Clinical Endoscopy

Review

Anesthesia for Advanced Endoscopic Procedures: Basavana Goudra, Monica Saumoy; Clin Endosc 2022;55(1):1-7. Published online January 3, 2022; DOI: https://doi.org/10.5946/ce.2021.236

The gastrointestinal endoscopy paradigm is rapidly changing, and technological advancements are largely responsible. In tandem, anesthesia providers are adapting to the changing needs and demands. The challenges are unique. Complications arising from the procedures are both routine, such as aspiration and hypoxia, and procedure specific, such as bleeding, pneumothorax, pneumopericardium, and pneumoperitoneum. It is crucial for the anesthesia provider to have a good understanding of the techniques employed by the endoscopist. A higher index of suspicion is also essential to diagnose and appropriately manage many of the complications. In this review, an effort is made to discuss both procedural aspects and anesthesia challenges. We hope that both endoscopists and anesthesia providers will benefit from this review.

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Focused Review Series: Expanding the Indication with Safety Issue of Endoscopic Ultrasound

Safety and Complications of Interventional Endoscopic Ultrasound: Monica Saumoy, Michel Kahaleh; Clin Endosc 2018;51(3):235-238. Published online July 19, 2017; DOI: https://doi.org/10.5946/ce.2017.081

Abstract PDF PubReader ePub

Endoscopic ultrasound (EUS) has become an essential tool for the diagnostic and therapeutic intervention of gastrointestinal diseases. Beyond the drainage of fluid collections, it enables decompression of inaccessible bile and pancreatic ducts, the gallbladder, and the creation of anastomosis within the gastrointestinal tract using fully lumen-apposing stents. This review explored the safety and efficacy of these novel procedures and discussed the training pathway that is necessary to perform them efficiently and safely.

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