Jeffrey Ponsky · Endoscopy and Surgery
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Video11 min·Published Mar 2021Older

Endoscopy and Surgery

With Dr. Jeffrey Ponsky
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What the experts said35 expert statements · 1 host summary
Modern endoscopy began with Basil Hersowitz in the late 1950s when he integrated flexible fiber optic technology to produce endoscopic instruments which could go through the mouth or rectum to produce images.
ClinicalJeff Ponsky
Surgeons and gastroenterologists were involved in endoscopy from the very beginning.
ClinicalJeff Ponsky
Gastroenterologists such as Gene Oberholt and Jerry Way developed diagnostic applications of endoscopy.
ClinicalJeff Ponsky
Surgeons saw the therapeutic applications of endoscopy.
ClinicalJeff Ponsky
Hiromi Shia and Bill Wolf developed polypectomy by putting a metal wire around polyps and applying electricity to remove them.
ClinicalJeff Ponsky
Greg Stigman applied the principle of banding hemorrhoids in the rectum to esophageal varices.
ClinicalJeff Ponsky
Michael Godard and Jeff Ponsky applied surgical principles of percutaneous techniques to place feeding tubes using the endoscope to guide the procedure.
ClinicalJeff Ponsky
Nipsa Hendra, a surgeon in Germany, developed the first stenting of the bile duct.
ClinicalJeff Ponsky
Surgeons have been involved in the advances in endoscopy, particularly the therapeutic advances.
OpinionJeff Ponsky
Bariatric and gastrointestinal surgeons today use endoscopy to look at their anastomoses and test them after surgery.
ClinicalJeff Ponsky
Surgeons use endoscopy to stent leaks or perform therapeutic stenting of strictures.
ClinicalJeff Ponsky
Endoscopy for surgeons today is a technique used to augment surgical procedures.
OpinionJeff Ponsky
Not all surgeons perform ERCP.
ClinicalJeff Ponsky
Surgeons in bariatric surgery use endoscopy daily to assess surgical results, look for leaks, stent leaks, place drainage tubes, and improve treatment of complications.
ClinicalJeff Ponsky
Endoscopy is part of what surgeons do today.
OpinionJeff Ponsky
Surgeons were the leaders in developing advanced endoscopic techniques because they asked what therapeutic procedures could be performed through the endoscope.
OpinionJeff Ponsky
Endoscopic submucosal dissection can be used to remove T2 tumors and extensive spreading tumors of the colon without the need for surgery.
ClinicalJeff Ponsky
Emory Gorgon at the Cleveland Clinic has extensive experience in endoscopic submucosal dissection, including in the colon.
ClinicalJeff Ponsky
Pre-malignant and early malignant lesions in the esophagus can be removed endoscopically.
ClinicalJeff Ponsky
Division of esophageal muscles to treat achalasia can be performed endoscopically where surgery was previously required.
ClinicalJeff Ponsky
Endoscopic techniques augment surgery rather than replace it, allowing selection of the right procedure for the right patient.
OpinionJeff Ponsky
The only place surgeons and gastroenterologists fail is when they fail to work together.
OpinionJeff Ponsky
The gastroenterology community excels at endoscopic ultrasound, which has led to tremendous therapeutic advances.
OpinionJeff Ponsky
The ultimate potential of endoscopic ultrasound will not be reached unless surgeons and gastroenterologists work together.
OpinionJeff Ponsky
At the Cleveland Clinic, surgeons and gastroenterologists work together, combining surgical and endoscopic techniques.
ClinicalJeff Ponsky
Collaboration between surgeons and gastroenterologists augments the ability of endoscopy and extends the capacity of the specialty.
OpinionJeff Ponsky
In 10 years, the field will not recognize what is being done today in endoscopy.
OpinionJeff Ponsky
Transmural surgery will be possible in the future, including performing resections of pieces of bowel, removing tumors, and sewing up the lumen endoscopically.
OpinionJeff Ponsky
Gastrointestinal anastomoses will be performed endoscopically or using combined endoscopic and percutaneous techniques in the future.
OpinionJeff Ponsky
Surgical complications will be managed endoscopically in the future using ultrasound and endoscopy.
OpinionJeff Ponsky
New modalities will be integrated into endoscopy to deal with biliary disease, colonic disease, pancreatic disease, gastric disease, and inflammatory bowel disease.
OpinionJeff Ponsky
The robot refines surgical maneuvers and helps perform procedures better and more exactly.
OpinionJeff Ponsky
Jeff Ponsky was initially a critic of robotics in laparoscopic surgery when it first began because it was expensive and he thought it unnecessary.
OpinionJeff Ponsky
Robotics must be integrated into everything surgeons do.
OpinionJeff Ponsky
Robotics will be used with flexible endoscopy just as it has been used with colorectal and intestinal surgery.
OpinionJeff Ponsky
Endoscopy training became a requirement for surgical residents during Jeff Ponsky's tenure at the American Board of Surgery.
Host summarySteve summarizes what Dr. Jeffrey Ponsky said · not cited in answers