Edward Cay

Gastroenterology Fellow Mclaren Health Care Greater Lansing / Michigan State University || Former Transplant Hepatology Fellow Rush University Medical Center

[Liver Fellow Network @LiverFellow]

How should we approach gastric varices? 🤔

✍️ document classification, size & high-risk stigmata
🩻 obtain contrast-enhanced imaging with portal venous phase
👥 multidisciplinary discussion with hepatology, IR and advanced endoscopy

[Liver Fellow Network @LiverFellow]

Option: EUS-guided coil injection therapy 
👀 real-time assessment with doppler
💉🧵 hemostatic coils that act as scaffold for injected adjunct 

Check it out 👇
“Endoscopic Management of Gastric Varices” 
#LFNpearls @Edward_Cay

[Liver Fellow Network @LiverFellow]

#LiverFellowNetwork #Hepatology #GI #MedTwitter #Portalhypertension #AdvancedEndoscopy #EndoHepatology #EUS

🔗 https://t.co/vs7BnLs4Zu

[Edward Cay @Edward_Cay]

📷🩻Close call ‼️This pic of a toothpick would make anyone worried sick 😦
👀 Check it out: “Pancreas Injury and Abdominal Pain as a Result of Duodenal Perforation by an Ingested Toothpick�� @ACGCRJ
https://t.co/v7UBtgIk32

[Edward Cay @Edward_Cay]

😦 Wonder what can transmit these pits ⁉️
🦠”A Rare Case of Esophageal Pseudodiverticulosis Associated With Cytomegalovirus Esophagitis Presenting With Severe Upper Gastrointestinal Bleeding” @ACGCRJ
👉Read more: https://t.co/HMMhucRaxO

[Edward Cay @Edward_Cay]

💉Caution for GLP-1 / GIP Agonists ❗
🔥”Tirzepatide-Induced Liver Injury: A Rare Medication Side Effect” @ACGCRJ
👀👉 Check it out: https://t.co/8JCmrlnUC2