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Un digestivo más.

[Keith Siau @drkeithsiau]

Gastroparesis - summary of the new JAMA review (July 2026):

1️⃣ Pathophysiology
2️⃣ Risk Factors and Epidemiology
3️⃣ Diagnostic Tests
4️⃣ Management

📸: https://t.co/LsCcKvntc0

[Achintya Singh, MD @AchintyaSinghMD]

Why spend an extra 2 minutes inspecting a polyp before resection?

Because 2 minutes may completely change your treatment plan.

The goal of optical diagnosis isn't simply to identify an adenoma.

It's to answer one question:

Is there submucosal invasion (SMI)?

For any colorectal lesion >10 mm (Paris 0-Is or 0-IIa/IIb), think Lateral Spreading Tumor (LST).

Why? https://t.co/xOsFg7be0x

🟢 LST-G homogeneous → 0.8% SMI

🟡 LST-Non Granular flat → 8% SMI

🔴 LST-Non Granular pseudodepressed → 42.5% SMI

The closer you look, the better you stage.

The better you stage, the better you treat.

[EUS & ERCP Master @GIscope_updates]

CHOLEBLADEUS 👇🏿

✅ https://t.co/OEnO8SYvDA

[Leticia Moreira @MoreiraR_Leti]

Happy to share our systematic review on Sex and Gender Differences in Patients with Gastric Cancer.
https://t.co/g6CCWJ6fM2

[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

[Jan Král @KralJan]

⚡Electrosurgery is not “just a setting” in therapeutic endoscopy 🩺

New AGA CPU reviews ESU principles, current density, safety & tissue effect 🔬

📚 https://t.co/rUqx2ysmBt

⚠️Essential reading for EMR/ESD/ERCP practice.

#GITwitter #MedEd @AGA_CGH @AmerGastroAssn

[Joaquín Rodríguez | 🔎Endoscopia digestiva @joakirodriguez]

Más experiencia no siempre es ventaja. Un estudio con 45 endoscopistas revela: los más veteranos tardaron MÁS en dominar ESD. A veces, desaprender es el primer paso.

🔗 https://t.co/fzf1X5coys

#ESD #Endoscopia #Formación

[Douglas G. Adler MD, FASGE, FACG, AGAF @DouglasAdlerMD]

New Publication! In JCG.

Underwater versus conventional EMR for SNADETs <20mm. Congrats to the whole team on this one! #gitwitter #EMR #surgery

[Douglas G. Adler MD, FASGE, FACG, AGAF @DouglasAdlerMD]

New Publication! GPOEM versus Botox for refractory gastroparesis - A Cost Effectiveness Analysis. in JCG. Kudos to the whole team especially @sneh_sonaiya #gitwitter #gastroparesis #gpoem #botox

[Frontline Gastro @FrontGastro_BMJ]

📢 New in Frontline Gastroenterology: Third-space endoscopy in 2026 and beyond

💡 Submucosal tunnelling is opening new pathways for minimally invasive GI therapy.

🔍 This review explores:

➡️ POEM for achalasia
➡️ G-POEM for gastroparesis
➡️ Z-POEM & D-POEM for diverticular disease
➡️ STER for subepithelial lesions
➡️ Training, complications & reflux prevention
➡️ The future: AI-assisted anatomical mapping

📖 Practical, forward-looking and packed with key developments.

🔗 https://t.co/RgNCPsYWs1

#FrontlineGastroenterology #Endoscopy #POEM #ThirdSpaceEndoscopy #Gastroenterology

@PhilSmithIsBack @OTavabie @dr_aditi_kumar @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman @BSGtrainees @WorldGastroOrg @ulstergastro @SEEDendoscopia @AmCollegeGastro @Aegastro @SAGES_updates @WAGE_media @my_UEG @amergastroassn @NASPGHAN @UHSEndoscopy @ESGE_news @amergastroassn @BritSocGastro @ASGEendoscopy

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

🔝 Revisión sobre cáncer gástrico

Fuente: https://t.co/4ETXqbTj9k

[Achintya Singh, MD @AchintyaSinghMD]

How to select esophageal stents?

Esophagus is 25 mm × 25 cm tube.

Diameter:
•16–18 mm→strictures/anastomoses, but ↑migration
•23 mm→leaks, fistulas, strictures; ↑discomfort, perforation

Length: 10, 12, 15 cm
•Extend ≥2 cm beyond stricture
•GEJ involved: Long stents

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

Este documento de la BSG es como un libro de texto sobre endoscopia digestiva alta y es una lectura imprescindible para endoscopistas y médicos en formación 💡🆕

[Keith Siau @drkeithsiau]

Diagnosis and management of gastric
premalignant conditions - summary of ACG 2025 guidelines 📍

[Alí Sebastian Meza @AliSMV7]

🔺Hepatitis B; A Review (JAMA 2026)

https://t.co/K8ZVUqD7bD

[Hanna Blaney, MD, MPH @BlaneyMD]

🔦Easy intervention for visulization in GI bleeding cases:

Change the position.

#DDW2026
@BilalMohammadMD

[Achintya Singh, MD @AchintyaSinghMD]

Pneumatic decompression during POEM or ESD is an important skill to prepare for.

1. Resource article: https://t.co/Ynp8zoFgWx
2. Needles: Veress Needle or 14-16G IV cannula
3. Entry site: Figure below

Always: Check CO2, low-medium (incorporate in pre-procedure time-out)

[Anuraag Jena @DrAnuraagJ]

Cystic neoplasms of the pancreas

A must read review article by @DrLakhtakia @krithivk @drjahangeer09

https://t.co/4topmTnrEO

[Preeyati Chopra @PreeyatiC]

📣 Most GI perforations don’t need a scalpel anymore. Over-the-scope clips (OTSCs) can close full-thickness defects endoscopically—if used early.
But here’s the twist: They often fail in chronic #fistulas.
Timing > tech.
#GITwitter #Medtwitter

📩: https://t.co/HFUZ4vRwBl

[Yakup Ergün @dr_yakupergun]

Metastatic colorectal cancer: ESMO Clinical Practice Guideline for diagnosis, treatment and follow-up†
https://t.co/2SQy8HNxiY