastroesophageal reflux, treatment with antisecretory medication yields excellent symptom relief. However, medical management fails in a subset of patients with more severe symptoms, and antireflux surgery should be considered. Traditionally the procedure of choice has been a 360° (Nissen) […]