Fray

Unicycle runner; interventional GI. 🇵🇷 Physician; Not Provider👏 Pro-Diversity.

[VideoGIE Journal @videogie]

Kambiz Kadkhodayan, MD, show submucosal injection—enhanced tissue-plane visualization during needle-knife sphincterotomy, enabling controlled and anatomically guided dissection. https://t.co/lkA2k8sfOC

#GITwitter

@KKadkhodayan

[Tom Tielleman, MD @TomTielleman]

There’s a lot of different techniques to choose from for EUS guided liver biopsy and no formally standardized technique. Recently I tried out the “dynamic suction” technique using wet heparin suction and loved the results 👀

https://t.co/QGozb5xmbA

https://t.co/FImDdyme6g

[Andy Tau, MD @DrBloodandGuts]

It was one of my life’s greatest honors to give the keynote address at DDW 2025 AGA-ASGE post-grad course this year in San Diego.

I re-recorded the talk which is predominantly about inpatient hemostasis to be shared freely to all.

Please share widely! https://t.co/uBbVI6ncdv

[Fray @Fray_787]

@TelbanyMD @DDWMeeting Congrats

[EndoCollab™ | GI Endoscopy Community @EndoCollabcom]

Algorithm for the Diagnosis of Celiac Disease (American College of Gastroenterology)

Ref: https://t.co/sB85zfvbSk

[Carl Kay, MD @CarlKayMD]

Overview of Live Biotherapeutic Products (LBPs) for C. difficile

▪️Composition
▪️Bowel prep required?
▪️Dosing
▪️Delivery route
▪️FDA status

#ACG2024

[Daryl Ramai @DarylRamai]

What is the optimal surveillance recommendation following colorectal ESD? 1 year? 3 years? 5 years?

Honored to be invited to write this @UEGJournal editorial on ESD surveillance with my mentor @ThirdspaceEndo and friend @LumirKunovsky

👇👇👇
https://t.co/3bPPZ9Kh6I

[EndoCollab™ | GI Endoscopy Community @EndoCollabcom]

Types of percutaneous gastrostomies („PEG“) tubes

Image source: nxtbook .com/ueg/UEG/mistakes-in-2024/index.php#/p/20

[Mariam Naveed, MD, FACG @MN_GIMD]

My topic: “Cold-EMR vs Hot-EMR” @AmCollegeGastro #FGS2025

⭐️ < 10 mm use CSP
⭐️ CSP / C-EMR for SLLs
⭐️ > 20 mm adenomas
- C-EMR ⬆️ recurrence vs H-EMR
- H-EMR ⬆️ delayed bleeding
- C-EMR ⬆️ intraproced bleeding
- C-EMR better safety profile
⭐️Role for uEMR 👇

Tailor resection technique to pt & polyp

[Daniyal Raza, MD @DaniyalRaza92]

10/ Stomal Prolapse
🔹Rate : 5%- 10%
🔹The elongation of the intestinal portion of the stoma.
🚨Acute prolapse → Incarceration and Ischemia→
☹️Pain, obstipation, and purple/ black discoloration of stoma. 🚨emergency surgery #CRSurgery

@ostomydiaries @SchwartzbergMD #MondayNightIBD

[Mehak Bassi, MD, DipABOM @BassiMehak]

@MondayNightIBD @AGA_CGH @AmJGastro @ownyourcrohns @Empoweringpts9 @AmerGastroAssn @HolubarStefan @JillGaidosMD @GutlessGlamour @BenClickMD @tinahamd @dr_fcalderaibd @AmyLightnerMD @AntoninoSpin @bottomdoc @ColorectalDis @IBDJournals @GI_PharmD @MRegueiroMD @HarshitKharaMD @ibddocmaria @colorectal_jay @ScottALarsonMD @AlexLevyMD @WilliamMinteer @GIJanetMD @JLeightonMD @debby_keller @EdwardLoftus2 @MLongMD @LizzieAbyMD @DevikaGandhiMD @ArpanPatelMD @KostaBrooks @DVinsard @guyworley02 @jdcamcolorectal @JohnRTMonsonMD @Montalvan214 @FarrayeIBD @ibdtweets @KarenZaghiyanMD @BJHansonMD @JohnGancayco @howiethedoc @CyrusEdelson @DavidHudesmanMD @kehutchins77 @DavidFaleckMD @oridamas 6/ 🚨 High Ostomy Output (HOO)&gt;1.5L/day

🔹 Early ≤3 wks post-ileostomy
🔹 Chronic &gt;3 wks post-op, in jejunal ostomy, short bowel syndrome
📌 Rx: Rule out infection, bulking, antimotility, antisecretory agents, IVF, ostomy reversal.

[Mariam Naveed, MD, FACG @MN_GIMD]

Fortunate to hear @AasmaShaukatMD speak on #QualityIndicators in #Colonoscopy @AmCollegeGastro #FGS2025

⭐️ SS Lesion Benchmark ➡️ 6%

⭐️Withdrawal Time 8-9 mins

⭐️ Incomplete Resection rate 10%! ⬇️

⭐️Endoscopist report cards improve ADR!

[Douglas G. Adler MD, FASGE, FACG, AGAF @DouglasAdlerMD]

Sphincterotomy following Billroth II surgery is also inverted, with the cut aiming to 5-6 O'clock. I use a rotating sphincterotome for these cases. Specialty tomes are available.

[Suprabhat Giri @giri_gutnliver]

Excited to share our most awaited paper comparing EUS-glue±coil &amp; RTO (BRTO/PARTO/CARTO) for fundal varices @drradhikachavan @docdhir @taraprasad @karananandpara @drpreetamnath @Gastronaut_jim
@DrLakhtakia @drsridhars @Samanta_JayPGI @SahajRathi
Full text: https://t.co/YJzjTp2lGC

[Scot Michael Lewey @EUSandEndoscopy]

EUS liver biopsy is safe &amp; easy to perform by endosonographers who routinely do EUS FNB. Great yields obtained using heparin flushed 19 G FNB w wet suction &amp; 3 actuations in liver after puncture. Flush onto fine mesh gauze or cassette then gently place cores in formalin

[Fray @Fray_787]

@DouglasAdlerMD Were all cases done in one room?

[Fray @Fray_787]

@CarlosMicames @gastropr ¿Cuántos son gastroenterólogos intervencionales?

[Dr. AK 🇮🇳 @docakx]

🌟Hepatitis C - Treatment

From @PyrlsApp

[Andy Tau, MD @DrBloodandGuts]

Appendix was extruding mild purulence but patient was asymptomatic. Has anyone seen this before? I gave the patient antibiotics. #GITwitter

[Andy Tau, MD @DrBloodandGuts]

@M_Almohamady Often they have tenesmsus or heaviness lasting 24h. This is a false sensation from the band.

I have ready for them 1g Tylenol, 200mg Advil and instruction to take a warm Sitz bath at home followed by a nap.