Guide to Complex Interventional Endoscopic Procedures

1. Front Matter

   Pages i-xii

   PDF

2. Endoscopic Resections

   • Cristina Demone, Kelly Esponda, Stephanie Shea

   Pages 1-33

3. Peroral Endoscopic Myotomy (POEM)

   • Cristina Demone, Kelly Esponda, Stephanie Shea

   Pages 35-48

4. Transoral Incisionless Fundoplication (TIF)

   • Cristina Demone, Kelly Esponda, Stephanie Shea

   Pages 49-58

5. Endoscopic Retrograde Cholangiopancreatography

   • Cristina Demone, Kelly Esponda, Stephanie Shea

   Pages 59-82

6. Endoscopic Ultrasound Procedures

   • Cristina Demone, Kelly Esponda, Stephanie Shea

   Pages 83-105

7. Pancreatic Fluid Collection Procedures

   • Cristina Demone

   Pages 107-114

8. Endo-Bariatric Procedures

   • Cristina Demone, Kelly Esponda, Stephanie Shea

   Pages 115-130

9. Case Studies

   • Cristina Demone, Kelly Esponda, Stephanie Shea, Michel Kahaleh, Amy Tyberg, Avik Sarkar et al.

   Pages 131-138

This guide walks you through the set-up, supplies, nursing considerations, troubleshooting, and steps to successfully assist during cutting edge interventional Gastroenterological procedures that are being performed to offer patients a safer and more cost effective treatment option.  

This key resource contributes, as the first of its kind, by helping endoscopic surgical centers to prepare for and train staff in order to offer these new and on the rise procedures to their patients. It goes into detail on each procedure and why a patient would benefit from it. Pictures will be included to demonstrate what the procedure will look like. A detailed step-by-step manual including photos will be put together on each case describing the set-up, pre, intra, and post-procedure care and responsibilities.

This step-by-step guide includes a full range of highly advanced procedures that are on the forefront of medicine. It will help Endoscopy nurses and technicians, as well as radiology technicians and endoscopists, who are being trained to perform or assist in these new and complex procedures. 

• Advanced Endoscopy
• Endoscopic Myotomy
• TIF
• Interventional Endoscopy
• Endoscopic Resection
• Endoscopic Ultrasound
• POEM
• Endo-Bariatric
• Anti-Reflux Endoscopy

• Robert Wood Johnson University Hospital, New Brunswick, USA

  Kelly Esponda, Stephanie Shea, Cristina Demone

Kelly Esponda is a Certified Senior Endoscopy Technician with over 15 years of OR and Endoscopy experience. A graduate of NYU Associates Surgical Technologist program, she worked in the operating room at Memorial Sloan Ketterings SDH center until she saw the light of the Endoscope. Truly fascinated by an ever-growing specialty she was fortunate enough to find herself working along side Dr. Michel Kahahel at Weill Cornell NY Presbyterian Hospital’s Endoscopy Suite where she quickly became part of his team and essentially his “right” hand. She has worked with Dr. Kahahel for the past 10 years, following him to Robert Wood Johnson University Hospital in New Brunswick, NJ. Kelly was a professor in third space and POEM courses held in Posadas, Argentina, where she taught and trained endoscopy staff. She was named Director of the Nurses and Technician course held in Reynosa Mexico leading to her getting invited to La Paz, Bolivia where she helped to build their endoscopic myotemy program. In addition, she trained the staff on Pancreatic and Biliary Ablation in Seoul, Korea. Kelly works tirelessly to train and orient new staff all over the world on these cutting edge procedures. 


Stephanie Shea is a Registered Nurse with over 18 years of experience.Stephanie is the Director of Operations over the bustling state-of-the-art Endoscopy suite at Robert Wood Johnson University Hospital. In her current position she is responsible for leading multiple health care disciplines including nurses, physicians, APNs, PAs, Radiology Technicians and nursing assistants. She works with other hospital leadership to develop strategic plans to operate and grow the Endoscopy suite and it’s services. She collaborates with physicians on a daily basis to provide support and resources to care for populations and at a higher level to foster the units’ growth and development by bringing in new medical devices and using evidence based practice to further create a climate of change to successfully implement change in a rapidly growing unit.


Cristina Demone is a Registered nurse with a Bachelor of Science from Rutgers University and a Bachelors of Science in Nursing from Seton Hall University. After 15 years of nursing experience an opportunity presented itself to work in the Endoscopy Department. Today, Cristina is currently the Coordinator in the state-of-the-art Endoscopy Suite. She works with newly hired staff on training to assist in these highly complex procedures. With her knowledge and passion for this field, she can provide valuable insights with a fresh and relatable voice. 

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