It was such a wonderful privilege to speak , share, and learn at #DDW2026!
I hope the lecture I gave on GI bleeding @AmerGastroAssn@ASGEendoscopy at the post- graduate course will help patients and on-call doctors alike!
I am having a wonderful time with my old friends @bcm_gihep and enjoying the wonderful city of Chicago.
🆕 ACG 2025 IBD Preventive Care
🦠 Vaccines
▪️PCV 20/21 for all adults
▪️Zoster ≥19 if suppressed
▪️Flu q1y (high dose ≥65)
▪️HBV if non-immune
▪️RSV ≥60 if risk factors
🧬 Cancer
▪️Cervical: if immunotherapy
▪️Skin: q1y, esp if on thiopurines/JAKs
🔗https://t.co/oHAgzeXye9
Post head injury, prolonged Intubation and TE fistulae formation; 15 cm owl’s eye two TE fistula and a single fistula at 20 cm. Guide wire is in the esophageal lumen; Surgery or Some endoscopic trick
To all general GI fellows:
This is a through-the-scope fully covered self expanding esophageal metal stent (TTS FCSEMS).
Learn to deploy this. It needs no fluoroscopy, but does need a therapeutic gastroscope.
It’s as easy as leaving a guidewire behind.
#GITwitter
Plastic stents had similar outcomes to metal stents for malignant hilar obstruction.
This Phase II randomized trial did not show any statistically significant difference in stent patency.
What do you think?
➡️https://t.co/Z5J95A4m2I…
@DouglasAdlerMD@GIE_Journal