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This year in Gastroenterology
7th Annual
Gastroenterology Update - 2013
D Nageshwar Reddy MD, DM, Dsc, FAMS, FRCP, FASGE, FACG, MWGO
Asian Institute of Gastroenterology
Hyderabad, India.
Prof Francis Chan
Dean of Faculty of Medicine and
Choh-Ming Li Professor of Medicine and Therapeutics
The Chinese University of Hong
Hong Kong
Antiplatelets, anticoagulants & GI bleed: A case based approach
NEJM
Benign strictures Treatment algorithm
Benign Esophageal Stricture
Peptic
stricture
Web/Schatzki
stricture
Radiation
stricture
Caustic
stricture
Post-ESD/EMR
stricture
Anastom.
stricture
Eos. Esoph
stricture
1st
STEP Dilation
2nd
STEP
Dilation combined with 4-quadrant triamcinolone acetate injections
or
Incisional therapy
3rd
STEP Stent placement
4th
STEP Self-bougienage (prox.strictures) or Surgery
ARFI at AIG
A New Biliary ‘Y’ Stent for Hilar Tumors
Hilar cholangiocarcinoma
Ramchandani M, Reddy DN et al Endoscopy 2006
REVIEW
Asia–Pacific consensus recommendations for endoscopic
and interventional management of hilar cholangiocarcinoma
Rungsun Rerknimitr, Phonthep Angsuwatcharakon, Thawee Ratanachu-ek, Christopher J L
Khor,Ryan Ponnudurai, Jong Ho Moon, Dong Wan Seo,Linda Pantongrag-Brown,Apichat
Sangchan, Pises Pisespongsa, Thawatchai Akaraviputh, Nageshwar D Reddy,Amit Maydeo,
Takao Itoi, Nonthalee Pausawasdi, Sundeep Punamiya,Siriboon Attasaranya,Benedict
Devereaux, Mohan Ramchandani and Khean-Lee Goh
Walled off Pancreatic Necrosis
Endoscopic Necrosectomy
Seifert H et al. Lancet 2000;356:653
Seewald S. et al. Gastrointest Endosc 2005;62:92
Cyst Wall
Posterior Gastric Wall
Cyst Cavity
New SEMS for Pancreatic Necrosis
2 cm
2.5 cm
1.6 cm
Nagi Stent, Taewoong.
New SEMS for Endoscopic Pancreatic Necrosis
Itoi T, Reddy DN et al J Hepatobiliary Pancreat Sci 2012
WOPN 4 Weeks after stent
Indeterminate biliary strictures
Crohns disease
Pre Therapy
Post Therapy
Stem cell therapy
AIG Data File
NEJM May 2013
Movies at annual update 2013

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This Year in Gastroenterology Goa 2013

  • 1. This year in Gastroenterology 7th Annual Gastroenterology Update - 2013 D Nageshwar Reddy MD, DM, Dsc, FAMS, FRCP, FASGE, FACG, MWGO Asian Institute of Gastroenterology Hyderabad, India.
  • 2. Prof Francis Chan Dean of Faculty of Medicine and Choh-Ming Li Professor of Medicine and Therapeutics The Chinese University of Hong Hong Kong Antiplatelets, anticoagulants & GI bleed: A case based approach
  • 4. Benign strictures Treatment algorithm Benign Esophageal Stricture Peptic stricture Web/Schatzki stricture Radiation stricture Caustic stricture Post-ESD/EMR stricture Anastom. stricture Eos. Esoph stricture 1st STEP Dilation 2nd STEP Dilation combined with 4-quadrant triamcinolone acetate injections or Incisional therapy 3rd STEP Stent placement 4th STEP Self-bougienage (prox.strictures) or Surgery
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  • 8. A New Biliary ‘Y’ Stent for Hilar Tumors Hilar cholangiocarcinoma Ramchandani M, Reddy DN et al Endoscopy 2006 REVIEW Asia–Pacific consensus recommendations for endoscopic and interventional management of hilar cholangiocarcinoma Rungsun Rerknimitr, Phonthep Angsuwatcharakon, Thawee Ratanachu-ek, Christopher J L Khor,Ryan Ponnudurai, Jong Ho Moon, Dong Wan Seo,Linda Pantongrag-Brown,Apichat Sangchan, Pises Pisespongsa, Thawatchai Akaraviputh, Nageshwar D Reddy,Amit Maydeo, Takao Itoi, Nonthalee Pausawasdi, Sundeep Punamiya,Siriboon Attasaranya,Benedict Devereaux, Mohan Ramchandani and Khean-Lee Goh
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  • 11. Endoscopic Necrosectomy Seifert H et al. Lancet 2000;356:653 Seewald S. et al. Gastrointest Endosc 2005;62:92
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  • 13. Cyst Wall Posterior Gastric Wall Cyst Cavity
  • 14. New SEMS for Pancreatic Necrosis 2 cm 2.5 cm 1.6 cm Nagi Stent, Taewoong.
  • 15. New SEMS for Endoscopic Pancreatic Necrosis
  • 16. Itoi T, Reddy DN et al J Hepatobiliary Pancreat Sci 2012
  • 17. WOPN 4 Weeks after stent
  • 20. Pre Therapy Post Therapy Stem cell therapy AIG Data File
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  • 24. Movies at annual update 2013