1st 🇺🇸 case with new⚡️drill-like core needle biopsy by BiBBInstruments. Smooth gentle pass, 1 actuation, superb specimen. Our Initial experience with transmural use awaiting acceptance🤞🏼. IMO bound to be a game changer. ASGE GI Endoscopy ESGE UC Davis GI & Hepatology

Happening now at #TxIEG “Top Tips for TIFs” by Dr. Kal Patel:
🌟 Patient selection is the 🔑 Regurgitation > heartburn > atypical
🌟 TIF vs cTIF based on size of hiatal hernia.
🌟 Pick the right scope size
🌟 CO2 insufflation

🔴Here we will soon have one of the fabulous international Live Endoscopy conferences with great work by KFMC team Dr. Abed Allehibi/ د. عابد اللهيبي #DrAdelAlghamdi #DrNawafAlotaibi Saad Alrajhi-سعد محمد سعد الراجحي
#Live
د. ابراهيم الحافظ
Ibrahim Alzahrani
Raed Alsulaiman
Resheed Alkhiari رشيد الخياري
For Registration 👇👇
#Live Endoscopy

Pro Tips for Olympus PolyLoop

1️⃣ Close sheath/hook & advance collar at SAME TIME

2️⃣ Ensure there is metal exposed before deploying loop to avoid mis-deploying (eg, stuck around polyp 😬)

Ever use Olympus GI PolyLoop & get frustrated when it fails?

Need a better device!

Circumferential early gastric cancer of the cardia. This has been the most difficult ESD for me (pT1a). Which one has been your most challenging case?

#ESD #GItwitter #treatcancer

ASGE GI Endoscopy ESGE

#GItwitter any tricks to get this migrated PD stent out? 4cm x 5 single pigtail stent . There is a 5F 11mm extraction balloon alongside it to give an idea bout the trajectory of PD. Couldn’t pull it out with an extraction balloon. Forceps wouldn’t make the turn.

Erik Holzwanger, MD, ABOM-D Tufts Medical Center ASGE GI Endoscopy American Gastroenterological Association (AGA) Tyler Berzin MD, FASGE Douglas Pleskow Mandeep Sawhney Daniela Guerrero Vinsard MD Rashmi Advani, MD, ABOM-D Judy Trieu, MD, MPH Mohammad Bilal, MD Turki AlAmri |تُرْكي عبدالله الْعَمريَّ MD Shima Ghavimi Violeta Popov, MD PhD (she/her) Thanks for sharing this!!!

Missed out on the 🔥🔥 #ScopingSundays discussion this past weekend on “ #PancreaticFluidCollections ”

Check out the #ScopingSummary from the interactive discussion led by Neil Sharma, M.D. FASGE, FACG, AGAF, Cathy Wang, MD & Sanjeevani Tomar, MD!

Special thanks to Harsimran Kalsi for the summary!

Tyler Berzin MD, FASGE Niroshan Muwanwella Alexander Podboy, MD, DABOM Mohammad Bilal, MD Andy Tau, MD Steven Bollipo Sultan Mahmood MD Erik Holzwanger, MD, ABOM-D

Image from EndoscopyCampus

Rashmi Advani, MD, ABOM-D Neil Sharma, M.D. FASGE, FACG, AGAF Mohammad Bilal, MD Erik Holzwanger, MD, ABOM-D Jenn Phan MD Judy Trieu, MD, MPH Shifa Umar, MD Jonathan Buscaglia, MD Rabindra Watson Justin J. Forde MD, MS, ABOM-D Sultan Mahmood MD These are all about angle and patience!! Would try with a ‘time first and gently take off the left/right lock. We still have a JF scope which can help with more manoeuvring.

Sometimes get into Pd and then use this to manipulate ampulla to a good spot.

There’s no one way…

Erik Holzwanger, MD, ABOM-D Good reminder by Sri Komanduri that resection serves both diagnostic and therapeutic purposes. If patient is on a sub therapeutic acid suppressive regimen, will place them on BID dosing and schedule EGD a few weeks out, with the goal that any erosive disease will heal prior to exam

Erik Holzwanger, MD, ABOM-D The exception here is uncontrolled reflux and esophagitis. We see now doing a study to assess feasibility of single use TNE for EET referrals to 'get a look' prior to that first session of EET which could be an alternative solution

Erik Holzwanger, MD, ABOM-D I would keep in mind EMR is diagnostic as well. Having the patient do another Egd for biopsies is usually redundant and makes an already long process more frustrating. When you do the scope it only makes sense to resect visible lesions and biopsy or brush residual flat disease

Excellent discussion Erik Holzwanger, MD, ABOM-D

Erik Holzwanger, MD, ABOM-D Tufts Medical Center ASGE GI Endoscopy ACG American Gastroenterological Association (AGA) Tyler Berzin MD, FASGE Douglas Pleskow Mandeep Sawhney Daniela Guerrero Vinsard MD Rashmi Advani, MD, ABOM-D Judy Trieu, MD, MPH Mohammad Bilal, MD Shima Ghavimi Violeta Popov, MD PhD (she/her) One of the beautiful things in our practice is very rewarding wards....keep up the excellent work👏

Erik Holzwanger, MD, ABOM-D Salih Samo MD, MSci, FACP||Esophagologist Rashmi Advani, MD, ABOM-D Judy Trieu, MD, MPH Mohammad Bilal, MD Prasad G. Iyer, MD Tyler Berzin MD, FASGE Douglas Pleskow Mandeep Sawhney Moamen Gabr Sherif Andrawes MD Neil Sharma, M.D. FASGE, FACG, AGAF Carl Kay, MD Antonio Mendoza Ladd MD, AGAF, FACG, FASGE GI Guy (Karl Kwok, MD, FASGE) Dalbir Sandhu, MD, FACG, FASGE Justin J. Forde MD, MS, ABOM-D Sultan Mahmood MD Samir C. Grover, MD A. Samad Soudagar Sri Komanduri EC Aware Steven Bollipo Keith Siau Swathi Eluri MD MSCR Yuval Patel Bara Kurdi, MD TissueCypher WATS³ᴰ Mohamed Othman Dennis Yang, MD, FACG,AGAF,FASGE Resect that puppy

Erik Holzwanger, MD, ABOM-D Tufts Medical Center ASGE GI Endoscopy ACG American Gastroenterological Association (AGA) Tyler Berzin MD, FASGE Douglas Pleskow Mandeep Sawhney Daniela Guerrero Vinsard MD Rashmi Advani, MD, ABOM-D Judy Trieu, MD, MPH Mohammad Bilal, MD Turki AlAmri |تُرْكي عبدالله الْعَمريَّ MD Violeta Popov, MD PhD (she/her) ❤️❤️❤️💙💙💙
This is so awesome. Thank you for all you doing for the patients and community.
#CompassionateCompetentCare

It's the little things 😊

I never take for granted the honor and privilege I have to be a part of all my patients' lives. There is more to medicine than just diagnosing and performing procedures.
#GITwitter #MedEd Tufts Medical Center
ASGE GI Endoscopy ACG American Gastroenterological Association (AGA)

Erik Holzwanger, MD, ABOM-D I biopsy before doing the RFA on the same session.