Daniel Flores

Instagram: danf94 “Your focus determines your reality“ MD. ⚕

[Daniel Flores @Dan_F94]

Si alguna vez no me encuentran, estoy ahí

[EndoCollab™ | GI Endoscopy Community @EndoCollabcom]

Management of Colonic Pseudoobstruction (Ogilvie's)

Ref: ASGE Guidelines 2020

[Keith Siau @drkeithsiau]

A reminder about using the Charlson comorbidity index for elderly / frail patients before polypectomy at #UEGWeek

Patients with a score of >5 have low 10 year survival and are unlikely to benefit from routine polypectomy.

[Keith Siau @drkeithsiau]

Gastric intestinal metaplasia (GIM) - pearls from #UEGWeek 💡

1. Differentiate autoimmune vs H pylori and biopsy using Sydney protocol
2. Risk stratify based on MAPS3 guidelines
3. Use OLGIM staging for extent
4. For autoimmune gastritis, consider immunology, biochemistry and 3 yearly surveillance

[Sociedad Española de Patología Digestiva (SEPD) @sepdigestiva]

🔬 Cuando las apariencias engañan: una pequeña erosión gástrica puede esconder un diagnóstico mucho más relevante.

En este caso, lo que endoscópicamente se presentaba como una erosión gástrica puntiforme y solitaria terminó correspondiendo a un carcinoma gástrico de células en anillo de sello.

Este tipo de casos recuerda la importancia de valorar cuidadosamente incluso las lesiones aparentemente mínimas y apoyarse en el estudio histológico cuando esté indicado. 🔎

📌 Guarda la publicación y compártela con otros profesionales interesados en patología digestiva.
#CáncerGástrico #Endoscopia #Gastroenterología #AnatomíaPatológica #AparatoDigestivo #CasoClínico #SEPD

[EndoCollab™ | GI Endoscopy Community @EndoCollabcom]

Steak house syndrome: a food bolus stuck in the esophagus.

How would you treat it?

A) Push it gently into the stomach

B) Retrieve it with a net or cap

C) Wait and give glucagon

D) Something else

Reply with a letter.

[Antibiotic Steward Bassam Ghanem 🅱️C🆔🅿️🌟 @ABsteward]

🆕🔥🟢Just published by @ebtapper et Al
ACG Clinical Guideline: Preventive Care for Patients With Cirrhosis #idxposts
https://t.co/qajnqq8BCy

[Sayed S Rahman @SayedSRahman1]

Thrombosis and anticoagulation in patients with Cirrhosis.
An overview

https://t.co/lHlVM2jnWX

[EndoCollab™ | GI Endoscopy Community @EndoCollabcom]

Colon polyp characterization starts before the snare.

Four visual checks: Paris morphology, Kudo pit pattern, Sano vessels, NICE NBI pattern.

Which finding slows you down first: depression, irregular pits, or distorted vessels?

Save this for your next colonoscopy.

[Leonardo Santos @Leo_Santo5]

💥🏥 Hepatología Crítica en la UCI

🫀Falla Hepática Aguda
🩸Soporte Hemodinámico
🫘Lesión Renal y TRR
🧠Encefalopatía Hepática
💚Trasplante y Criterios

🔰📚World Journal of Critical Care Medicine 2026

Artículo Completo👇🏻✅🆓
https://t.co/aR5SFK2xfj Influenza.pdf

[ASGE GI Endoscopy @ASGEendoscopy]

Just released: New consensus recommendations by the U.S. Multi-Society Task Force (MSTF) on Colorectal Cancer (CRC) address serrated polyposis syndrome (SPS) - the most common gastrointestinal polyp syndrome yet is widely underrecognized. Read details in GIE: https://t.co/kNzh68Q1GN
#giendoscopy #gitwitter #endoscopy #gastroenterology

[Sociedad Española de Patología Digestiva (SEPD) @sepdigestiva]

✅ Evaluación del riesgo perioperatorio en pacientes con cirrosis

Fuente: https://t.co/K9I9WaNyN2

#LiverX

[Gut Journal @Gut_BMJ]

Autoimmune gastritis has traditionally been viewed mainly as a risk factor for gastric neuroendocrine tumours and non-cardia gastric adenocarcinoma. But could its cancer risk extend further?

Read the #RecentAdvancesInClinicalPractice #GUTRecentAdvancesInClinicalPractice by Lenti et al. entitled “Autoimmune gastritis: a hidden gateway to cardia and oesophageal cancers beyond non-cardia gastric adenocarcinoma” via https://t.co/Ve38KXIdju

This review brings together emerging epidemiological and clinical evidence suggesting that autoimmune gastritis and pernicious anaemia may also be associated with malignancies involving the gastric cardia, gastro-oesophageal junction and oesophagus.

The authors explore possible mechanisms including corpus-predominant atrophy, intestinal metaplasia and vitamin B12 deficiency, while highlighting important gaps in our current understanding.

The review challenges us to think beyond the traditional boundaries of autoimmune gastritis and raises important questions about future risk stratification and surveillance.

#AutoimmuneGastritis

[ESGE @ESGE_news]

🔥 New study published today in the @NEJM, focused on colonoscopy surveillance intervals. Essential reading for all GI endoscopists!
🔗 https://t.co/N6tO1PW0Ch
We wish all involved our congratulations.
Back at #ESGEDays2026 we spoke to three of the project leaders ⬇️

[Nadeem Tehami @helpatologist]

Bilirubin not improving post technically successful ERCP⁉️ read our shared experience 👇

@EyadGadour @tberzin @NEndoscopy @SyedGerdezi @UmairKamran11 @Notts_DrSaqib @shanilkadir @eusdoctor @Marktheliverdoc @ShyamVedantam

[EndoCollab™ | GI Endoscopy Community @EndoCollabcom]

✅ A quick review on endoscopic band ligation for gastric antral vascular ectasias (GAVE)

[Nirav Thosani @iGUT_Houston]

New @ASGEendoscopy guideline on endoscopic management of benign and malignant colonic strictures now in GIE — first comprehensive GRADE-based update since 2010.
Key recs: • Stenting as bridge-to-surgery over emergency surgery for resectable CRC obstruction • Palliative stenting for unresectable disease (shared decision-making if bevacizumab) • Balloon dilation first-line for benign strictures; LAMS for short refractory anastomotic strictures
Paper: https://t.co/SivaoRKJFA
Medscape summary: https://t.co/AhtaZCWSKP
#GITwitter #Endoscopy #ASGE #ColonicStrictures

[Achintya Singh, MD @AchintyaSinghMD]

International consensus on EUS guided portal pressure measurement:

https://t.co/ue7PiCQLuO

[Sociedad Española de Patología Digestiva (SEPD) @sepdigestiva]

Enfermedad hepática relacionada con el alcohol: nueva revisión de JAMA (julio de 2026) 🚨

1️⃣ Fisiopatología ⚙️
2️⃣ Progresión de la enfermedad ➡️
3️⃣ Evaluación clínica 💡
4️⃣ Manejo y tratamiento 💊
📸: https://t.co/lvWNv7SlAS

[Giovanni Marchegiani @Gio_Marchegiani]

When endoscopy 🤝 surgery!

🔦 EUS- guided gastroenterostomy 🌍 international consensus @endoscopyjrnl

💡Expanding indications, techniques and care for malignant gastric outlet obstruction

🏥 Institutional requirements ⏫

https://t.co/ejup0lFa2f

[Daniel Calle Rodas @drdanielcaller]

Premalignant lesions: Who to monitor and how often?

High-quality endoscopy

✅ Systematic inspection of the entire gastric mucosa
✅ High-definition endoscopy
✅ Avoid blind spots
✅ Adequate inspection time
✅ Complement with NBI/BLI/LCI

#MedEd #GITwitter