(top) next to standard stone ext...Figure 26.8 The use of large‐diameter papillary balloon dilation to extract ...Figure 26.9 EHL and laser probes ranging in diameter from 1–4Fr.Figure 26.10 This photo illustrates the stopcock coaxial system that attache...Figure 26.11 (a) Nortech AUTOLITH system (Northgaste Technologies Inc., Elgi...Figure 26.12 (a) Portable FREDDY Laser unit. (b) Application of laser to sto...Figure 26.13 LAMS view of gallstones.25 Chapter 27Figure 27.1 Freehand 6‐Fr pediatric forceps biopsy of a low stricture at ERC...Figure 27.2 Forceps biopsy of a Bismuth IIIA tumor of the bifurcation using ...Figure 27.3 Small 6‐Fr forceps biopsy specimen on saline‐moistened pad—appro...Figure 27.4 Vigorous smashing of the forceps specimen between two dry glass ...Figure 27.5 Major types of SEMS.Figure 27.6 Appropriate stent lengths judged by the endoscope position.Figure 27.7 5‐cm radiopaque markers on a catheter placed just at the top of ...Figure 27.8 Anatomic distribution of the strictures was classified by Bismut...Figure 27.9 Stent‐thru‐a‐stent system by a South Korean company can achieve ...Figure 27.10 (a) Two 6 Fr introducers are in position prior to deployment of...Figure 27.11 Benign and malignant features can be recognized in this large a...Figure 27.12 Here the sphincterotomies and the pancreatic stent have been pl...
26 Chapter 28Figure 28.1 Schematic representation of (a) sphincter of Oddi, (b) demonstra...Figure 28.2 A modified triple‐lumen aspirating catheter.Figure 28.3 The duct entered during sphincter of Oddi manometry can be ident...Figure 28.4 (a) An abnormal station pull‐through at sphincter of Oddi manome...
27 Chapter 29Figure 29.1 Illustration of the mechanism of formation of an acute pancreati...Figure 29.2 Illustration of the mechanism of formation of a chronic pancreat...Figure 29.3 Illustration depicting organized pancreatic necrosis (walled‐off...Figure 29.4 CT of organized pancreatic necrosis. This collection occurred af...Figure 29.5 EUS‐guided drainage of pancreatic pseudocyst. (a) FNA needle has...Figure 29.6 EUS‐guided drainage. (a) Illustration of EUS‐guided puncture. (b...Figure 29.7 (a) Schematic of pancreatic duct leak into pseudocyst. (b) Illus...Figure 29.8 Pancreatic duct leak in setting of chronic pancreatitis. (a) Pan...
28 Chapter 30Figure 30.1 The pull‐PEG apparatus. The image shows a 24‐Fr polyurethane PEG...Figure 30.2 A commercial pull‐PEG kit. The kit contains a silicone PEG tube,...Figure 30.3 The pull‐PEG. (a) The endoscope is positioned in the stomach, a ...Figure 30.4 The push‐PEG. (a) The endoscope is positioned in the stomach, a ...Figure 30.5 The peel‐away sheath PEG. (a) The peel‐sheath. The T‐fastener ap...Figure 30.6 PEG assessment form.
29 Chapter 31Figure 31.1 Esophagus anatomy.Figure 31.2 Lower esophageal sphincter (LES) anatomy*.Figure 31.3 Shown is the lower esophageal sphincter (LES) enlarged to emphas...Figure 31.4 Normal primary peristalsis as assessed by high‐resolution manome...Figure 31.5 Conventional line plots esophageal manometry.Figure 31.6 Typical swallow pressure topography, also known as Clouse plots ...Figure 31.7 Upper esophageal sphincter (UES) and lower esophageal sphincter ...Figure 31.8 Pressure inversion point (PIP), inspiration (I), expiration (E)....Figure 31.9 Different metrics of high‐resolution esophageal pressure topogra...Figure 31.10 Premature contraction, distal latency less than 4.5 seconds wit...Figure 31.11 Stepwise approach to EPT analysis according to the Chicago Clas...Figure 31.12 Esophageal pressurization pattern. (a): Compartmentalized esoph...Figure 31.13 Contraction vigor. (a) Absent/failed peristalsis, (b) weak peri...Figure 31.14 Achalasia and hypercontractile (Jackhammer) esophagus. (a) Acha...Figure 31.15 Impedance panometry.Figure 31.16 Contractile and obstructing features of major esophageal motili...Figure 31.17 Endoflip™ device.Figure 31.18 Medications that should be discontinued prior to and during the...Figure 31.19 Tracing from the Wireless Motility Capsule recording.
30 Chapter 32Figure 32.1 This photo shows an ideal room with an adjustable bed and a good...Figure 32.2 A beveled disposable anoscope with a built‐in light makes examin...Figure 32.3 This is a kit I keep in my office for emergent decompression of ...Figure 32.4 This is a photograph of an external hemorrhoid. These commonly i...Figure 32.5 This is a grade 4 prolapsed and ulcerated internal hemorrhoid. G...Figure 32.6 Bleeding internal and external hemorrhoids. The prolapsing inter...Figure 32.7 This is a case of rectal prolapse not to be confused with hemorr...Figure 32.8 A careful peri‐anal exam revealed this peri‐anal ulcer which was...Figure 32.9 This is an acute thrombosed external hemorrhoid which is tender ...Figure 32.10 This is an anoscopic exam of the right anterior hemorrhoid show...Figure 32.11 This is an example of an in office banding device. They are dis...Figure 32.12 The infrared coagulation device is performed through an anoscop...Figure 32.13 This is the HET bipolar diathermy device which is used to coagu...Figure 32.14 Anal fissures are not always visible and are diagnosed mainly o...Figure 32.15 A high definition ARM catheter have multiple sensors that provi...Figure 32.16 The same catheter with a balloon that is inflated in the rectum...Figure 32.17 This shows a case of dyssynergia where when bearing down as in ...
31 Chapter 33Figure 33.1 Target sign indicating perforation after removal of colon polyp....Figure 33.2 (a) A 3 cm sigmoid polyp undergoing snare polypectomy. (b) Spurt...
32 Chapter 34Figure 34.1 Projection of the number of gastroenterologists corrected for po...Figure 34.2 General Gastroenterology Fellowship Match statistics.Figure 34.3 Advanced Endoscopy Fellowship Match statistics.
33 Chapter 35Figure 35.1 Gastric ESD performed by Dr. Fabian Emura (center), assisted by ...Figure 35.2 Ex‐vivo pig stomach model for ESD training. The specimen is plac...Figure 35.3 (a‐c) Hands‐on training in Uganda, 2016, by ROEYA training cente...Figure 35.4 (a‐c) Hands‐on training in Addis Ababa, Ethiopia, in 2019 by ROE...Figure 35.5 (a) Demonstration of LAMS simulator by trainer. (b) Cystic lesio...
34 Chapter 37Figure 37.1 (a) View of interior of current ASGE ITT Center showing several ...Figure 37.2 The new ASGE Institute for Training and Technology (IT&T). The n...
35 Chapter 38Figure 38.1 (a) ASGE IT&T Center, Downers Grove, IL. (b) ASGE IT&T Center Bi...
36 Chapter 39Figure 39.1 Benchmarking in colonoscopy. Individual and average cecal intuba...Figure 39.2 Benchmarking in ERCP. Individual and average biliary cannulation...Figure 39.3 Personal outcome benchmarking data for 2020 for one author [RV] ...
Guide
5 Foreword
6 Preface
11 Index
12
