Endoscopy-Past, Present, and Future

The NYSGE at 50

1st Edition - December 1, 2024
Editors: Jonathan Cohen, David Greenwald
Language: English
Hardback ISBN:
9 7 8 - 0 - 4 4 3 - 3 1 3 1 8 - 9
eBook ISBN:
9 7 8 - 0 - 4 4 3 - 3 1 3 1 9 - 6

Endoscopy-Past, Present, and Future: The NYSGE at 50 commemorates a significant milestone - the 50th Anniversary of NYSGE. In honor of this occasion, prominent voices within the So… Read more

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Endoscopy-Past, Present, and Future: The NYSGE at 50 commemorates a significant milestone - the 50th Anniversary of NYSGE. In honor of this occasion, prominent voices within the Society explore pivotal advancements in the realm of gastrointestinal endoscopy, a journey that has unfolded since the group's inception in 1974. These essays intricately weave the narrative of the indispensable role NYSGE members have played in shaping the landscape. While the spotlight is cast on the pioneering strides made by NYSGE's endoscopists and researchers, the volume also examines how these breakthroughs intertwine with the contemporary state of various endoscopic disciplines.

The book's chapters take readers on a comprehensive journey through the evolution of gastroenterology and endoscopy. Opening with a historical overview, the first chapter delves into the visionary founding of NYSGE and its subsequent growth. Highlighting figures like Florence Lefcourt and Doris Barnie, the chapter underscores their pivotal roles in establishing the society. It traces the development of the nurses program, NYSGE courses, and global collaborations, offering a glimpse into transformative advancements on the horizon. Following chapters spotlight pivotal achievements, such as the trajectory of polypectomy from its inception to televideo mentoring, and more.

Title of Book
Cover image
Title page
Table of Contents
Copyright
List of contributors
Foreword
Introduction
Chapter 1. NYSGE: a historical overview
Abstract
Chapter 2. Polypectomy: from landmark innovation to widespread resections to remote tele-video mentoring
Abstract
The colonoscope
Colon polyp techniques through the years
Colon polyp histopathology diagnosis, beyond white light
Colonoscopy training
Advancements in colon polyp detection
Future of colonoscopy
References
Chapter 3. The national polyp study and the prevention of colorectal cancer
Abstract
Early challenges
Technology arrives
Polyps—search and destroy
Enter the national polyp study (NPS)—“plastics and polyps”
Polypectomy—what’s next? Introducing the advanced adenoma
Colonoscopy comes of age
Adenomas are the culprit
New York Timeso front page news—colonoscopy saves lives
National polyp study impact on guidelines and on gastroenterology, cancer prevention
Family colorectal cancer risk of adenoma probands
Challenges continue
Replication of the national polyp study design in primary prevention and imaging studies
Stool testing versus screening colonoscopy
Prevention needs a screening test to be done
Surveillance intensity—the downstream impact of polypectomy
The holy grail
Grant support
Acknowledgment
References
Chapter 4. Gastrointestinal bleeding—better tools, better evidence, better technique
Abstract
Introduction
Conclusion
References
Chapter 5. Bariatric endoscopy—from managing surgical complications to primary therapy
Abstract
The advent of endoscopic bariatric therapy: my ESG journey
Navigating challenges to being endoscopic bariatric therapies
A personal pause: the 5-hour OR session
The ripple effect: word of mouth and global recognition
Teaching and proctoring: a personal mission
Lessons learned
Integration of EBT and obesity medicine into training curricula
The advent of telehealth and obesity management
Where are we now and where are we headed?
References
Chapter 6. A gluten-free journey—perspectives on celiac disease
Abstract
References
Chapter 7. Endoscopy of the small bowel
Abstract
References
Chapter 8. The role of endoscopy in the detection of dysplasia in inflammatory bowel disease
Abstract
Introduction
Disease activity assessment
Future directions and personalized surveillance
Conclusion
References
Chapter 9. Pioneers and progress in ERCP
Abstract
Introduction
Early history of ERCP
The origins of ERCP in New York—Jerry Waye and Mount Sinai
David Zimmon and the Manhattan VA/Saint Vincent’s
Jerry Siegel, Ramblin’ Man
Dick McCray and St. Lukes
Ira Jacobson and Cornell
Peter Green and Columbia
ERCP’s growth beyond the pioneers
Further reading
Chapter 10. Defining quality in endoscopy to drive better outcomes and reduce health disparities: “the C5 experience”
Abstract
The history of C5 and its mission to improve outcomes and reduce health disparities
How can we use the C5 experience to tackle current and future challenges?
References
Chapter 11. Making waves with sound—the evolution of endoscopic ultrasonography
Abstract
Introduction of endoscopic ultrasonography into the United States and New York (Charles J. Lightdale, MD)
Early experience
Endoscopic ultrasonography users group
Endoscopic ultrasonography images of the gut wall
The GF-UM3
Endoscopic ultrasonography in oncology
Progress in radial endoscopic ultrasonography
Curved linear array endoscopic ultrasonography
Peter D. Stevens, MD
American Endosonography Club
Endoscopic ultrasonography 2002 in New York
The introduction of curved linear array instruments in the 1990s provided the ability to obtain tissue for diagnosis and opened the field of therapeutic endoscopic ultrasonography (Frank Gress, MD)
Further reading
Chapter 12. Barrett’s esophagus: paradigm shift from esophagectomy to endoscopic therapy for early neoplasia
Abstract
Introduction
The esophagus: early experience
Barrett’s esophagus and esophageal cancer
Advanced esophageal cancer: lasers and stents
Photodynamic therapy for malignant strictures
Photodynamic therapy for Barrett’s with early neoplasia
Better pathology, improved endoscopes
Endoscopic mucosal resection
Multiband endoscopic mucosal resection
Radiofrequency ablation for flat Barrett’s
Endoscopic eradication therapy
Low-grade dysplasia and nondysplastic Barrett’s esophagus
Cryo-ablation
Hybrid argon plasma coagulation
Endoscopic submucosal dissection
The endoscopy team and the NYSGE
Conclusions
References
Chapter 13. Delving deeper: the evolution and next frontiers in third space endoscopy
Abstract
Introduction
A culture of innovation in New York
The annual live course
Late nights in the animal lab
The role of industry
The role of Long Island Live
The first peroral endoscopic myotomy outside of Japan
New York is a medical community
Final thoughts
Further reading
Chapter 14. Training in endoscopy—NYSGE as incubator for innovation
Abstract
Introduction
Setting the stage: training in the early decades
Where are we headed?
References
Chapter 15. Live from New York! Evolution of endoscopy procedure live broadcasting
Abstract
Getting started with live endoscopy
Optimizing the CME: what to include and what to broadcast
Reinforcing best practices in live endoscopy
Technical challenges to a successful broadcast
The secret sauce: Advance Concepts
Lasting memories and the camaraderie of faculty
And now for the shout outs: truly a team effort
Current and future challenges: existing limitations of live endoscopy and how might they be addressed?
Conclusion
Reference
Chapter 16. NYSGE at 50: the political side—bringing endoscopy to the forefront
Abstract
Introduction
Chapter 17. Infectious diseases in endoscopy: changing bugs with changing times
Abstract
New York gastroenterologists battle HIV and Clostridioides difficile
Acquired immunodeficiency syndrome
Clostridioides difficile infection
Endoscope infections, NYSGE perspective
COVID-19 hits New York
Chapter 18. Women in gastroenterology: leading the way
Abstract
References
Chapter 19. Evolution of gastroenterology practice: medicare reform, payment systems, and changing landscape
Abstract
Introduction
Medical reform and payment systems
Colon cancer screening age reduction
Conclusion
Further reading
Appendix A. A family affair
Appendix B. NYSGE Presidents 1974–2024
Appendix C. National Professional Leadership Roles by NYSGE Members
Index

Jonathan Cohen

Dr. Jonathan Cohen is a Clinical Professor of Medicine at NYU Grossman School of Medicine. He is currently the Treasurer- elect of the ASGE and has served as past chair of the ASGE Quality and Training Committees. Dr. Cohen is a partner in Vanguard Gastroenterology and served as President of the NYSGE in 2004. His clinical practice combines general gastroenterology and advanced endoscopy. His areas of interest include advanced imaging, quality indicators in endoscopy, simulator use in training, and clinical interests include bariatric endoscopy, mucosal resection and ablation, and ERCP. Dr. Cohen is the editor of the textbooks “Comprehensive Atlas of High-Resolution Endoscopy and Narrowband Imaging” and “Successful Training in Endoscopy.” He directs the international Program for Endoscopic Teachers [PET] for the WEO. Over the past 25 years, he has written and lectured widely, and served as faculty or course director for numerous endoscopy courses worldwide.

Affiliations and expertise

Clinical Professor of Medicine, NYU Grossman School of Medicine, USA

David Greenwald

Dr. David Greenwald is currently the Director of Clinical Gastroenterology and Endoscopy at Mount Sinai Hospital in New York City. Previously, he was the Fellowship Program Director in Gastroenterology at Montefiore Medical Center/Albert Einstein College of Medicine for nearly two decades and was an Associate Division Director of the Division of Gastroenterology at Montefiore Medical Center in the Bronx, New York. He is also a Professor of Clinical Medicine at the Albert Einstein College of Medicine. He just completed a term as one of the Medical Directors of the Advanced Endoscopy Center. Dr. Greenwald graduated with a BA degree from Wesleyan University, and attended the Albert Einstein College of Medicine, where he earned an MD. He did a residency in Internal Medicine followed by a Gastroenterology Fellowship, both at Columbia Presbyterian Medical Center in New York.

Affiliations and expertise

Director of Clinical Gastroenterology and Endoscopy, Mount Sinai Hospital, NY, USA

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