Cjb

[Dr Ashok Dalal @DrAshokGastro]

How to do a complete Sphinecterotomy
Books usually teach to keep 1/3 wire to keep inside to do sphincterotomy
But when you go near to the duodenal wall keeping the 1/3 wire inside can injure the extraduodenal wall of CBD and cause perforation. 1/2

[Elliot Tapper @ebtapper]

They looked at the peritoneum of patients undergoing liver transplantation, and those without cirrhosis. They find that decompensated cirrhosis has increasing inflammation and fibrosis

Without a doubt, this is true and explains why some people don’t clear ascites as efficiently

[Sherif Andrawes MD @shandrawes]

Great work @Harika_K_MD
demonstrating snare closure without electrocautery, initiating mechanical feeding-vessel hemostasis followed by controlled low force coag. This approach allows direct capture and regulation of the feeding artery seen in the image, leading to controlled coag significantly reducing the risk of sudden bleeding. This makes resection of large stalk lesions w large feeding artery a much safer and more controlled procedure 👏👏👏

[Keith Siau @drkeithsiau]

This BSG guidance document is like a textbook for upper GI endoscopy and is a must read for endoscopists and trainees 💡🆕

[UEGJ @UEGJournal]

🔥 Asymptomatic Walled‐off #PancreaticNecrosis (WOPN) often requires intervention within 1 year

🔸 ~60% needed intervention
🔸 Most events within 100 days
🔸 Infection & pain most common
🔸 Size predicts risk (>5.6 cm)

📖 #OpenAccess 👉 https://t.co/px745lUVzy

@my_ueg

[Zeinab Bakhshi MD @z_bakhshiii]

Up to 25–40% of IBS-D may actually be bile acid diarrhea (BAD).
🧪 Combining serum C4 + fecal bile acids improves screening accuracy → a practical, accessible approach to identify BAD early.
Don’t miss a treatable cause. #IBS #DDW2026 presented by #DrCamilleri,@DDWMeeting

[Dr Rupam Manna MD @DrRupamOncology]

Neuroendocrine Tumors (NETs) — one-page mastery 🧬

From Ki-67 grading → classification → targeted therapy, this is the framework you need for both exams & clinics.

🔑 Remember:
• Grade drives treatment
• SSA = first-line (low-grade)
• PRRT = game changer
• NEC → treat like SCLC

#MedicalOncology #NETs #Oncology #DrNB #DMOncology #OncoTwitter #MedEd #CancerEducation #PRRT #ExamPrep

[Zeinab Bakhshi MD @z_bakhshiii]

🔄 How it fits: 🍽️ Low FODMAP → ↓ gas production
💊 Prucalopride → ↑ transit / gas clearance
🧠 CBT → ↓ symptom perception & gut–brain amplification
🔑 Best outcomes = multimodal approach for bloating
Presented by @BMoshiree
#DDW2026 #GITwitter @AmerGastroAssn @DDWMeeting

[Ramon Bataller @rabataller]

Fascinating study with real clinical implications:

PPIs → altered microbiome → ↑ endogenous ethanol → MASLD

Time to rethink long-term PPI use in patients with MASLD?

[Jan Král @KralJan]

🩸 Your NEW hemostasis toolbox in GI bleeding, more options, better precision!

From 🔥 thermal (bipolar, APC) to 🧷 mechanical clips, ���� topical agents (TC-325, UI-EWD), 🔍 advanced diagnostics & suction tailor therapy to the 🩸

#GiTwitter #ddw2026 #Endoscopy @DDWMeeting

[Dan Patel, MD, FACG, AGAF @EsophagusDoc]

@umfoodoc with a brilliant talk on how to approach patients with IBS @DDWMeeting!

Timing of secretagogues and clinical decision support tool!

@ibdgijami @AmerGastroAssn @ASGEendoscopy #ddw2026 #PGcourse

[Dan Patel, MD, FACG, AGAF @EsophagusDoc]

@TrieuMD with a great talk on how to improve our diagnostic yield for biliary strictures @DDWMeeting!

Combined sampling modalities is superior!

@ibdgijami @AmerGastroAssn @ASGEendoscopy @JElmunzer #DDW2026 #PGcourse

[Dan Patel, MD, FACG, AGAF @EsophagusDoc]

Great talk by @DavidHudesmanMD on treatment of Crohn's disease in 2026 @DDWMeeting! Treat early and aim for deep remission!

@ibdgijami @AmerGastroAssn @ASGEendoscopy @JElmunzer #DDW2026 #PGcourse

[Dan Patel, MD, FACG, AGAF @EsophagusDoc]

Fecal incontinence is challenging to treat in practice, but Dr. Rao shows the importance of good DRE and how to approach this challenging symptom @AmerGastroAssn @ASGEendoscopy @DDWMeeting

@ibdgijami @JElmunzer #DDW2026 #PGcourse

[Dan Patel, MD, FACG, AGAF @EsophagusDoc]

How to manage acute pancreatitis in 2026? Great talk by @DeMadaria the lead author of the landmark Waterfall trial @DDWMeeting!

COX-2 inhibitors might be helpful.

@AmerGastroAssn @ASGEendoscopy @ibdgijami @JElmunzer #DDW2026 #PGcourse

[Dan Patel, MD, FACG, AGAF @EsophagusDoc]

Quality colonoscopy is crucial for prevention of colon cancer. @SultanShazi shows how to improve our ADR @DDWMeeting.

2nd look in R colon is just as good as retroflexion in R colon.

@AmerGastroAssn @ASGEendoscopy @ibdgijami @JElmunzer #PGCourse

[GIE @GIE_Journal]

At the Focal Point, Sun et al introduce "Endoscopic hemostasis via submucosal polidocanol injection: a new paradigm for hemorrhagic radiation proctopathy management (with video)." https://t.co/KosR6xtXVs

#GITwitter

[Ramon Bataller @rabataller]

First double-blind, placebo-controlled RCT in @TheLancet showing that SEMAGLUTIDE reduces ALCOHOL intake in people with BMI >25.

Potentially practice-changing.

https://t.co/8RgqyoA3sp

[Hanna Blaney, MD, MPH @BlaneyMD]

Lower GI bleeding with a focus on prevention of post polypectomy with @DrBloodandGuts

✅Clip large defects
✅Clip stalks on pedunculated polyps prior to snare
✅Hot biopsy forceps for rapid hemostasis during a procedure

[Klaus Mönkemüller, MD, PhD @KMonkemuller]

📰 The Practicing Endoscopist - 🔝 tips in Gastrointestinal Endoscopy

🔥 GAVE in Heyde Syndrome

🔥 Gurvits Syndrome

🔥 Emesis Gastropathy

🔥 Cecal Volvulus and 120 additional quick tip articles
⁦@theendoscopist⁩ ⁦@EndoCollabcom⁩

https://t.co/vg2cgC6wmD