The Interventional Endoscopist

The Interventional Endoscopist

I am an interventional endoscopist in Phoenix and in this Podcast, I attempt to explore new technologies and techniques as well as issues facing the practice of therapeutic endoscopy

Episodes

November 18, 2025 67 mins

This conversation traces Dragonfly from an idea “in the back of a cab” to a clinically focused cholangioscopy platform that rotates through the biopsy channel for predictable, millimeter-level control. We delve into the mechanics (≈1.7 mm channel supporting 1.5 mm forceps and 4.5 Fr EHL), exploring how the catheter’s suppleness and internal rigidity enhance distal duct stability and device passability, and why micro-movements and n...

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In this deep-dive, Mankanwal Sachdev explores how cholangioscopy moves us from fluoroscopic silhouettes to direct mucosal visualization—and why that changes diagnosis and therapy across indeterminate strictures, PSC dominant lesions, and difficult stones. We walk through the current platform landscape (SpyGlass™ DS2, eyeMAX™, and Dragonfly™), practical biopsy technique to improve yield, and real-world lithotripsy choices (EHL vs Ho...

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In this episode of The Interventional Endoscopist Podcast, I dive into how AI-powered scribing has transformed my clinical workflow. Using Doximity’s AI scribe, I share step-by-step insights into documentation, patient engagement, and time savings in daily practice. I outline the advantages, limitations, and customization strategies while reflecting on the broader role of AI in reducing burnout and enhancing the physician–patient c...

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Description: In this episode of The Interventional Endoscopist, I dive divs into one of the most impactful developments in advanced GI care: the approval of dedicated Category I CPT codes for Endoscopic Submucosal Dissection (ESD). These long-awaited codes, one for upper GI and one for lower GI, go into effect on January 1, 2027 — and could finally unlock broader access, adoption, and reimbursement for ESD in the U.S.

I discuss:

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In this episode of The Interventional Endoscopist, I sit down with Dr. Jessica Widmer—Division Chief of Gastroenterology at NYU Langone Hospital–Long Island—for an honest, insightful, and inspiring conversation.

Dr. Widmer shares her journey from a small town in Pennsylvania to becoming a leader in interventional endoscopy. We discuss her training path, early exposure to ERCP and cholangioscopy, and her decision to pursue advanced ...

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Join me as I welcome Fritz Haller, CEO and co-founder of Endolastic, to the podcast. Discover the fascinating journey of this medical device innovator, a former world champion, and Olympic coach in whitewater slalom.   Fritz discusses his transition from a decorated athletic career and early experiences in medical devices at Cook Medical to founding Endolastic. Learn about Endolastic's core technology: a customized band ligation de...
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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’...

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I am excited to share insights from the Interventional Endoscopist podcast featuring Dr. Sachin Wani! The discussion centered on Barrett's esophagus, and strategies to improve detection and risk stratification

Key takeaways: • The rising incidence of esophageal adenocarcinoma makes early detection crucial. Yet, survival rates remain low, highlighting the need for improved strategies

• PEEC and PEEN underscore the issue of missed ...

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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. Lear...

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In episode 29 of the Interventional Endoscopist Podcast, join us for an insightful conversation with Dr. Legett from the Mayo Clinic, Rochester. We delve into his extensive experience in treating esophageal disorders, focusing on Barrett's esophagus. Dr. Legett shares his journey and training at Mayo Clinic, highlighting his expertise in leveraging artificial intelligence and precision medicine, such as the TissueCypher test, to en...

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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 impr...

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In this episode of The Interventional Endoscopist, Dr. Mankanwal Sachdev and Dr. Stuart Akerman explore the pivotal role of endoscopic ultrasound (EUS) in ambulatory surgical centers (ASCs) and its impact on both patient care and physician work-life balance. Dr. Akerman, a physician advisor for Endosound, shares how EUS has transformed his practice. He also reflects on his unique journey from a career in finance to becoming a physi...

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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 ...

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In the latest episode of The Interventional Endoscopist Podcast, Dr. Jason B. Samarasena, a prominent figure in the field of endohepatology, shares insights into his background and the innovative developments in this emerging specialty. Dr. Samarasena delves into the evolution of endohepatology, highlighting the potential it holds for transforming patient care. A significant portion of the discussion focuses on Endoscopic Ultrasoun...

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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, offerin...

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Exciting News for Interventional Endoscopy Enthusiasts! 

In my latest episode of "The Interventional Endoscopist" podcast, I delve into the rapidly evolving world of interventional endoscopy and its expanding opportunities within ambulatory surgical centers (ASCs).

Previously, we explored the performance of endoscopic ultrasound (EUS) in ASCs. Now, I'm thrilled to share insights on a groundbreaking development: the FDA's recent app...

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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...

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Welcome to another episode where we dive deep into the fascinating world of Interventional Endoscopy.

This time, I have the privilege of interviewing Dr. Amandeep K. Shergill, a renowned figure in the field of Gastroenterology. As the Chief of GI at the Veterans Affairs Medical Center in San Francisco and a professor of medicine at the University of California, San Francisco (UCSF), Dr. Shergill has made significant contributions t...

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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 advan...

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🔵 As many of you know, March is Colon Cancer Awareness Month. To contribute to this important conversation, I decided to share my personal experience with a colonoscopy that took place two years ago.

🎧 In Episode 19 of my podcast, "The Interventional Endoscopist," aptly titled "The One Where I Talk About My Colonoscopy," I recount the details of my procedure, my feelings before and after, and why it's so crucial to get screened.

...

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