Wai Liam Lam

I retweet to teach myself

[Frontline Gastro @FrontGastro_BMJ]

🚀 BSG EndoBridge Series (1/15): Diathermy Demystified

Most endoscopists can select a generator setting, but how many truly understand why it works?

📢 The first article in our 15-part BSG EndoBridge Special Issue explores the principles of diathermy that underpin everyday and advanced endoscopy.

🔗 https://t.co/ZGORnAKUfa

⚡ Why identical settings can produce different tissue effects
⚡ Cut vs coagulation: what's really happening?
⚡ The importance of voltage, impedance & current density
⚡ How saline immersion changes electrosurgical behaviour
⚡ Practical lessons for EMR, ESD, ERCP & third-space endoscopy

Whether you're performing a polypectomy or an ESD, understanding the physics behind electrosurgery can improve precision and reduce complications.

📖 All EndoBridge articles are fully Open Access.

#BSGEndoBridge #FrontlineGastroenterology #Endoscopy #EMR #ESD #ERCP #MedEd

@PhilSmithIsBack @OTavabie @dr_aditi_kumar @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman @BASLedu @BSGtrainees @WorldGastroOrg @ulstergastro @SEEDendoscopia @EASLedu @AmCollegeGastro @Aegastro @SAGES_updates @WAGE_media @my_UEG @amergastroassn @NASPGHAN @UHSEndoscopy @ESGE_news @amergastroassn @BritSocGastro @ASGEendoscopy @EndoCollabcom @JAG_Endoscopy @SimonMEverett @gastro3570 @drkeithsiau @DrOmerAhmad @Dunnepdj @shraddha_gulati @CardiffGastro @DrBuHayee @poodocnisha @Sharm_Sub

[VideoGIE Journal @videogie]

Sanjeevani Tomar et al present 2 cases with EUS-guided coiling and combined thrombin/fibrinogen injection for parastomal variceal bleeding with ex vivo demonstration of coil loading and the deployment technique. https://t.co/5GRGa5FflJ

@SanjeevaniTomar @abdullahabbasi @m_arain1

[Frontline Gastro @FrontGastro_BMJ]

Not all villous atrophy is coeliac disease. 🌾🚫🔬

This practical review in @FrontGastro_BMJ guides the general gastroenterologist through seronegative and non-coeliac enteropathies — from differential diagnosis to management and follow-up. 🧭🩺

Essential reading for anyone faced with negative coeliac serology but persistent clinical or histological concern.

Read more: https://t.co/SH9rPDbyeG

#CoeliacDisease #Enteropathy #VillousAtrophy #SmallBowel #FrontlineGastro #GItwitter #Gastroenterology #ClinicalPractice #MedEd @BritSocGastro @my_UEG @AmCollegeGastro @DDWMeeting @ESGE_news @PhilSmithIsBack @OTavabie @dr_aditi_kumar @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman

[Rajan kanth @kanthMD]

EUS Liver segments: Images

[Arjun Chatterjee @Chatterjee_MD]

Resource for trainees - Animated educational video review on Endoscopic Ultrasound-Guided Gastroenterostomy (EUS-GJ) @AmCollegeGastro Education universe!

Gastric outlet obstruction ❌a candidate for duodenal stent

🔗https://t.co/zVTXCMbfc1

@ChahalPrabhleen @CCF_GIFellows @JPAchkarMD @Ari_G_MD

[Frontline Gastro @FrontGastro_BMJ]

What happens after an endoscopic complication?

This review dives into the human cost, system strain, and medicolegal pressures — and how to handle the non-clinical aftermath.

With thanks to Dr Wai Liam Lam and co-authors for this important and insightful review paper!

@PhilSmithIsBack @OTavabie @dr_aditi_kumar @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman @drkeithsiau @DrOmerAhmad @Dunnepdj @shraddha_gulati @CardiffGastro @DrBuHayee @poodocnisha @Sharm_Sub

#Endoscopy #GIEndoscopy #EndoscopyComplications #PatientSafety #QualityInEndoscopy #EndoscopicAssessment #ClinicalRisk #PatientCare #MedEd #GICommunity

[Frontline Gastro @FrontGastro_BMJ]

🪧 📢 We are delighted to announce that the findings of the PuraStat study have just been published in FG! 🔥

👨‍👨‍👧‍👧 Multi-centre prospective study
🏥 448 high-risk tissue resections (HRTR) - including EMR and ESD in the upper and lower GI tract, with all patients receiving prophylactic PuraStat to prevent delayed bleeding
⏰ The rate of delayed bleeding across the full cohort was 1.34%
🩸 Of 195 patients with intra-procedural bleeding, haemostatic efficacy was 91.43%

Congratulations to Dr Hein Myat Thu Htet and co-authors! @Hein_Gastro @Sharm_Sub @AParraBlanco @NorikoSuzuki3 @HajiAmyn @massi_dipietro @MariettaIacucci @iosifbeintaris @ayjas @TheRealFergusTP @SebastianZeki @gi_jasondunn @gastro3570

https://t.co/AGjiyPrINh

@drkeithsiau @DrOmerAhmad @Dunnepdj @shraddha_gulati @CardiffGastro @DrBuHayee @poodocnisha @Sharm_Sub @PhilSmithIsBack @OTavabie @dr_aditi_kumar @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman

#Endoscopy #GIEndoscopy #DigestiveHealth #Gastroenterology #EndoscopyLife #EndoscopyEducation #EndoscopyTraining #ThirdSpaceEndoscopy #AdvancedEndoscopy #InterventionalEndoscopy #POEM #ESD #STER #EndoscopicInnovation #SubmucosalEndoscopy #GIBleeding #UpperGIBleed #LowerGIBleed #AcuteGIBleed #EndoscopicHemostasis #GIHemorrhage #BleedingControl

[Nabil William Sweis @Sweis_NWG]

Demystifying biliary drains and cholecystostomy tubes 🧪

Where and when should each be placed? Watch @olumide_olulade as he breaks it down in this episode, made possible by a great team @COREIMpodcast @MarissaLocastro @ShreyaTrivediMD

Grateful to contribute to the visuals!

[Keith Siau @drkeithsiau]

What happens when you can’t find the pancreatic duct after ampullectomy? Here is an ingenious method from Michael Bourke shown at #UEGWeek

[EndoCollab™ | GI Endoscopy Community @EndoCollabcom]

Complications of Pancreatitis by Dr. Matthew Ho

Modified based on PMID: 30776347

[Keith Siau @drkeithsiau]

Here are the updated BSG 2025 IBD guidelines unveiled at #BSGLive25 🆕👏

🔗: https://t.co/wLRckezigp

[EndoCollab™ | GI Endoscopy Community @EndoCollabcom]

❌ Myth: Choledochal cysts are always symptomatic and easy to diagnose.

✅ Fact: Many choledochal cysts (esp. Types II–V) can be asymptomatic or subtle, requiring MRCP or CT for detection.

Don’t miss them in atypical cases!
https://t.co/aDTc2qnZjb

[EndoCollab™ | GI Endoscopy Community @EndoCollabcom]

Post-Polypectomy Recommendations (AGA, Gupta et al. 2020)

[Frontline Gastro @FrontGastro_BMJ]

✨ What is the preferred technique recommended by the ESGE for ✂️ precutting with 😥 a difficult case of biliary cannulation❓

✅ Answer: Needle 🔪 knife fistulotomy ➡️ 👀 See video ⬇️ by Lam et al. on how to perform this technique, and check out their 📰 retrospective study w/ findings on patient outcomes with early use of this technique 🔗 https://t.co/nxy3R1UJT2

@PhilSmithIsBack @OTavabie @dr_aditi_kumar @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman @BSGTrainees @WorldGastroOrg @ulstergastro @theendoscopist @SEED #GITwitter #gastroenterology #Endoscopy #MedEd

[Elena Santos-Perez @ElenaSantosP]

🆕 @ESGE_news guidelines on #DiagnosticEUS & tissue acquisition
🔹 EUS-FNB >> FNA (3️⃣rd G 🪡 )
🔹 2️⃣passes, fanning + wet suction/slow-pull 💧🔛
🔹 Cyst fluid assessment for PCL +/- TTNB/nCLE
🧾Here’s the summary! Greatwork by @AntonioFaccior6 &team!
#AdvancedEndoscopy #GIFellow

[GIE @GIE_Journal]

Original Article detailed on the blog: "Duodenoscopy-assisted diagnosis and management of a duodenal varix" by Kar Wai Lau https://t.co/qdMrBG6LmM

[Frontline Gastro @FrontGastro_BMJ]

Calling all ERCP endoscopists! Check out this paper on the use of Needle knife fistulotomy (NKF) in the setting of difficult cannulation, published in the journal.

✅ NKF is an effective method for achieving biliary cannulation in difficult cases on initial attempt (88.5%) and repeat attempt (92.7%), with low risks of pancreatitis (2.4%), bleeding (0.3%) and perforation (0.3%).
📈 Factors associated with higher success and lower complications included ERCP performed for stone disease and Haraldsson type 3 papillae.
⚠️ NKF should be considered early in ERCP where there is difficulty in achieving biliary cannulation, especially where there are favourable characteristics.

https://t.co/JAK9qBCr8S

With thanks to the authors: Wai Liam Lam (@bluewailiam), Michael Ding, Chia Chuin Yau, Roderik Prawiradiradja and Srisha Hebbar (@Srisha_Hebbar).

@PhilSmithIsBack @OTavabie @dr_aditi_kumar @DrJMKennedy @DunnePdj @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman @drkeithsiau @DrOmerAhmad @Dunnepdj @shraddha_gulati @CardiffGastro @DrBuHayee @poodocnisha @Sharm_Sub

#ERCP #BiliaryEndoscopy #Pancreatobiliary #HPB #BileDuct #Sphincterotomy #TherapeuticEndoscopy #AdvancedEndoscopy #GIEndoscopy #EndoTwitter

[Srisha Hebbar @Srisha_Hebbar]

Today is the launch of @ESGE_news academy video journal. We, the co-editors under the leadership of @djtate have created 4 videos of deconstructing basic concepts in endoscopy. A lot of thought has gone into it. Log into ESGE academy. @UHNMEndoscopyTC @BSGTrainees #GITwitter

[ESGE @ESGE_news]

🔥🆕 Publication: https://t.co/lFu2eHR7mK
Our latest technical review describes the technical aspects of EUS-guided sampling in gastroenterology, inc. the available types of needle, sampling strategies, new devices, & specimen handling and processing.
🧵⬇️

[Sahaj Rathi MD, DM, MRCP @SahajRathi]

#EUS guided Transgastric Shunt Obliteration- a novel technique to block shunts for difficult to treat Hepatic Encephalopathy

Supplementary data out now, contains:
👉Video of the technique
👉Case details
👉EEG data

Video link:https://t.co/7U1iwhRhDv

#Endohepatology #GITwitter