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
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
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 👏👏👏
🔥 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
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
🔄 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
Fascinating study with real clinical implications:
PPIs → altered microbiome → ↑ endogenous ethanol → MASLD
Time to rethink long-term PPI use in patients with MASLD?
🩸 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
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
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
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