As Executive Director of the H.H. Chao Comprehensive Digestive Disease Center, University of California, Irvine, Dr. Chang brings the wealth of hix experience and knowledge to the topic of interventional endoscopic ultrasound. His issue is divided into two sections, the first dealing with the best practices of interventional EUS. Articles in this section address FNA of solid pancreatic tumors, pancreatic cysts, diagnosis of SMT's, lung cancer staging, pancreatic drainage, and celiac neurolysis. The second section addresses emerging technologies for intervention EUS. These articles discuss pancreatic cyst ablation, vascular access and therapy, anti-tumor agents, fiducial markers and brachytherapy, image enhancement, tumor ablation, and anastomosis.

Dr. Gress has assembled top experts to discuss the latest advances of using endoscopic ultrasound for diagnostic and therapeutic purposes. The issue has review articles devoted to the following topics: EUS Elastography; Contrast-Enhanced EUS; New developments in EUS- FNA Tissue Acquisition; EUS FNA: Cytologic and histologic using new techniques for interpretation; New EUS Techniques for diagnosing pancreatic neoplasms; EUS for diagnosing and treating pancreatic cysts; The role of EUS in the diagnosis of Autoimmune Pancreatitis; Therapeutic EUS for cancer treatment; and EUS-guided techniques in biliary drainage, pancreatic drainage, necrosectomy, pelvic fluid collections, hemostasis techniques, and gastrojejunostomy. The issue ends with articles that look at training issues and the future of EUS. Readers should leave with the clinical information they need to embrace the latest advances of endoscopic ultrasonography.

In this issue of Gastrointestinal Endoscopy Clinics of North America, guest editor Dr. Todd H. Baron brings his considerable expertise to the topic of Interventional Pancreaticobiliary Endoscopy. Top experts in the field discuss many of the latest gastroenterologic interventions for pancreaticobiliary disorders, representing significant advances in non-surgical, non-percutaneous treatments. - Contains 12 relevant, practice-oriented topics including pancreatoscopy-guided endotherapies for pancreatic disease; endoscopic management of pain due to chronic pancreatitis; EUS-guided ablation of pancreatic cystic neoplasms; and more. - Provides in-depth clinical reviews on interventional pancreaticobiliary endoscopy, offering actionable insights for clinical practice. - Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

Dr. Kahaleh's expertise as the Chief of Advanced Endoscopy at Weill Cornell Medical Center has allowed him to gather top experts to write state-of-the art reviews devoted to therapeutic ERCP. Articles address therapeutic ERCP and instrumentation; advanced cannulation technique and precut; stone burden in the bile and pancreatic duct; the available platforms for choledochopancreatoscopy; ERCP and Biliary Imaging; ERCP for sampling and tissues acquisition; ERCP and Intraductal ablation therapies; ERCP for distal malignant stricture; management of benign biliary stricture; treatment of common bile duct injuries after surgery; EUS guided ERCP; prevention of post-ERCP pancreatitis, and legal Matters related to ERCP.

The Guest Editors have assembled key opinion leaders to provide state of the art articles on this important update on ERCP. A chapter on cannulation techniques and sphincterotomy will highlight recent literature on wire-guided cannulation, use of papillotomes, when and if to precut for entry and the use of smart circuitry for papillotomy. A chapter on surgically altered anatomy will highlight the increasing occurrence of biliary tract disease in patient’s s/p gastric bypass for obesity along with other surgery and the use of balloon enteroscopes, overtubes and intraoperative procedures A chapter on EUS assisted biliary and pancreatic access will highlight the growing experience with these combine techniques. There is growing literature on preventing post-ercp pancreatitis which is changing the standard of care and Joe Elmunzer is the best person to highlight this. Stu Sherman will review advances in the management of bile duct stones and when to intervene in gallstone pancreatitis. Peter Cotton just published a landmark study on SOD that will change the standard of care and will review the state of the science on this disease as it relates to both biliary tract and pancreatic disease. The management of benign biliary strictures and leaks is evolving with the introduction of covered metal stents and Jacques Deviere is at the forefront. Amrita Sethi will discuss diagnosis of biliary malignancy highlighting the use of FISH, molecular markers and enhanced imaging such as pCLE. Michele Kahaleh will review recent experience with biliary tumor ablation using RFA probes and PDT. Alan Barkun helps endoscopists determine when to use plastic stents, metal stents, and covered stents and when to drain one, two or three segments of liver in patients with malignant biliary obstruction. George Papachristo and Dhiraj Yadav will review most recent data on endoscopic therapy for acute recurrent and smoldering acute pancreatitis. Nagy Reddy will provide on update on endotherapy for painful chronic pancreatitis. Finally, Raj Shah will update on advances in pancreatoscopy and cholangioscopy including the use of ultra slim per-oral scopes and new digital mother/baby scopes.

In this issue of Gastrointestinal Endoscopy Clinics of North America, guest editor Dr. Mouen Khashab brings his considerable expertise to the topic of Advances in Biliary Endoscopy. Several novel diagnostic and therapeutic interventions can now be accomplished endoscopically both easily and safely in patients with liver disease, including cholangioscopy, endoscopic ultrasound, and endoscopic retrograde cholangiopancreatography. In this issue, top experts in the field have contributed state-of-the art reviews on these interventions, providing endoscopists and surgeons with the information they need to improve patient outcomes. - Contains 12 relevant, practice-oriented topics including basic and advanced biliary cannulation: how do I do it?; multidisciplinary approach to indeterminate biliary strictures; EUS-guided biliary interventions; endoscopic management of acute cholecystitis; future of cholangioscopy; and more. - Provides in-depth clinical reviews on biliary endoscopy, offering actionable insights for clinical practice. - Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

In this issue of Gastrointestinal Endoscopy Clinics of North America, guest editors Drs. Kenneth J. Chang and Jason B. Samarasena bring their considerable expertise to the topic of The Endoscopic Oncologist. The practice of gastrointestinal endoscopy intersects with oncology in many ways, much of it involving pre-cancerous conditions. But the endoscopist's role in diagnosing, staging, and treating cancer patients is expanding. This issue is devoted to the current and future role of the endoscopic oncologist, with topics such as endoscopic diagnosis of luminal gastrointestinal cancer and extra-luminal cancer; endoscopic resection for early cancer; and more. - Contains 12 relevant, practice-oriented topics including endoscopic ultrasound cancer staging; management of biliary obstruction; endoscopic management of colonic obstruction; endoscopic treatment of tumor bleeding; endoscopic ultrasound-guided pain management; and more. - Provides in-depth clinical reviews on the endoscopic oncologist, offering actionable insights for clinical practice. - Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

As the National Quality Advisor and Chair of the AGAI Clinical Practice and Quality Management Committee, Dr. Allen, along with Dr. Delegge, have created a very insightful list of topics to educate gastroenterologists about how to adapt to health care reform. The issue addresses the impact in both private practices and academic medical centers. Specific issues discussed include Gastroenterologists and Accountable Care Organizations; Health Information Technology and the Gastroenterologist; Transitioning from Fellowship to Practice 2012; Going Big in Private Practice; Clinical Service Line Management; The Impact of Health Reform on GI Reimbursement; The Impact of Health Care Reform on Innovation and New Technology; Industry and Gastroenterology: A New World; and Demonstrating Value: Registries and Beyond.

In this issue of Gastrointestinal Endoscopy Clinics of North America, guest editors Drs. D. Nageshwar Reddy and Rupjyoti Talukdar bring their considerable expertise to the topic of Updates in Pancreatic Endotherapy. Leaders in the field highlight the evolution of pancreatic endotherapy and its progression to current procedures, covering the techniques, utility, and evidence-based efficacy of these procedures in daily practice.In this issue of Gastrointestinal Endoscopy Clinics of North America, guest editors Drs. D. Nageshwar Reddy and Rupjyoti Talukdar bring their considerable expertise to the topic of Updates in Pancreatic Endotherapy. Leaders in the field highlight the evolution of pancreatic endotherapy and its progression to current procedures, covering the techniques, utility, and evidence-based efficacy of these procedures in daily practice.

Top expert Dr. Jacques Van Dam has compiled the most current clinical reviews on lumen-apposing stents, an important emerging field in interventional endoscopy that can substitute for more invasive surgeries. Authors have addressed the following topics in this issue: Fluid collections and pseudocysts as a complication of acute pancreatitis; Surgical management of pancreatic pseudocysts; Evolution of EUS-guided cyst gastrostomy; EUS-guided drainage of pancreatic fluid collections; EUS-guided biliary drainage as an alternative to ERCP; EUS-guided gallbladder drainage; Novel uses of LAMS; Lumen-apposing stents: Which one and why; Safety of LAMS; Endoscopic closure of fistuli; and How the experts do it: Step-by-step guide. Readers will come away with the knowledge they need to incorporate the use of LAMs in their clinical repertoire.