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A thread 🧵 👇

Cholangioscopy can be challenging to perform during #ERCP in pts w prior #Whipple surgery

✅ The use of 1T scope allows for that !

In this 👇 case, can 👀 for intra-ductal extension of adenoma at the HJ anastomosis !

Great work Michelle Baliss, DO Nick McDonald Mohamed Abdallah, MD !

Missed out on the🔥🔥🔥 #ScopingSundays discussion this past weekend on “Basic & Advanced #ESD ”?

Check out the #ScopingSummary from the interactive discussion led by Moamen Gabr, Iman Boston, M.D., M.B.A. & Erik Holzwanger, MD!

Special thanks to Rupinder Mann for the summary!

Minimally invasive #endoscopic & pharmacologic approaches to #obesity ow.ly/eRl050KTsKa

#EUS is powerful! but there are key elements before you start🤓

Can’t wait #AcademicHalfDay Oct 5 University of Toronto together with Sunil Amin, MD & Sergio A. Sánchez-Luna, MD, ABOM-D (He/Him)

Thank you Samir C. Grover MD for having us!
Let’s roll!🔥✊🏽

AGA update on Barrett’s oesophagus #GITwitter #MedEd 🆓

1️⃣ Prague classification for Barrett’s 📏
2️⃣ Tips for endoscopic examination 🔦
3️⃣ State of the art care pathway 💡

(Via CGH American Gastroenterological Association (AGA))
cghjournal.org/action/showPdf…

Question (not a trick, but maybe a 🧠 teaser) for my #ERCP & #surgery friends on Twitter:
What would you call this structure? As a followup, might you call it something different if the patient did vs. did not have leak post-CCY?
Cheers 🤓

Measuring, monitoring, and enhancing endoscopists’ performance are critical for conducting high quality #colonoscopic exams and ultimately improving #colorectalcancer outcomes. ow.ly/Lfpo50KW8CE Vinay Chandrasekhara, MD Erik Holzwanger, MD Jad AbiMansour, MD

🔴Nice case;EGD for Abd.pain➡️ Abnl.looking raised mucosa with erosions in G.Body.Deep Bx was non-specific.EUS-R👇🏼
✅Hyperechoic lesion arising from submucosa
✅EUS G.L.:white(M.)➡️Black(M.P.)➡️White(S.M.)➡️Black(Ms.P.)➡️White(Sr.)
✅Remember Muscle is Black
#Teaching
#KFHU
#EUS

Dr John Leeds Sunil Amin, MD Erik Holzwanger, MD #ScopingSundays Iman Boston, M.D., M.B.A. Moamen Gabr Mohammad Bilal, MD Ahmad N. Bazarbashi Roberto Simons-Linares, MD 🇺🇦 Sergio A. Sánchez-Luna, MD, ABOM-D (He/Him) Ramzi Mulki, MD Lizzie Aby, MD Rashmi Advani, MD, ABOM-D Nneka N. Ufere, MD MSCE Jacqueline N. Chu, MD Malorie Simons Amit Bhatt MD Dennis Yang, MD, FACG,AGAF,FASGE Tyler Berzin MD, FASGE Nadeem Tehami Steven Bollipo Keith Siau Katarzyna Monika Pawlak Mariajose Rojas Robert Bechara Abhishek Agnihotri, MD Barham Abu Dayyeh MD MPH FASGE FAGA Prasad G. Iyer, MD Eric J. Vargas M.D. M.S. ABOM Violeta Popov, MD PhD (she/her) Ravi Shah Shima Ghavimi Judy Trieu, MD, MPH Yes 🙌

While the traction helps with resection- fear of delayed perforations due to cautery and thin walls

Novel #robotic platform demonstrated a potential to improve #surgicalergonomics and outcomes. #endoscopy #endoluminal #polypectomy ow.ly/jiJS50KW7Xk Vinay Chandrasekhara, MD Erik Holzwanger, MD Jad AbiMansour, MD

Sometimes on EUS we catch lesions by the spleen:

This one is described as
➡️well circumscribed
➡️Isoechoic to hypoehcoic
➡️usually single lesion

Consider: Accessory spleen

#Meded #GITwitter #endoscopy

ESD is here to stay and its future is bright. For those interested who are interested or contemplating, these two courses are an absolute must! youtu.be/BA1L14SjaVo

Erik Holzwanger, MD #ScopingSundays Iman Boston, M.D., M.B.A. Moamen Gabr Mohammad Bilal, MD Ahmad N. Bazarbashi Roberto Simons-Linares, MD 🇺🇦 Sergio A. Sánchez-Luna, MD, ABOM-D (He/Him) Ramzi Mulki, MD Lizzie Aby, MD Rashmi Advani, MD, ABOM-D Nneka N. Ufere, MD MSCE Jacqueline N. Chu, MD Malorie Simons Amit Bhatt MD Neil Sharma Dennis Yang, MD, FACG,AGAF,FASGE Tyler Berzin MD, FASGE Nadeem Tehami Dr John Leeds Steven Bollipo Keith Siau Katarzyna Monika Pawlak Mariajose Rojas Robert Bechara Abhishek Agnihotri, MD Barham Abu Dayyeh MD MPH FASGE FAGA Prasad G. Iyer, MD Eric J. Vargas M.D. M.S. ABOM Violeta Popov, MD PhD (she/her) Ravi Shah Shima Ghavimi Judy Trieu, MD, MPH A little late to the party but in addition to all those wonderful devices you mention Erik Holzwanger, MD can’t forget simple rubber band traction! Quick, easy and most importantly cheap!

Great educational lecture form the #scopingsundays #MedEd initiative on ESD!

Relevant to below:
>270 degree resection with utilization of that device
See another post of mine for example of “traction in action” with the device.

#Endoscopy
#GITwitter
#Wireisback

Submit by Oct 15! #CfP on #Barrettsesophagus & #CRC ow.ly/bjMe50KTnei

Discussing how to re-use a displaced LAMS today with Sultan Mahmood MD, with helpful description by Tarun Rustagi. #Recycle

Hey #GITwitter !

We just started #ClinicalImage in UEGJ 📝
Please share your outstanding images to empower clinical education 💪🏽

Enrique de-Madaria Klaus Mönkemüller, MD, PhD Samir C. Grover MD Sergio A. Sánchez-Luna, MD, ABOM-D (He/Him) Mohammad Bilal, MD Sunil Amin, MD Dalbir Sandhu, MD, FACG, FASGE Jan Král Keith Siau Rashid Lui 雷諾信 Steven Bollipo