Never had #Vietnamese ☕️ until Manjul Tripathi gifted me a batch last week🙏😀 Don’t have a 🇻🇳#Phin, so tried brewing it different ways. But, the flavors were just too strong Realised what 🇻🇳☕️ needs…Condensed milk! Used a moka pot for the brew Viola! Fantastic Sunday 🌅☕️❗️

There! Fixed it…

Benign Biliary Stricture just below Cystic duct insertion FCSEMS➡️Risk of cholecystitis! Cystic cannulated, 7F plastic stent placed to maintain GB drainage. FCSEMS then deployed with minimal concerns If FCSEMS anticipated to cover cystic, do you stent the GB #GITwitter?

Young female presents with pain and fever 5 days after lap cholecystectomy Ultrasound shows a biloma- drained ERCP done in view of bile leak What is going on here? #GITwitter #ERCP #Surgery

Cirrhosis - Identifying irregular liver outline on ultrasound I believe all GI units should have at least one bedside ultrasound Trainees should try to learn #POCUS and use it as an extension of their clinical evaluation Views #LiverTwitter #GITwitter?

Fantastic demonstration by the master 🙌 Learning points : 1️⃣ Gentle, deliberate cuts 2️⃣ Course correction 3️⃣ Identification of biliary epithelium in the dissection plane #GITwitter #ERCP

Pigments for color images… 🔵 Lapis Lazuli is expensive, brought on caravans from central Asia! 🪙🪙dies are cast, pressed upon painstakingly sourced dried barks Oh wait… It is not the 1800s… Nobody is printing these anyway in 2024! Corporate Greed!! Thats my answer!😤

Hard, white-shelled CBD stone🪨 Split apart by laser 💥 lithotripsy- revealing a beautiful, lamellated core Took over an hour to pulverise, but very satisfying in the end In such cases, I feel laser>EHL. This could have taken 4-5 probes #ERCP #Lithotripsy #GITwitter

🚨Proud to share our recent 📜 published in the top official Endoscopy Journal ESGE ✅ 9 RCTs w/ 750 MBO subjects ⭐️ Endoluminal RFA may improve overall survival in MBO patients 🚫 Stat sig effect on stent patency ⬆️ Incidence of cholecystitis w/ RFA 👇🏼For more results