Biswa Ranjan Patra MD,DM 🇮🇳

Additional Director- Third Space Endoscopy, IEE & Endoscopic Resection. Sir HN Reliance Foundation Hospital and Research Centre, Mumbai.

[Biswa Ranjan Patra MD,DM 🇮🇳 @drbiswaPATRA]

ESD for Rectal LST-G (mixed nodular), starting from anal verge extending till 8cm, complete circumferential excision..

How often do you encounter strictures in such cases? Your go to strategy for stricture prevention ?

#GITwitter #MedTwitter #ESD

[Indian Journal of Gastroenterology @IJG_Journal]

Role of prehabilitative gastrostomy tube feeding to bridge severely malnourished surgically unfit achalasia patients to per-oral endoscopic myotomy

@drbiswaPATRA #DrAkashShukla

https://t.co/GfbocElenB

[Biswa Ranjan Patra MD,DM 🇮🇳 @drbiswaPATRA]

@UpendraMPradhan @ebtapper @grok @KailashKolhe

[Biswa Ranjan Patra MD,DM 🇮🇳 @drbiswaPATRA]

@JamesHaddadMD @DouglasAdlerMD @TomTielleman @BilalMohammadMD @HilarHolzy @AhmadBazarbashi It’s from one of our patient, 4 months but with SPAXUS (cost constraints for AXIOS), it was delaminated

We planned removal at 3m, but lost to follow up

Do you see embedment with Axios with this duration, want to figure out if it’s the duration or the stent that’s responsible

[Biswa Ranjan Patra MD,DM 🇮🇳 @drbiswaPATRA]

@Srisha_Hebbar @DouglasAdlerMD @EndoscopyNow I think once you had cut deep, you would have left the PD opening behind. Your opinion?
Never tried gold probe but once resorted to coagrasper effectively and another time prolonged CRE within SEMS to control difficult bleeds

[Biswa Ranjan Patra MD,DM 🇮🇳 @drbiswaPATRA]

@hsid_h @DrAnuraagJ @ibd_pal @ibdseb @charlie_lees @IBDimmunology @Bealoquebea @stevenbollipo @P_DeepakIBDMD @drvishal82 @gut_rp @doctorboletoh @sanjy_med @DrShubhamj Excellent review @hsid_h

[Biswa Ranjan Patra MD,DM 🇮🇳 @drbiswaPATRA]

@drsridhars @JovaniManol @RobertBechara @SultanMahmoodMD @neilRsharmaMD @shaimaa_elkholy @KennethParkMD @MendozaLadd @flaubert_sena @SunilAminMD @LouisHSLau @DennisYangMD @DrSuleymanGunay @podimuwa @EndoscopyOthman @amolbapaye @Suddoc @gastro3570 @ZaheerNabi8 @drasreekanth @ahmad_madkour Interesting.. large dataset.. with all circumferential, will be worth to look at other determinants 👍

[Biswa Ranjan Patra MD,DM 🇮🇳 @drbiswaPATRA]

ESD for Rectal LST-G (mixed nodular), starting from anal verge extending till 8cm, complete circumferential excision..

How often do you encounter strictures in such cases? Your go to strategy for stricture prevention ?

#GITwitter #MedTwitter #ESD

[Biswa Ranjan Patra MD,DM 🇮🇳 @drbiswaPATRA]

@amolbapaye @drakashshukla3 @arunvaidya212 @hsid_h Thanks sir.. for sharing your inputs

[Biswa Ranjan Patra MD,DM 🇮🇳 @drbiswaPATRA]

@drsridhars @JovaniManol @RobertBechara @SultanMahmoodMD @neilRsharmaMD @shaimaa_elkholy @KennethParkMD @MendozaLadd @flaubert_sena @SunilAminMD @LouisHSLau @DennisYangMD @DrSuleymanGunay @podimuwa @EndoscopyOthman @amolbapaye @Suddoc @gastro3570 @ZaheerNabi8 @drasreekanth @ahmad_madkour Great.. would be interesting to see the share of larger resections of >75%, 90% or complete circumferential in that one third.. causing significant stricture requiring additional therapy.. also colon vs rectum vs anorectal critical resection limits for stricture

[Biswa Ranjan Patra MD,DM 🇮🇳 @drbiswaPATRA]

@JovaniManol @RobertBechara @SultanMahmoodMD @neilRsharmaMD @shaimaa_elkholy @KennethParkMD @MendozaLadd @flaubert_sena @SunilAminMD @LouisHSLau @DennisYangMD @DrSuleymanGunay @podimuwa @EndoscopyOthman @amolbapaye @Suddoc @gastro3570 @ZaheerNabi8 @drsridhars @drasreekanth @shaimaa_elkholy @ahmad_madkour it would be interesting to know your perspective and practice as you do a lot of circumferential rectal lesions.

[Biswa Ranjan Patra MD,DM 🇮🇳 @drbiswaPATRA]

@JovaniManol @RobertBechara @SultanMahmoodMD @neilRsharmaMD @shaimaa_elkholy @KennethParkMD @MendozaLadd @flaubert_sena @SunilAminMD @LouisHSLau @DennisYangMD @DrSuleymanGunay @podimuwa @EndoscopyOthman @amolbapaye @Suddoc @gastro3570 @ZaheerNabi8 @drsridhars @drasreekanth Thanks.. We dint use anything, what is your centre’s practice and what would you recommend?

The date is very mixed and scare particularly for circumferential ones regarding the role of steroids.

[Biswa Ranjan Patra MD,DM 🇮🇳 @drbiswaPATRA]

@SultanMahmoodMD @drakashshukla3 @arunvaidya212 @hsid_h Although anal involvement is a risk, last two similar patients presented with incontinence with very weak anal tone probably due to polyps chronically popping out and impairing effective sphincter closure.
May be some narrowing would be therapeutic else have to dilate I guess

[Biswa Ranjan Patra MD,DM 🇮🇳 @drbiswaPATRA]

@DrSuleymanGunay @drakashshukla3 @arunvaidya212 @hsid_h Thank you, for the inputs..

[Biswa Ranjan Patra MD,DM 🇮🇳 @drbiswaPATRA]

@SultanMahmoodMD @drakashshukla3 @arunvaidya212 @hsid_h Thanks. Pre op- TVA with HGD, JNET 2A & 2B, excision path awaited.

True about the data, even more scarce data for >90%, or circumferential ones which says the risks are high but the numbers reported are too low to conclude anything and about the prophylactic role of steroids.

[Biswa Ranjan Patra MD,DM 🇮🇳 @drbiswaPATRA]

@doctorboletoh Heartiest congratulations sir ❤️

[Biswa Ranjan Patra MD,DM 🇮🇳 @drbiswaPATRA]

@amolbapaye Thank you sir for the valuable inputs.

[Biswa Ranjan Patra MD,DM 🇮🇳 @drbiswaPATRA]

Ileocecal valve obstructive lipoma. Household rubber band was used for traction.
Faced difficulty in cutting the rubber band and had to open up the clip holding the lesion to detach it.. What’s ur go to internal traction method of choice in absence of dedicated devices ??

[Biswa Ranjan Patra MD,DM 🇮🇳 @drbiswaPATRA]

@KamaniLubna @ESGE_news @ASGEendoscopy @WomeninEndo @WorldGastroOrg @AmCollegeGastro @drkeithsiau @helpatologist @DrNazishbutt @shifaumarMD @stevenbollipo @SyedGerdezi @shanilkadir Laser/EHL