Hermilo Celjin Castilla

[EndoCollab™ | GI Endoscopy Community @EndoCollabcom]

Biopsy Tips

We can see several biopsy forceps, a thin shaft biopsy forceps, a normal 2.8 millimeter biopsy forceps, and reusable. We will talk a little bit about reusable forceps today

[Thomas Lizana @thomaslizanav]

Como volverse disciplinado:

Hilo🧵

[The Practicing Endoscopist @theendoscopist]

Marking Technique for Identifying and Resection Flat Colon Polypoid Lesions or Polyps in Difficult Locations https://t.co/VIw3FQuzbS

[Sociedad Española de Patología Digestiva (SEPD) @sepdigestiva]

‼️𝗠𝗮𝗻𝗲𝗷𝗼 𝗱𝗲 𝗛𝗲𝗺𝗼𝗿𝗿𝗮𝗴𝗶𝗮 𝗗𝗶𝗴𝗲𝘀𝘁𝗶𝘃𝗮 𝗔𝗹𝘁𝗮✅
⬇️⬇️⬇️⬇️

🔹 1. 𝙀𝙨𝙩𝙖𝙗𝙞𝙡𝙞𝙯𝙖𝙘𝙞𝙤́𝙣 𝙞𝙣𝙞𝙘𝙞𝙖𝙡
👉 Si el paciente está inestable:
📌Consulta urgente con especialista
📌Vía venosa gruesa, NPO
📌Considerar intubación, fluidos, hemoderivados, reversión de anticoagulantes
📌🚑 Endoscopia emergente (EGD)

🔹 2. 𝙎𝙞 𝙚𝙨𝙩𝙖𝙗𝙡𝙚
📌Terapia farmacológica empírica:
💊Eritromicina
💉Sospecha de várices → Octreótido/vasopresina + Ceftriaxona
📌Endoscopia no emergente

🔹 3. 𝙄𝙙𝙚𝙣𝙩𝙞𝙛𝙞𝙘𝙖𝙘𝙞𝙤́𝙣 𝙙𝙚𝙡 𝙨𝙖𝙣𝙜𝙧𝙖𝙙𝙤
📌𝙁𝙪𝙚𝙣𝙩𝙚 𝙚𝙣𝙘𝙤𝙣𝙩𝙧𝙖𝙙𝙖 → Hemostasia
🧩𝙉𝙤 𝙚𝙣𝙘𝙤𝙣𝙩𝙧𝙖𝙙𝙖 →
💉Angiografía mesentérica
🖍Colonoscopia si melena
🩸Evaluación de intestino delgado si persiste

⚡ 𝘾𝙡𝙖𝙫𝙚 𝙚𝙣 𝙡𝙖 𝙐𝘾𝙄:
📉 Primero estabilizar al paciente
🔎 EGD temprana siempre que sea posible
💉 Octreótido + antibiótico si sospecha de sangrado variceal

👇🏼👇🏼👇🏼👇🏼

[Sociedad Española de Patología Digestiva (SEPD) @sepdigestiva]

Guía Internacional 2025 para la Pancreatitis Aguda vía @sciencedirect

https://t.co/huGFRDkRwY

[CardiovascularCorner @TrackYourHeart]

Hypertension and Heart

[Oren Gottfried, MD @OGdukeneurosurg]

Vagus

[EndoCollab™ | GI Endoscopy Community @EndoCollabcom]

Post-cholecystectomy biliary complications can include transected bile duct, bile leak, biloma, retained gallstone in the common bile duct, and bile duct stricture.

Surgical or percutaneous drainage may be required.

[Dr. AK 🇮🇳 @docakx]

🌟 PIGMENTED SKIN LESIONS - Atlas

From : British Medical Journal, Practice, 10-Minute Consultation,
Pigmented skin lesions

[EndoCollab™ | GI Endoscopy Community @EndoCollabcom]

✅ Perioperative risk assessment of patients with cirrhosis

Source: journals.lww .com/ajg/fulltext/2025/09000/acg_clinical_guideline__perioperative_risk.16.aspx

[CardiovascularCorner @TrackYourHeart]

Echocardiographic assessment of the right ventricle

[EndoCollab™ | GI Endoscopy Community @EndoCollabcom]

Knowledge of the celiac trunk and its ramifications (branches) is essential when dealing with upper gastrointestinal bleeding

[Oren Gottfried, MD @OGdukeneurosurg]

Basic brain

[EndoCollab™ | GI Endoscopy Community @EndoCollabcom]

Gastroparesis

[YokerAI @IATheYoker]

¿Aún solo usas ChatGPT?

Te est��s perdiendo el 90% del poder de la IA.

Estas 12 webs pueden hacerte el trabajo de meses en un solo día 👇

[Dr J NELSON OKEMA, MD 🇬🇧🇺🇬 @DrJNELLY95]

OMI localization!
It follows predictable path: ischemia >injury >infarction.
Localizing it shapes treatment decisions and prognosis!

[EndoCollab™ | GI Endoscopy Community @EndoCollabcom]

Guidelines for ESD & EMR in Early Gastric Cancer

Precise assessment of tumor depth is critical. Use the tangent line method to evaluate intramucosal carcinoma (red) and submucosal infiltration (blue) for optimal resection outcomes.

[Anatomia FacMed @AnatomiaUnam]

Puntos craneométricos (1/2)💀

#AnatomiaUnam #facmed #Cráneo

[Oren Gottfried, MD @OGdukeneurosurg]

The dreaming brain