Joshua Lee

Advanced Endoscopy Fellow @Duke_GI_ l Former Internal Medicine Resident @DukeMedicine I Former Medical Student @umichmedicine

[Andy Tau, MD @DrBloodandGuts]

“DU Your Best: Duodenal Ulcer Hemostasis Tutorial”

I will go step by step through my thoughts [#] and struggle.

This pt was transferred for IR embolization after re-bleeding after initial EGD (epi+clip)

[#1 - Guidelines recommend repeat EGD after 1st rebleed, not IR]

[Duke GI @Duke_GI_]

We're proud to share the 2024 Duke GI Chief Awards for Excellence! The contributions of these stand-outs are what make @Duke_GI_ a leader in excellence in all our missions!
#GITwitter #GIGoodNews #Gastroenterology

[Andy Tau, MD @DrBloodandGuts]

The concern for thermal injury causing perforation is a real one. A delayed duodenal perforation is quite morbid. Examine the bed of the ulcer as well as you would an advanced adenoma.

Is there a perf here ?
If so OTSC is the one and only answer.

#GITwitter

[Andy Tau, MD @DrBloodandGuts]

Big clots are still a big problem in modern endoscopy. Here is a method to turn a flexible/rigidizing overtube into a large suction attachment to evacuate clots rapidly from the stomach.
#GITwitter @DouglasAdlerMD @AdvaniRashmiMD @TarunRustaGI_MD @neilRsharmaMD @SAGES_Updates

[Carl Kay, MD @CarlKayMD]

Looping, Positioning & Abdominal Pressure for Colonoscopy

▪️Types of loops
🔺alpha loop
🔺N loop
🔺reverse alpha loop
🔺splenic flexure hockey stick
🔺transverse loop
🔺gamma loop
▪️How to remove loops
▪️Manual abdominal pressure location
▪️Optimal positioning

#GITwitter

[Jackie Henson @jackie_henson]

Excited to share our evaluation of the potential utility of ChatGPT in GERD management.
Mostly accurate & patients found it useful, though some limitations preclude its use in its current state.
@David_LeimanMD @jglissenbrown @AmitPatelDukeMD @Duke_GI_
https://t.co/nBHk3YHLyW

[Shahin Ayazi @Sayazi]

Check out our new paper from @AHNSurgeryInst and @AHNesophagus in @foregut_journal on “Endoscopic assessment of antireflux surgery”

Full text open access 🔓:

https://t.co/vXXAazRwkX

@SAGES_Updates @ForegutSociety @MISIRG1 @EndoscopyNow @SSATNews

#GITwitter #GIEndoscopy #Endoscopy

[Elliot Tapper @ebtapper]

Friends don’t let friends APC GAVE

Round of applause for these authors who put the bold on banding as first line

https://t.co/t1J88ni1wC

[Andy Tau, MD @DrBloodandGuts]

Post Sphincterotomy bleeding is a bit stressful. Here are a variety of tools for hemostasis.

My algorithm is usually:

1. Soft coagg w/ tome
2. Balloon Tamponade
3. Epi injection
4. Clip (11mm Conmed Duraclip)
5. Cautery (bipolar or monopolar forceps)
6. FCSEMS
7. Hemospray

[EndoCollab™ | GI Endoscopy Community @EndoCollabcom]

Classification of serrated colon lesions (polyps)

[Carl Kay, MD @CarlKayMD]

@ScopingSundays @ACG_EBGI @HannahWFiske @CamilleLupianez @EBGIdoc @BilalMohammadMD @JosephHabibi_MD @AhmadBazarbashi @LindaNguyenMD @DCharabaty @AmCollegeGastro @RobertoSimonsMD @vaibhav_manu @LizzieAbyMD @AdvaniRashmiMD @NEJM @Gut_BMJ @AasmaShaukatMD @drfolamay @swatigp @ShimaghavimiMD @drkeithsiau @ChristianLHorn @stevenbollipo @JohnGancayco @DavidD_MD @MahamHayatMD @MendozaLadd @CesarJRosa1 @DrMagooGI @ktswick @CyrusEdelson @maiyacy @ryansecho @MouhandMD @Chatterjee_MD @anoushkaduaMD @AmJGastro @WJuakiem @pinoygastro @KM_Pawlak @EarlCampbellMD @SaqibWalayat @enrrikke @EUSandEndoscopy @nagasriMD @PranavPenn @aileenbui @DrBloodandGuts & @helpatologist have offered a great overview & breakdown of clips

▪️Boston Resolution 360
▪️Cook Instinct
▪️Conmed DuraClip
▪️Olympus QuickClip Pro
▪️Microtech SureClip
▪️Microtech DAT & Boston Mantis

https://t.co/SaWj6xW63X

[ClinicalLiverDisease @CLD_Learning]

Getting to the core of the matter: the importance of biopsy in an unusual case of acute liver failure

@NancyReau @Julius__Wilder @UyenTo2 @AASLDtweets #CLDSoMeReps

Article👉https://t.co/UOZaZhDudz

[Juan Jose Gonzalez @juanjgonMD]

Great GI grand rounds by @Bashar_Qumseya on cold snare polypectomy:

👉🏼Most of polyps in practice should removed with cold snare
👉🏼Do not use cold snares on pedunculated polyps
👉🏼Cold EMR is gaining more attention as safer alternative
#MedTwitter #GITwitter

[Charlie Lees @charlie_lees]

Drug therapy for Crohn's disease in 2023 - part 2

[Keith Siau @drkeithsiau]

Achalasia made easy! #MedEd #GIMnemonics

[Charlie Lees @charlie_lees]

Twelve different drugs are available to treat UC in 2023.

How do you choose the right drug for the right patient at the right time?

[Charlie Lees @charlie_lees]

Drugs for UC in 2023 - part 2

Vedolizumab, ustekinumab and the new small molecules

[Charlie Lees @charlie_lees]

Drugs for UC in 2023: what, when and how?

[Keith Siau @drkeithsiau]

Management of liver abscess #MedEd #LiverTwitter

Via @FrontGastro_BMJ
https://t.co/dSA8GtZozn

[Joshua Lee @JoshuaLeeMD]

@cjferreriMD @DrKrinaPatel Congrats!!