Metal vs Plastic Bile Duct Stents: When and Why

Dr. Davinderbir Pannu discusses the evolution of surgical energy needs, the principles of electricity, and the limitations of monopolar energy, such as thermal spread and variability in tissue effect. He introduces advanced bipolar and microwave energy platforms, highlighting their advantages: lower voltage, precise energy delivery, and less collateral damage. Hear the importance of understanding energy principles for safe and effective endoscopic procedures.

Dr. Geri Keane and nurse practitioner Kristen Koller work through how to build an endobariatric program, from patient intake and ESG eligibility screening to insurance authorization, procedure preparation, recovery, and follow-up. The speakers emphasize setting realistic expectations, screening for behavioral and medical concerns, and coordinating care across clinicians, dietitians, behavioral health, and administrative staff. They review evidence for durable weight loss after ESG and highlight frequent follow-up, accessible referral pathways, and regular process reviews as keys to patient and program success.

Dr. Forcione discusses the EXALT Model D and other single-use duodenoscopes. Hear about the evolution, benefits, and keys of single-use duodenoscopes to integrate them into your practice. Dr. Forcione shares lessons learned and considerations for successful integration, including first-hand experience from his practice.