The Interventional Endoscopist

In this episode of The Interventional Endoscopist, host Dr. Vinkaval Satdev sits down with Dr. Davinderbir Singh Pannu, a recognized leader in advanced therapeutic endoscopy at McLeod Health. For years, Endoscopic Submucosal Dissection (ESD) has been the gold standard for en bloc resection of complex mucosal lesions, but steep learning curves and equipment limitations have kept it centralized in major academic hubs. Dr. Pannu shares his journey of building a high-volume third-space endoscopy program (performing 80–100 cases a year) in a regional health system, saving patients from traveling hours for advanced care. Dive deep into the physics, economics, and clinical application of next-generation electrosurgical platforms. Dr. Satdev and Dr. Pannu break down the transition from traditional monopolar energy to multimodal bipolar microwave platforms—specifically focusing on the Creo Medical Chroma system with the Speedboat device. Key Takeaways: The Physics of Safety: How bipolar microwave energy limits collateral tissue damage and minimizes delayed perforations compared to traditional monopolar units. Tactile & Operational Shifts: Mastering pure cut currents, managing tissue resistance variations, and optimizing scope control. The Business Case for Advanced Tech: Navigating Value Analysis Committees (VAC), tracking downstream revenue, and proving ROI to hospital administrators. Clinical Humility & Career Growth: Dr. Pannu’s approach to mastering one major new technical skill every single year. Note: This podcast is completely independent and is not sponsored by any device company.

Episode 31, In this episode, we look at redefining Gastroenterology: Mentorship, Innovation, and the Future of Interventional Endoscopy with Dr. Srinadh Komanduri Episode Summary:In this episode of The Interventional Endoscopist, host Dr. Mankanwal Sachdev reconnects with his longtime mentor, Dr. Srinadh Komanduri of Northwestern University. The two dive into Dr. Komanduri’s unique training path, his role in building Northwestern’s interventional endoscopy program, and how the field of GI is shifting away from traditional definitions toward a more therapeutic and innovation-driven future. The conversation covers the launch of Northwestern’s system-wide GI integration, the impact of tools like TissueCypher for risk stratification in Barrett’s esophagus, and the critical need to rethink GI fellowship structure. They also touch on barriers to technology adoption, the role of AI in operational efficiency, and how innovation can (and must) scale beyond a few experts to change care across systems. Topics Covered: Dr. Komanduri’s mentorship and hybrid fellowship experience Building an interventional GI network across 11 hospitals Moving beyond the “general GI” label Risk stratification and innovations in Barrett’s esophagus care AI’s role in reducing burnout and boosting clinical efficiency Future models for GI training and specialization Barriers to adoption and how to drive systemic innovation Sponsored by:Castle Biosciences – maker of TissueCypher®, a test to predict esophageal cancer risk in Barrett’s esophagus

Join us for a deep dive into the world of endoscopic oncology with Dr. Toufic Kachaamy! This episode explores the rapidly evolving field of endoscopic oncology, highlighting its importance in cancer care and the need for multidisciplinary collaboration. My second visit with Dr. Kachaamy discussed his innovative endoscopic oncology course, now in its fourth year, designed to bridge the gap between gastroenterology and oncology. Learn about the course's unique format, diverse faculty, and focus on cutting-edge topics, including early cancer detection, multidisciplinary strategies for managing metastasis, and organ preservation techniques. Don't miss this insightful conversation with a leader in the field! If you want to join us at the course here is the registration link : https://cme.cityofhope.org/content/2025-annual-advances-and-innovations-endoscopic-oncology-and-multidisciplinary#group-tabs-node-course-default6

In this episode of The Interventional Endoscopist Podcast, Dr. Stuart Akerman joins host Dr. Mankanwal Sachdev to explore the evolving role of AI in gastroenterology and endoscopy. They dive into AI's impact on polyp detection, note writing, and patient engagement, and how it enhances both efficiency and care quality. Dr. Akerman reviews leading AI systems like GI Genius, Magenta, and Scalp, while discussing their potential to improve adenoma detection rates and reduce withdrawal times. Together, they address ethical concerns, AI fatigue, and the importance of balancing technology with human touch. Tune in to hear how AI is reshaping the future of GI practice.

In this episode of The Interventional Endoscopist Podcast, I sit down with Dr. Doug Adler, Director of the Center for Advanced Therapeutic Endoscopy at Porter Adventist Hospital. We discuss his transition from a 20-year academic career to a hybrid practice model, blending private practice with academic responsibilities—a trend gaining traction among interventional endoscopists. Dr. Adler shares his journey from medical training at Cornell and the Mayo Clinic to becoming a leader in therapeutic endoscopy. He reflects on his mentors, his passion for procedural medicine, and the future of the field, including exciting new techniques like endoscopic retrograde appendiceal therapy (ERAT). This episode offers valuable insights for young physicians navigating career transitions, mentorship, and the evolving landscape of interventional endoscopy.

In this exciting episode of "The Interventional Endoscopist," I sit down with Scott Haack, a renowned inventor and innovator in the gastrointestinal (GI) space. With a career dedicated to advancing endoscopic technology and improving patient outcomes, Scott shares his journey, the challenges he has faced, and his vision for the future of GI procedures. Tune in as Scott delves into the intricacies of his groundbreaking work, offering insights into the latest innovations and the impact they have on both practitioners and patients. Whether you're an endoscopist, a medical professional, or simply fascinated by medical technology, this episode promises to be an enlightening and inspiring listen. Join me for a deep dive into the world of GI innovation and discover what drives the passion behind Scott Haack's remarkable contributions to the field. Video of Podcast: https://youtu.be/p2p0gGiVLHI for those who transitioned to the video to watch the innovations discussed by Scott, please forward to 38:00

In this riveting episode of "The Interventional Endoscopist," we had the privilege to sit down with Dr. Austin Chiang, the Chief Medical Officer of Medtronic GI. Dr. Chiang shared his inspiring journey from academia to becoming the CMO, providing valuable insights into his journey. We also delved into his literary contribution, as he shared the impetus and process behind his book - a must-hear for all budding authors in the medical field. Harnessing the power of social media in the medical landscape, Dr. Chiang discussed its impact and influence on his career and the broader healthcare industry. Our conversation also explored the realm of Artificial Intelligence (AI). Dr. Chiang shared his views on the current state of AI in healthcare, its potential, and the direction he believes it's heading. Lastly, we gave Dr. Chiang the floor to chat about topics close to his heart, resulting in a fascinating dialogue you won't want to miss. Tune in for an enlightening and engaging conversation filled with wisdom, experiences, and forward-thinking perspectives. Links: https://www.austinchiang.com/ https://www.austinchiang.com/gut-book

Welcome to the latest installment of "The Interventional Endoscopist," where we delve into the practical application of the Endorotor device, a novel innovation transforming the landscape of tissue resection. In this episode, I share my personal experiences with Endorotor, discussing its integration into my practice and its current applications. Whether you're an established professional seeking to stay informed on the latest advancements, or a curious individual eager to gain insight into the future of medicine, this podcast offers a wealth of information. Join us as we uncover the intricacies of the Endorotor device, its role in modern healthcare, and its potential for shaping the medical practices of tomorrow. Important Links: Academic Links: Hollerbach S, Wellmann A, Meier P, Ryan J, Franco R, Koehler P. The EndoRotor(®): endoscopic mucosal resection system for non-thermal and rapid removal of esophageal, gastric, and colonic lesions: initial experience in live animals. Endosc Int Open. 2016 Apr;4(4):E475-9. doi: 10.1055/s-0042-105207. Epub 2016 Mar 30. PMID: 27092332; PMCID: PMC4831928. Surkunalingam N, Das A, Khosravi F, Sachdev M. Sigmoid colon polyp EMR with novel endoscopic morcellator. VideoGIE. 2018 May 29;3(6):191-192. doi: 10.1016/j.vgie.2018.04.006. PMID: 30128384; PMCID: PMC6098755. Vyas N, Sachdev M, Das A, Khosravi F. Pancreatic necrosectomy using an automated mechanical endoscopic tissue extraction device. VideoGIE. 2018 Sep 25;3(11):354-355. doi: 10.1016/j.vgie.2018.08.005. PMID: 30402583; PMCID: PMC6206328. Rizzatti G, Rimbas M, Impagnatiello M, Gasbarrini A, Costamagna G, Larghi A. Endorotor-Based Endoscopic Necrosectomy as a Rescue or Primary Treatment of Complicated Walled-off Pancreatic Necrosis. A Case Series. J Gastrointestin Liver Dis. 2020 Oct 27;29(4):681-684. doi: 10.15403/jgld-2534. PMID: 33118541. Bazarbashi AN, Ge PS, de Moura DTH, Thompson CC. A novel endoscopic morcellator device to facilitate direct necrosectomy of solid walled-off necrosis. Endoscopy. 2019 Dec;51(12):E396-E397. doi: 10.1055/a-0956-6605. Epub 2019 Jul 24. PMID: 31340385. Other Links https://www.interscopemed.com/ https://mtendoscopy.com/products/gastroenterology/resection-retrieval/emr-esd/endorotor-epr/