ATJ

[Muhammad Arslan Baig @muhammadbaigmd]

Metastatic gastric cancer s/p subtotal gastrectomy with Roux-en-Y anatomy, severe biliary obstruction, and an inaccessible papilla. Performed EUS-guided hepaticogastrostomy, but with only partial relief. Post-Proc day 3, completed antegrade stenting through the HGS.

[ATJ @atjaved]

@BabuPMohan2 what apps are these

[Waqas Ahmed @WaqqasAhmmad]

Successful Endoscopic sleeve gastroplasty (ESG) performed by @BilalMohammadMD at Holy Family Hospital, Rawalpindi, during the advanced endoscopy workshop at the Pakistan Society of Gastroenterology (PSG) Annual Summit 2026.

[madridistaReal @RMadridistaReal]

Adivina cuál fue roja y cuál amarilla... 🤦‍♂️

[GIE @GIE_Journal]

New on the blog: "Postprocedural cholecystitis following covered self-expandable metal stent placement in patients with distal malignant biliary obstruction" by Chawin Lopimpisuth and Sean Bhalla https://t.co/Bxu8Jg09ZG

@seanbhalla @atjaved @SunilAminMD

[GIE @GIE_Journal]

Dr Chawin Lopimpisuth discusses his article, “Postprocedural cholecystitis following covered self-expandable metal stent placement in patients with distal malignant biliary obstruction." https://t.co/LSbwKV3tr7

@atjaved @KumarShria @SunilAminMD @seanbhalla

[GIE @GIE_Journal]

Editor's Choice: Lopimpisuth et al present "Postprocedural cholecystitis following covered self-expandable metal stent placement in patients with distal malignant biliary obstruction." https://t.co/74hrPx4WSQ

@atjaved @KumarShria @SunilAminMD @seanbhalla

@yaransarkis

[Sunil Amin, MD, FASGE, FRCPC @SunilAminMD]

If you do enough POEM, you will eventually come across a case of #achalasia that just doesn’t seem right.

This case fooled me, and it wasn’t until I hit a wall of tumor “fibrosis” in the tunnel that it clicked 💡

Biopsy ➡️ Infiltrative breast CA

👏👏 @atjaved

[VideoGIE Journal @videogie]

Abid Javed et al describe "Metastatic lobular breast cancer masquerading as achalasia." https://t.co/Pal7UMFq18

#GITwitter

@atjaved @SunilAminMD

[Sunil Amin, MD, FASGE, FRCPC @SunilAminMD]

And we’re off ☀️
Kicking off the morning at the #MiamiGastroCongress 🌴 with high-yield discussions on GLP-1s and liver disease—featuring our newest faculty member, Dr. Lauren Gilbert. Great start to a big day.

@umiamimedicine @UMiamiHealth @JodieBarkinMD

[Sunil Amin, MD, FASGE, FRCPC @SunilAminMD]

Listening to @EndoscopyOthman talk about trans-cecal appendectomy just never gets old…‼️

#miamigastrocongress @UMiamiHealth @umiamimedicine @JodieBarkinMD

[Turki AlAmri |تُرْكي عبدالله الْعَمريَّ MD @Taalamri]

🔴Nice teaching case for the advanced therapeutic fellow

ERCP Teaching Pearl 🧠 | Hock-Pull Technique in Supine Position

🛌 Supine patient = altered orientation → technique matters

🔹 Papilla orientation:
In supine ERCP, the papilla often appears more inferior/posterior and less en face, with a tendency for the catheter to fall into the pancreatic duct due to gravity and scope torque.

🔹 Why Hock-Pull helps:
• Hockey bow redirects the tip upward toward the biliary axis despite gravity.
• Gentle pull-back everts and opens the papillary orifice, counteracting the “downward fall” seen in supine cases.
• Improves coaxial alignment (~11 o’clock) without pushing.

🔹 Manoeuvrability advantage:
• Pulling back stabilizes the papilla against respiratory motion.
• Small rotations become effective—micro-adjustments instead of force.
• Reduces repeated pancreatic duct entry and papillary trauma.

💡 Pearl:

> “In supine ERCP, gravity favors the pancreas—hock-pull brings you back to bile.”

#ERCP #SupineERCP #Endoscopy #GI #TeachingPearls #PatientSafety

[GIE @GIE_Journal]

In Articles in Press: "Postprocedural cholecystitis following covered self-expandable metal stent placement in patients with distal malignant biliary obstruction" by Chawin Lopimpisuth et al. https://t.co/74hrPx4WSQ

#GITwitter

@atjaved @KumarShria @SunilAminMD @seanbhalla

[Zeeshan Hafeez @ZeeshanForTexas]

As a future Member of Congress, my oath will be to the Constitution, not to hate or division.

Freedom of religion is a pillar of our nation. As a proud American Muslim, I will defend, respect, and serve all Texans, of all faiths and backgrounds.

Your hate has no place in Congress, @ValentinaForUSA.

[Nikhil Kumta, MD, MS @NikhilKumtaMD]

EUS-GE vs Surgical GJ?

RT in @GUTJournal_BMJ showing EUS-GE with: faster to solid 🥘, shorter 🏥 stay, less reinterventions, ⬆️ QoL, ⬇️ 💰

https://t.co/TXsGmyZ9So

[Sean Bhalla @seanbhalla]

@BilalMohammadMD @CUGastroHep @JChristieMD @vineet_chopra @CUAnschutz @CUDeptMedicine @FrankIScottMD @BenClickMD @liverazzi @AvashKalra Really excited to be a part of this amazing group @CUGastroHep

[Dr Jennifer Christie @JChristieMD]

Welcome again @seanbhalla⭐️⭐️⭐️⭐️⭐️! This team gets stronger and stronger every single day!!💪🏾🔥😎

[Mohammad Bilal, MD @BilalMohammadMD]

The @CUGastroHep & #InterventionalEndoscopy section is growing 🙌

Thrilled to have the amazing ⭐️ @seanbhalla join our team 🔥🔥

New #Director of #InterventionalEUS

👇 for the amazing talents he brings to our team !

[the EMCrit Crew @emcrit]

EMCrit 408 - Behind the Scenes of an Infuriating Medical Malpractice Trial.
I am joined by @medmalreviewer to discuss the case and then in a true surprise-the Jury Foreperson weighs in.
@embouncebacks @GitaPensaMD
[#FOAMed for Now]
https://t.co/iSgNobPYIj

[Prashant Kedia MD, FACG, FASGE @PrashantKediaMD]

Difficult EUS-BD with transpap ante FCSEMS placement. Hardest part was getting a wire across the the stricture - required large balloon to redirect a hydrophilic wire through a super tight stricture (#4). 8mmx6cm FCSEMS placed. T-EUS rocks @methodistdallas @TexasGastros