Alan Marrinan

Advanced endoscopy fellow in UCLH. All things ERCP, EUS, endoscopy etc. Up the Banner

[Alan Marrinan @AlanMarrinan]

@Jamiehuwroberts Fair play, best of luck!

[Alan Marrinan @AlanMarrinan]

@aribindi @DouglasAdlerMD @JAMASurgery @Dr_Chris_Brown A perc GB drain in some centres in Europe is now seen as a "never event", as discussed above. A pragmatic approach could be: perc drain to treat septic/out of hours/limited Endo access then internalize with EUS GB/ERCP trans-cystic stent. Don't leave perc in/ avoid where possible

[Alan Marrinan @AlanMarrinan]

@DouglasAdlerMD @asge @gie PEP rates vs NK?

[Alan Marrinan @AlanMarrinan]

@NEndoscopy @svuh Yep, 6x8. HOP mass (palliative), failed ERCP (needle knife etc) so came back for axios.

[Alan Marrinan @AlanMarrinan]

Advancing my advanced endoscopy skill set today! My first EUS guided GB drainage. AXIOS stent successfully deployed, bile flowing, patient did v well. Very grateful to my mentors and trainers in @svuh

[Alan Marrinan @AlanMarrinan]

@IrlAmbCanada Happy Easter! Looking for some help/advice here in Toronto regarding a medical emergency, any assistance would be greatly appreciated! Thanks a million

[Alan Marrinan @AlanMarrinan]

Successful ampullectomy (post PD cannulation below) and then my first needle knife sphincterotomy. Happy days @svuh #endoscopy

[Alan Marrinan @AlanMarrinan]

Delighted to be the first team in Ireland (@svuh with Dr Fegal Donnellan) to use the Habib EndoHPB Bipolar Radiofrequency Catheter for a patient with inoperable hilar cholangioCa. Blocked stent accessed via struts (after wire guided cannulation> balloon dilatation).@bostonsci

[Alan Marrinan @AlanMarrinan]

Professor Crosbie from @CUH_Cork presenting at @IrelandLiver study day in @RCSI_Irl. Fantastic day, great speakers, thought provoking talks on liver services and care of patients with liver disease in Ireland.

[Alan Marrinan @AlanMarrinan]

@misunderheron hi there! Can I chat to ye about catering for an event when ye are free? Thanks!

[Alan Marrinan @AlanMarrinan]

@drohanlon https://t.co/Z6q7bkxWFB

And don't forget its detrimental effect on the upper GI tract in particular, with higher rates of GIB for those on aspirin! If its not clearly indicated, stop it or you'll give ME and ulcer

[Alan Marrinan @AlanMarrinan]

@ebtapper @SuchitaSata Pre-hab and nutrition. The number of patients I have seen on consults who haven't been out of bed in days or haven't eaten a proper meal in as long is not insignificant

[Alan Marrinan @AlanMarrinan]

@DrDShaikh @bsc_endoscopy @TGHCares @PushpakTaunk All that plastic, packaging, waste...how is this more sustainable than the standard duodenoscope..? 🤔

[Alan Marrinan @AlanMarrinan]

@NoLayingUp He came across as a really nice guy on a low ebb. Really hope he goes on to win it, big fan of Brooks!

[Alan Marrinan @AlanMarrinan]

@LiverBeaumont Great paper, fair play JR!

[Alan Marrinan @AlanMarrinan]

@DrASharkey Some speed Sharkey!

[Alan Marrinan @AlanMarrinan]

@JanelleOS @HSELive How can these people justify their own salaries? What do they do? They seem to be excellent and doing absolutely nothing and deferring blame to someone else for the nothingness

[Alan Marrinan @AlanMarrinan]

@hilarycoyle @IMO_IRL How could anything go wrong with such a simple algorithm

[Alan Marrinan @AlanMarrinan]

@corryjoe6 Did she cook ye the dinner at least?

[Alan Marrinan @AlanMarrinan]

@CoolmeenGAA Good luck Adam! Hope all goes well