SAUSHEC Gastroenterology & Hepatology

San Antonio Uniformed Services Health Education Consortium (SAUSHEC) - Division of Gastroenterology & Hepatology | @BrookeArmyMed | Army & Air Force 💩🇺🇸

[SAUSHEC Gastroenterology & Hepatology @SAUSHEC_GI]

SAUSHEC GI Fellows of Class of 2027

Air Force
1️⃣ Capt Michael Craig
2️⃣ Capt Cody Ashcroft

Army
1️⃣ CPT Brendan Martino
2️⃣ CPT Oliver Lee
3️⃣ CPT Krzysztof Saraczewski

#GITwitter #militarymatch

@USUhealthsci @BrookeArmyMed

[SAUSHEC Gastroenterology & Hepatology @SAUSHEC_GI]

Come join @edelson_jerry at #DDW2025

Endohepatology – Ready for Prime Time?
📅 Date: Mon, May 5
⏰ Time: 10:00 AM – 11:30 AM (PDT)
👨‍⚕️ Speaker: MAJ Edelson
📍 Location: Room 4 – SDCC

@DDWMeeting

[Carl Kay, MD @CarlKayMD]

Anorectal Diagnosis Grid

Helpful to consider four hallmarks features of anorectal lesions:

▪️Pain
▪️Bleeding
▪️Drainage
▪️“Weird” tissue

Very practical approach to place diseases on this grid/axis.

🙏 Mark Zhao, MD, MAS @UCSFSurgery

🔗 https://t.co/tAXftqFkOJ

[Carl Kay, MD @CarlKayMD]

Track your own colonoscopy quality!

If you don’t have access to GIQuIC, here’s my own quality metric tracker for anyone to use!

✅ ADR (all) >35%
✅ ADR (male) >40%
✅ ADR (female) >30%
✅ SSLDR >6%
✅ APC >0.6
✅ ADR with (+) fecal screening >50%

🔗 https://t.co/GdXSdzVatY

[Carl Kay, MD @CarlKayMD]

Pro-tip for new fellows: suctioning with the valve OFF during colonoscopy!

Valve removal during washing and
removal of pools of particulate debris reduces the risk of clogging the suction pathway.

N.B. Know where you are pointing it!
💩💨🤓

🔗 https://t.co/WdjpDDfSnN

[SAUSHEC Gastroenterology & Hepatology @SAUSHEC_GI]

Another year of 100% board pass rate! 10 years in a row.

@DavidD_MD @JohnGancayco

#GITwitter

[Carl Kay, MD @CarlKayMD]

Board certified gastroenterologist ✅

@ABIMcert

#GITwitter

[UT Health Gastroenterology @UTHealthGastro]

We are excited to announce the 1st Annual South Texas Updates in General GI symposium!

💥Invited speakers from across the country
💥Cutting edge updates in general GI
💥Networking opportunities

Stay tuned for more updates on the full agenda!

@ChahalPrabhleen

[Wassem (Wass) Juakiem #wassupscoping @WJuakiem]

When it comes to arterial bleeding in the rectum, Ovesco clips outshine standard TTS clips! 🌟 With superior hemostasis, precision placement, and stronger retention, they’re a game changer! @OvescoEndoscopy #GItwitter

[Christian L. Horn, MD, DABOM @ChristianLHorn]

Let’s talk thiopurines in AIH!

Thiopurine metabolism:
6MP/Azathioprine are metabolized into:

🔷 6-TGN (therapeutic metabolite)
🔸 Via hypoxanthine phosphoribosyltransferase
🔷 6-MMP (toxic metabolite)
🔸Via thiopurine S-methyltransferase

🔗 https://t.co/v6WlkqmSw2

[SAUSHEC Gastroenterology & Hepatology @SAUSHEC_GI]

CPT Scott Edelson at #ACG2024

[SAUSHEC Gastroenterology & Hepatology @SAUSHEC_GI]

CPT Ajay Bhola at #ACG2024

[SAUSHEC Gastroenterology & Hepatology @SAUSHEC_GI]

Capt Jessica Demes at #ACG2024

[SAUSHEC Gastroenterology & Hepatology @SAUSHEC_GI]

Capt Matt Schwartz at #ACG2024

[SAUSHEC Gastroenterology & Hepatology @SAUSHEC_GI]

Maj Zach Eagle at #ACG2024

[SAUSHEC Gastroenterology & Hepatology @SAUSHEC_GI]

CPT Ryan Santos at #ACG2024

[SAUSHEC Gastroenterology & Hepatology @SAUSHEC_GI]

CPT Jess Basso at #ACG2024

[UT Health Gastroenterology @UTHealthGastro]

Fantastic article by our recent graduate @drgmahesh2 and current fellow @PriyadarshiniMD!

➡️6 RCTs comparing early (< 4hrs) vs late (> 4 hrs) feeding after PEG placement​

➡️No difference in complication events and mortality rates within 72 hrs​.

[Carl Kay, MD @CarlKayMD]

Indications for IV & Oral contrast in Abdominopelvic CT

IV Contrast
▪️Suspected tumor
▪️Infection/Inflammation
▪️Vascular eval
▪️Trauma
▪️Postop complications

Oral Contrast
▪️Bowel obstruction
▪️Perforation
▪️Fistula assessment
▪️Mass localization

🔗 https://t.co/6jV9uKnJfV

[Carl Kay, MD @CarlKayMD]

Axon-Clarke Gastropathy

▪️Cause of hematemesis 🤮🩸
▪️Localized red mucosa near GEJ
▪️Retrograde intussusception of stomach
▪️Occurs during retching/vomiting
▪️Mimics Mallory-Weiss presentation
▪️First described by Axon & Clarke in 1975

🔗 https://t.co/7kF5myu5qo

#GITwitter

[Carl Kay, MD @CarlKayMD]

Prophylactic Antibiotics in Endoscopy

▪️Biliary obstruction + incomplete drain
▪️Mediastinal cyst + EUS-FNA
▪️Pancreatic cyst + EUS-FNA
▪️Percutaneous gastrostomy/jejunostomy
▪️Cirrhosis + acute GI bleed
▪️Peritoneal dialysis + colonoscopy

🔗 https://t.co/8wSii9EAbJ