Army GI fellow Brooke Army Medical Center | Medical University of South Carolina | The Citadel, Military College of South Carolina | UNC Third Space Endoscopy |
🚨AGA New Guideline Alert🚨
🔗https://t.co/Soq11pPrEc
▶️AGA Living Guideline: Pharmacological Management of Moderate-Severe Ulcerative Colitis
I’ll break down its 14 recommendations down over the next 7 tweets 🧵 👇
#AGA#GI#UC#IBD#MedTwitter
1/9
In Songdo, South Korea for @endorobotics FDA Animal Testing with @joohahwang!
What an amazing experience and an amazing device! Made doing an ESD a breeze! 6 ESDs done!
It was so cool to see them at DDW 2024 and it was even more cool to try it out in person for their trial!
Pro Tips for @Olympus_Corp PolyLoop
1️⃣ Close sheath/hook & advance collar at SAME TIME
2️⃣ Ensure there is metal exposed before deploying loop to avoid mis-deploying (eg, stuck around polyp 😬)
Ever use @OlympusGI PolyLoop & get frustrated when it fails?
Need a better device!
In this Review Article, Judy A. Trieu and Todd H. Baron coordinate "EUS-guided gastroenterostomy using direct needle-puncture technique." https://t.co/GdOASPkMmU
@EndoTx@TrieuMD@KaraRaphael
Duodenal mass w blockage of ampullary opening. Due to mass & mets, no great window for EUS guided CBD drainage. Don't forget about the gallbladder in these cases! If the cystic duct is patent, it's a great target to allow for biliary decompression. @bsc_endoscopy@neilRsharmaMD
You’re laughing, I’ve been checking the JVP incorrectly for 8 years and you’re laughing 🤡🤡🤡
Jardine DL, Adamson P, Crozier IG. Measuring the Jugular Venous Pressure: Do Not Turn the Head! Am J Med. 2022 May;135(5):552-554.
https://t.co/6BV57u6pui
4⃣ STEPS AXIOS Deployment (numbers outlined on AXIOS)
1. Stabilize AXIOS on EUS ▶️connect 🔥🔌▶️unlock catheter lock ▶️ advance catheter control hub (CCH) smoothly (🦶 on 🟨) until catheter is in collection then advance CCH further in (no 🔥)▶️lock
#GITwitter#MedEd@bostonsci
Rectal varices vs hemorrhoids 🍑
Can be difficult, but RECTAL VARICES typically have these features
▪️superior to levator ani
▪️start >4 cm anal verge
▪️🚫 continuous w dentate
▪️more dilated & tortuous
▪️🚫prolapse into anoscope
#GITwitter