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.