Yeseong David Kim

advanced endoscopy fellow

[Yeseong David Kim @YeseongDavid]

A rudimentary version of CADe I coded using YOLO (ultralytics). Next up is instance segmentation for polyp classification.

[Tyler Berzin MD, FASGE @tberzin]

Great work by Nadeem and team to explore a problem nearly every advanced endoscopist has faced:
* patient presents with obstructive jaundice
* you place a biliary stent perfectly
* several days later, the bilirubin has barely budged

[Yeseong David Kim @YeseongDavid]

@DrAshokGastro Very smooth NKF

[Dr Ashok Dalal @DrAshokGastro]

Precut Fistulotomy , Small papilla with lot of folds
Do a suction and make CBD prominent, Iron out the CBD and make a single clean cut over the impression
And Go into duct

[Keith Siau @drkeithsiau]

😅

[Yeseong David Kim @YeseongDavid]

Esophageal POEM with new thin gastroscope. 7.9mm tube diameter with 3.2mm instrument channel!

[Wonder of Science @wonderofscience]

These boxes are not moving. A mind-bending optical illusion by @jagarikin.
https://t.co/bNrxgZBK6N

[Yeseong David Kim @YeseongDavid]

Transoral*

[Yeseong David Kim @YeseongDavid]

Total incisionless fundoplication (TIF) done in endo suite! I've been promoted from invaginator to retroflexor 😆

[Yeseong David Kim @YeseongDavid]

Inpatient colon done for IDA, this was found in ascending colon. No prior colonoscopy, highlights importance of screening for a preventable outcome.

[Yeseong David Kim @YeseongDavid]

Soft tissue density seen on US in distal CBD, ERCP showed this deformity at ampulla. Where would you cannulate? (I got lucky + had excellent coaching)

[Yeseong David Kim @YeseongDavid]

Drainage of WON with Axios LAMS, pigtail passed through. Do you balloon dilate or allow stent to auto-expand?

[Yeseong David Kim @YeseongDavid]

Pt with gastric adenocarcinoma s/p subtotal gastrectomy, developed J tube enterocutaneous fistula. Closed endoscopically with Ovesco OTSC. Can be hard to suction up the fistula into cap sometimes due to underlying fibrosis, what are your tricks?

[Yeseong David Kim @YeseongDavid]

Colonoscopy performed for evaluation prior to possible colonic interpolation graft, showed sigmoid lesion with saddle feature and Kudo V pit pattern. Decision made to forego resection and biopsy. Path returned positive for mucosal mets of primary gastric cancer. (2/3)

[Yeseong David Kim @YeseongDavid]

70 y/o presented with dysphagja and weight loss, found to have poorly differentiated gastric adenocarcinoma with signet ring cell features. EGD showed invasion into the esophagus with EUS showing serial involvement. (1/3)

[Yeseong David Kim @YeseongDavid]

Melena and Hgb drop after liver biopsy should raise the concern for hemobilia, clots in the bile duct can cause obstructive jaundice, abd pain, (Quincke's triad). Treatment can be covered metal stent, but more often, localizing the bleed and IR embolization.

[Yeseong David Kim @YeseongDavid]

Pt underwent liver biopsy for concerns of transplant rejection, started having melena and recurrent hemoglobin drop. Acute increase of bilirubin to 7. Initial view of the papillary showed oozing blood. . .(1/5)

[Yeseong David Kim @YeseongDavid]

A repeat cholangiogram did not show contrast extravasation, but did reveal improved opacification of the proximal ducts. Pt was started on pRBC and sent to CTA with IR consultation. (4/5)

[Yeseong David Kim @YeseongDavid]

@Nicolascole77 Very rarely is something created from a vacuum, scientists, writers, musicians, directors all borrow ideas from one another and have influences that impact their work.