Reprocessing Effectiveness: A Reality Check for Reusable Duodenoscopes

This 75-minute fellows-specific program has been developed by a group of nationally recognized key opinion leaders (KOL) from interventional endoscopy and medical oncology with expertise in Cryoablation. Together they have created a Clinical Practice Model (CPM) that will be extremely useful during your fellowship and when you begin your practice.

Key opinion leaders discuss Transoral Incisionless Fundoplication (TIF 2.0®) and its clinical practice model. Key points included the importance of patient selection, using the American Foregut Society's endoscopic rate of the GEJ to grade patients, and selecting suitable candidates for TIF or combined approaches. Complications such as perforation, bleeding, and mucosal lacerations were addressed, with emphasis on early detection and management. Long-term outcomes showed significant symptom relief and PPI discontinuation in over 70% of patients, with durability up to 10 years. Hear how to navigate the intricacies of incorporating TIF 2.0® into your practice.

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.