Episode 45: Bringing ERCP and EUS to the ASC: Dr. Isaac Raijman on the Future of Interventional Endoscopy

Can complex interventional endoscopy thrive in an Ambulatory Surgical Center (ASC)? In this episode of The Interventional Endoscopist, host Dr. Mankanwal Sachdev sits down with pioneer Dr. Isaac Raijman (Associate Professor at Baylor College of Medicine) to explore the evolving landscape of outpatient therapeutic GI. Dr. Raijman shares his journey from fiber-optic endoscopes to modern digital cholangioscopy, breaking down the financial, clinical, and operational realities of transitioning EUS, ERCP, and endobariatrics out of the hospital setting. In this episode, we discuss: The Business & Economics: Navigating Medicare facility fees, disposable costs, and margins for EUS and ERCP in the ASC. Patient Selection & Safety Guardrails: Strict ASA criteria, BMI limits, equipment requirements, and complications management outside the hospital. Cholangioscopy & Stone Management: Practical takeaways from Dr. Raijman's DDW study on single-operator cholangioscopy and EHL in outpatient settings. The Future of Outpatient Intervention: What the shift toward outpatient care means for current fellows, interventional job markets, and the next frontier of interventional EUS. Whether you are a fellow preparing for practice or an attending looking to expand your ASC's therapeutic offerings, this conversation offers an essential blueprint for modern interventional GI.