As the Director of Gastrointestinal Third Space Endoscopy, Dr. Schlachterman has unique training and experience in endoscopic submucosal dissection (ESD), POEM, endoscopic retrograde cholangiopancreatography (ERCP), and endoscopic ultrasound (EUS), among other procedures.
He is one of the most experienced physicians in the tristate area performing ESD – offering definitive diagnoses and tumor removal through organ-sparing procedures. Unlike endoscopic mucosal resection (EMR), ESD can be used to remove tumors in their entirety to achieve definitive negative margins.
“ESD supports a multidisciplinary approach for early cancers throughout the GI tract, offering a minimally invasive option for esophageal, gastric, colon, and rectal lesions,” Dr. Schlachterman says.
After medical school, Dr. Schlachterman completed his internal medicine residency at Hahnemann Medical School/Drexel University and his gastrointestinal fellowship at the University of Florida. He also completed an additional one-year advanced fellowship at the University of Florida with Peter V. Draganov, MD, one of the internationally known authorities in ESD and third space endoscopy.
After Dr. Schlachterman joined Jefferson, the Division invested in his advanced training at the University of Colorado and the National Cancer Center in Tokyo, Japan, where he worked in high-volume centers with world-renowned experts. (ESD and POEM were first pioneered in Japan for the country’s high rates of gastric cancer and achalasia, respectively.) Through his training at these centers, Dr. Schlachterman acquired experience that gives him distinct advantages in treating his patients.
POEM offers patients with achalasia an alternative to Heller myotomy. Dr. Schlachterman also brought several other minimally invasive procedures to Jefferson: gastric POEM (G-POEM) to treat patients with gastroparesis, as well as Transoral Incisionless Fundoplication (TIF) and Antireflux Ablation Therapy (ARAT) to treat reflux disease. With these procedures, there are no external incisions. For POEM/G-POEM, there is only a small incision of approximately 1 cm within the mucosal wall. Patients can return home after a short observation.
At Jefferson, Dr. Schlachterman reached the 100th POEM milestone in less than two years, and he has been actively communicating and engaging with gastroenterologists, hepatologists, and surgeons within and outside Jefferson about the capabilities the Digestive Health Institute now offers.
“Advanced Endoscopy has made enormous progress in recent years, and we can help avoid surgery for many patients. Our outcome data show these advanced procedures are safe and patients are highly satisfied,” he explains.
He cites these as additional examples:
- Patients who require ERCP with a history of bariatric surgery can avoid surgery by having the EUS-Directed Transgastric ERCP (EDGE) procedure.
- Patients with walled-off necrosis (WON) following severe necrotizing pancreatitis can benefit from endoscopic necrosectomy using Lumen-apposing metal stents (LAMS). This procedure makes it possible to remove necrotic debris and fluid – avoiding the risks of open surgery and associated issues.
- Patients who experience gastric outlet obstruction and inability to eat from a pancreatic mass or small bowel obstruction can undergo another minimally invasive stenting procedure: Gastric-Jejunal LAMS bypass.
In addition to his clinical contributions, Dr. Schlachterman is involved in several research initiatives. These include a project with Philadelphia’s Chinese-American community to raise awareness about gastric cancer and tackle health disparities in this population. He continues to work closely with fellows, residents, and medical students to share his passion for clinical research and help “pass the torch” to the next generation of physician-scientists. Dr. Schlachterman recognizes the importance of continued education. He also values the opportunity to train the next generation of gastroenterologists and teaches fellows the most relevant GI procedures, with an emphasis on safety and expertise.
A native of the Philadelphia area, Dr. Schlachterman completed his undergraduate education at the University of Pennsylvania and spent years working in labs at Penn and the Children’s Hospital of Philadelphia. He still enjoys the process of tinkering to make a “better widget.” With a wife who is from Puerto Rico and children who were born there, Dr. Schlachterman is fluent in Spanish. He and his family enjoy hiking, biking, skateboarding, and traveling together.
To make an appointment, refer a patient, or learn more, visit Dr. Schlachterman’s clinical profile.