Serhii Polishchuk, MD πŸ‡ΊπŸ‡¦(@Serhii_endo108) 's Twitter Profileg
Serhii Polishchuk, MD πŸ‡ΊπŸ‡¦

@Serhii_endo108

gastrointestinal endoscopist, "GASTROCENTER" Olymed, Kyiv, Ukraine

ID:1384379287021760512

linkhttp://www.olymed.ua calendar_today20-04-2021 05:32:59

194 Tweets

2,1K Followers

352 Following

Serhii Polishchuk, MD πŸ‡ΊπŸ‡¦(@Serhii_endo108) 's Twitter Profile Photo

Screening colonoscopy (M, 60y.o.)
Location - sigmoid colon
Size ~22mm
Morphology: Paris 0-IIa+Is type (LST-G)
Pit pattern – IIIL
NBI – JNET2A
Optical diagnosis: tubular adenoma with LGD
Treatment – endoscopic mucosal resection (EMR)
Pathology report – tubular adenoma LGD (ICD-O

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Serhii Polishchuk, MD πŸ‡ΊπŸ‡¦(@Serhii_endo108) 's Twitter Profile Photo

The light blue crest (LBC), a blue-whitish patchy area observable with NBI-magnification endoscopy on the gastric epithelial surface, may have a distinctive endoscopic diagnostic appearance of intestinal metaplasia.

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Serhii Polishchuk, MD πŸ‡ΊπŸ‡¦(@Serhii_endo108) 's Twitter Profile Photo

Screening colonoscopy (M, 68y.o.)
Location - cecum
Size ~ 18mm
Morphology: Paris 0-IIa type (LST-G)
Pit pattern – IIIL
NBI – JNET2A
Optical diagnosis: tubular adenoma with LGD
Treatment – endoscopic mucosal resection (EMR)
Pathology report – tubular adenoma LGD (ICD-O code:

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Serhii Polishchuk, MD πŸ‡ΊπŸ‡¦(@Serhii_endo108) 's Twitter Profile Photo

Colonoscopy (M, 38y.o.) - bowel habit change (constipation). No family history of CRC.
Location: cecum
Size: ~ 7mm
Morphology (Paris classification): 0-Π†Ia
Pit pattern: II+IIO (Kudo classification: asteroid pits and open pits)
JNET classification: JNET1
Optical diagnosis:

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Serhii Polishchuk, MD πŸ‡ΊπŸ‡¦(@Serhii_endo108) 's Twitter Profile Photo

Screening colonoscopy (M, 46y.o.) with family history of CRC.
Location - ascending colon
Size ~ 13mm
Morphology: 0-Π†Ia (LST-NG)
Pit pattern – IIIL
NBI - JNET2A
Optical diagnosis: tubular adenoma with LGD
Treatment - endoscopic mucosal resection (EMR)
Pathology report - tubular

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Serhii Polishchuk, MD πŸ‡ΊπŸ‡¦(@Serhii_endo108) 's Twitter Profile Photo

Screening colonoscopy (F, 63y.o.)
Location - descending colon
Size ~ 5mm
Morphology: 0-Π†Ia
Pit pattern – IIIL+IIIs
NBI - JNET2A
Optical diagnosis: tubular adenoma with LGD
Treatment - cold snare polypectomy (CSP)
Pathology report - tubular adenoma LGD (ICD-O code: 8211/0). No

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Serhii Polishchuk, MD πŸ‡ΊπŸ‡¦(@Serhii_endo108) 's Twitter Profile Photo

Screening colonoscopy (M, 57y.o.)
Location - - ascending colon
Size ~ 5mm
Morphology: 0-Π†Ia
Pit pattern – IIIL
NBI - JNET2A
Optical diagnosis: tubular adenoma with LGD
Treatment - cold snare polypectomy (CSP)
Pathology report - tubular adenoma LGD (ICD-O code: 8211/0). No signs

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Serhii Polishchuk, MD πŸ‡ΊπŸ‡¦(@Serhii_endo108) 's Twitter Profile Photo

Screening colonoscopy (M, 57y.o.)
Location - ascending colon
Size ~ 18mm
Morphology: Paris 0-IIa type (flat elevation of mucosa), LST-G
Pit pattern – IIIL
NBI – JNET2A
Optical diagnosis: tubular adenoma with LGD
Treatment – endoscopic mucosal resection (EMR)
Pathology report –

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Serhii Polishchuk, MD πŸ‡ΊπŸ‡¦(@Serhii_endo108) 's Twitter Profile Photo

Screening colonoscopy (M, 50y.o.)
Location - sigmoid colon
Size ~ 2mm
Morphology: 0-Π†Ia
Pit pattern – IIIL
NBI - JNET2A
Optical diagnosis: tubular adenoma with LGD
Treatment - cold snare polypectomy (CSP)
Pathology report - tubular adenoma LGD (ICD-O code: 8211/0). No signs of

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Serhii Polishchuk, MD πŸ‡ΊπŸ‡¦(@Serhii_endo108) 's Twitter Profile Photo

Screening colonoscopy (M, 56y.o.)
Location: transverse colon
Size: ~ 8mm
Morphology (Paris classification): 0-Π†Ia
Pit pattern: II+IIO (Kudo classification: asteroid pits and open pits)
JNET classification: JNET1 (vessel pattern – invisible; surface pattern – dark spots inside

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Serhii Polishchuk, MD πŸ‡ΊπŸ‡¦(@Serhii_endo108) 's Twitter Profile Photo

Is it possible to determine the type of gastritis endoscopically?
Yes, it is possible. If endoscopist have knowledge of the detailed structure of different parts of the stomach and using a modern endoscope is quite easy.
Upper endoscopy (F, 30y.o.) with NBI+TXI+zoom focus
The

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Serhii Polishchuk, MD πŸ‡ΊπŸ‡¦(@Serhii_endo108) 's Twitter Profile Photo

Colonoscopy (F, 65y.o.)
Location - sigmoid colon
Size ~ 5mm
Morphology: 0-Π†Ia
Pit pattern – IIIL
NBI - JNET2A
Optical diagnosis: tubular adenoma with LGD
Treatment - cold snare polypectomy (CSP)
Pathology report - tubular adenoma LGD (ICD-O code: 8211/0). No signs of cytological

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Serhii Polishchuk, MD πŸ‡ΊπŸ‡¦(@Serhii_endo108) 's Twitter Profile Photo

Screening colonoscopy (F, 65y.o.) with positive FIT test
Location - ascending colon
Size ~ 7mm
Morphology: Paris 0-IIa type (flat elevation of mucosa)
Pit pattern – IIIL+IIIs
NBI – JNET2A
Optical diagnosis: tubular adenoma with LGD
Treatment – cold snare polypectomy (CSP)

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Serhii Polishchuk, MD πŸ‡ΊπŸ‡¦(@Serhii_endo108) 's Twitter Profile Photo

Screening colonoscopy (F, 68y.o.) with positive FIT
Location - rectum
Size ~ 25mm
Morphology: Paris 0-Is type, (LST-G)
Pit pattern – IIIL+Vi
NBI – JNET2B
Optical diagnosis: tubular adenoma with HGD
Treatment – endoscopic submucosal dissection (ESD);
Pathology report – tubular

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Serhii Polishchuk, MD πŸ‡ΊπŸ‡¦(@Serhii_endo108) 's Twitter Profile Photo

Screening colonoscopy (M, 52y.o.)
Location - ascending colon
Size ~ 2mm
Morphology: Paris 0-IIa type (flat elevation of mucosa)
Pit pattern – IIIL
NBI – JNET2A
Optical diagnosis: tubular adenoma with LGD
Treatment – cold forceps polypectomy (CFP)
Pathology report – tubular

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Serhii Polishchuk, MD πŸ‡ΊπŸ‡¦(@Serhii_endo108) 's Twitter Profile Photo

Screening colonoscopy (M, 51y.o.)
Location - rectum
Size ~ 20mm
Morphology: Paris 0-Is type, (LST-G)
Pit pattern – IIIL+IV
NBI – JNET2A
Optical diagnosis: tubulovillous adenoma with LGD
Treatment – endoscopic mucosal resection (EMR); Red Dichromatic Imaging (RDI) was very useful

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