Top Tweets for #ScopingSunday
@umer446 @ScopingSundays @anoushkaduaMD @MN_GIMD @BilalMohammadMD @AhmadBazarbashi @SanchezLunaMD @vaibhav_manu @rmulkimd @AdvaniRashmiMD @DrMalSimons @JosephHabibi_MD @DrMohdZein @TrieuMD @JasonKlapman70 @DavidDiehlMD @HarshitKharaMD @GudaNalini @CyrusPiraka @V_Akshintala @MeirMizrahi1 @RaymondEunhoKim @lukens_f @VictoriaGomezMD @DrFkamal @RobertBechara @FergaGleeson @PrasadIyerMD @NikhilKumtaMD @SatishNagulaMD @dagreenwald @gastrowala @RKeswaniMD @Scopesdoc @laurenkhanna @RabiadeLatour @AmerGastroAssn @AdamJGoodmanMD1 @davidpoppers @neilRsharmaMD @jmarrero6713 @sushilahlawat1 @AmyTyberg @drgaidhane @JennPhanMD @RobHuangMD @joohahwang @zubairkhan254 @PrateekHarne1 @NadeemYousafMD My biggest tip would be to slow down. There is no rush. Reaching D2 or cecum shouldn’t be the goal. A thorough discussion with patient before hand, detailed examination and appreciating pathology is what make a difference in our patients journey.
#scopingsunday
@anoushkaduaMD @ScopingSundays @umer446 @MN_GIMD @BilalMohammadMD @AhmadBazarbashi @SanchezLunaMD @vaibhav_manu @rmulkimd @AdvaniRashmiMD @DrMalSimons @JosephHabibi_MD @DrMohdZein @TrieuMD Great qs.
Drool/unable to manage secretions should be treated as urgently as an unstable GI bleed!! Sooner the better.
#scopingsunday
@umer446 @ScopingSundays @anoushkaduaMD @MN_GIMD @BilalMohammadMD @AhmadBazarbashi @SanchezLunaMD @vaibhav_manu @rmulkimd @AdvaniRashmiMD @DrMalSimons @JosephHabibi_MD @DrMohdZein @TrieuMD @clivejmiranda @fouadsjaber @Montalvan214 @CamilleLupianez @drcheesman @AdamKichlerDO @sachdevmd @SumantInamdar @aiaronsohn @mdmarathon @MJWhitsonMD @AllonKahn @zahidijaztarar @rjsealock @EndoscopyOthman @SyedHussainMD @DrMarinaKimP @tberzin @Boston_Endo @DrR_Williams @MSawhneyMD @abdul_kouanda @SriGaddamMD @noorannemd @DrKashyapC @yaransarkis @amitbhattMD @SiddikiGI @JohnVargoMD @drsethinyc @ColonDocUMMH @AlysonMJohnson @AnotherPatelMD @NCosgroveMD @DrPeanutPoop @SultanMahmoodMD Know your balloons but more importantly start getting a “fell” of pressure. Especially with savary.
Appreciate the decision making between various sizes and always check if there is any signs of dilatation/blood at end of balloon.
#scopingsunday
⌛️Did you miss #ScopingSunday session last weekend?!
⬇️
✅Check out this outstanding summary drafted by @Alibutt1995 🔥
@BilalMohammadMD @DrMarinaKimP @DushDahiya @BalissMichelle @SLUgastro @ASGEendoscopy @ScrubsNHeels @AmerGastroAssn @AmCollegeGastro @ACG_EBGI @AASLDtweets
Missed out on the 🔥🔥 #ScopingSundays discussion this past weekend on “Luminal Strictures”
Check out the #ScopingSummary from the interactive discussion led by @DrMarinaKimP, @AliKhalifaMD & @DushDahiya!
Special thanks to @Alibutt1995 for the summary!
T-2 hours before this all ⭐️ crew takes over #ScopingSundays for all things #LuminalStrictures” !
@DrMarinaKimP @AliKhalifaMD @DushDahiya
Cant wait 🎉
@ScopingSundays @GowthamiR01 @EHolzwanger @BilalMohammadMD @AhmadBazarbashi @CarlKayMD @vaibhav_manu @RobertoSimonsMD @JosephHabibi_MD @AdvaniRashmiMD @TrieuMD @LizzieAbyMD @rmulkimd @KennethParkMD @enaddawod @NCosgroveMD @ziommed @DouglasAdlerMD @AgnihotriGI @SyedGerdezi @TennysonMD @TomTielleman @SanchezLunaMD @PerelmansPearls @DrMohdZein @MouhannaMDGI @shifaumarMD @AriBensonMD @lashagog @NEndoscopy #ScopingSunday #GITwitter
@ScopingSundays @GowthamiR01 @EHolzwanger @BilalMohammadMD @AhmadBazarbashi @CarlKayMD @vaibhav_manu @RobertoSimonsMD @JosephHabibi_MD @AdvaniRashmiMD @TrieuMD @LizzieAbyMD @rmulkimd @KennethParkMD @enaddawod @NCosgroveMD @ziommed @DouglasAdlerMD @AgnihotriGI @SyedGerdezi @TennysonMD @TomTielleman @SanchezLunaMD @PerelmansPearls @DrMohdZein @MouhannaMDGI @shifaumarMD Key Point: Scary things do live beneath the surface as well!
#ScopingSunday #GITwitter
@KennethParkMD @enaddawod @NCosgroveMD @ziommed @DouglasAdlerMD @AgnihotriGI @TrieuMD @AriBensonMD @lashagog @NEndoscopy
@ScopingSundays @GowthamiR01 @EHolzwanger @BilalMohammadMD @AhmadBazarbashi @CarlKayMD @vaibhav_manu @RobertoSimonsMD @JosephHabibi_MD @AdvaniRashmiMD @TrieuMD @LizzieAbyMD @rmulkimd BONUS CASE TWEET!!
40 year old with 30 lbs unintentional weight loss over 2 months found to have this intramural lesion below. What do you think it is?
#ScopingSunday #GITwitter
Tag: @KennethParkMD @enaddawod @NCosgroveMD @ziommed @DouglasAdlerMD @AgnihotriGI
@ScopingSundays @GowthamiR01 @EHolzwanger @BilalMohammadMD @AhmadBazarbashi @CarlKayMD @vaibhav_manu @RobertoSimonsMD @JosephHabibi_MD @AdvaniRashmiMD @TrieuMD @LizzieAbyMD @rmulkimd @SunilAminMD @KMonkemuller @DCharabaty @SultanMahmoodMD @AgnihotriGI @drdalbir Submucosal Tunneling with Endoscopic Submucosal Resection (STER)
#ScopingSunday #GITwitter
@RKeswaniMD @SunilAminMD @MendozaLadd @som_krishna @DannyIssaMD @AThakerMD @APrabhuMD @AnotherPatelMD @jenmarankimd @neilRsharmaMD
@ScopingSundays @GowthamiR01 @EHolzwanger @BilalMohammadMD @AhmadBazarbashi @CarlKayMD @vaibhav_manu @RobertoSimonsMD @JosephHabibi_MD @AdvaniRashmiMD @TrieuMD @LizzieAbyMD @rmulkimd @SunilAminMD @KMonkemuller @DCharabaty @SultanMahmoodMD @AgnihotriGI @drdalbir You are performing a Lower EUS for an SEL. Findings showing an 18 mm, 4th layer, hypoechoic lesion with high risk feature. The lesion is ulcerated and slowly oozing. What would you do next? #ScopingSunday #GITwitter
@ScopingSundays @GowthamiR01 @EHolzwanger @BilalMohammadMD @AhmadBazarbashi @CarlKayMD @vaibhav_manu @RobertoSimonsMD @JosephHabibi_MD @AdvaniRashmiMD @TrieuMD @LizzieAbyMD @rmulkimd @SyedGerdezi @TomTielleman @EndoscopyOthman @GiJawaid @SahajRathi @SanchezLunaMD @ShyamTMD @DavidDiehlMD @neilRsharmaMD @BalissMichelle @VinayChandraMD @GI_Pearls @Taalamri @DharJahnvi @KM_Pawlak @gastrowala @AgnihotriGI @laurenkhanna @JovaniManol @NEndoscopy @doc_zubin @SriGaddamMD @thedennischen @PopovVioleta @RashidLui @tberzin @DrSaeeeed ⭕️Hyperenhancement and avascular area (necrosis) in GIST lesions
⭕️ Hypoenhancement in leiomyomas
➡️allow for accurate discrimination between the 2 lesions, with accuracy greater than 95% #ScopingSunday #GITwitter
@ScopingSundays @GowthamiR01 @EHolzwanger @BilalMohammadMD @AhmadBazarbashi @CarlKayMD @vaibhav_manu @RobertoSimonsMD @JosephHabibi_MD @AdvaniRashmiMD @TrieuMD @LizzieAbyMD @rmulkimd @SyedGerdezi @TomTielleman @EndoscopyOthman @GiJawaid @SahajRathi @SanchezLunaMD @ShyamTMD @DavidDiehlMD @neilRsharmaMD @BalissMichelle @VinayChandraMD @GI_Pearls @Taalamri @DharJahnvi @KM_Pawlak @gastrowala @AgnihotriGI @laurenkhanna Fourth layer SELs are a distinct entity due to their malignant potential; main differential being GIST, Leiomyoma and Schwannoma.
AGA guidelines: SEL arising from muscularis propria should be sampled (preferably using FNB or FNA)
#ScopingSunday #GITwitter
@ScopingSundays @GowthamiR01 @EHolzwanger @BilalMohammadMD @AhmadBazarbashi @CarlKayMD @vaibhav_manu @RobertoSimonsMD @JosephHabibi_MD @AdvaniRashmiMD @TrieuMD @LizzieAbyMD @rmulkimd @SyedGerdezi @TomTielleman @EndoscopyOthman @GiJawaid @SahajRathi @SanchezLunaMD @ShyamTMD @DavidDiehlMD @neilRsharmaMD 🔴3rd layer
🔴Hypoechoic to hyperechoic, homogeneous appearance
🔴Indistinct margin
🔴Histology: Spindle-cell proliferation with a mixed inflammatory infiltrate/IHC positive for CD34 and negative for CD117
#ScopingSunday #GITwitter
@ScopingSundays @GowthamiR01 @EHolzwanger @BilalMohammadMD @AhmadBazarbashi @CarlKayMD @vaibhav_manu @RobertoSimonsMD @JosephHabibi_MD @AdvaniRashmiMD @TrieuMD @LizzieAbyMD @rmulkimd 🔥Marginal halo sign => Schwannoma.
🔥3rd or 4th layer
🔥Schwannoma is of neural origin, along with neuroma and neurofibroma
🔥Most commonly located in the body of the stomach
🔥Histology: Negative for CD117, desmin, α-SMA and positive for S100
#ScopingSunday #GITwitter
@ScopingSundays @GowthamiR01 @EHolzwanger @BilalMohammadMD @AhmadBazarbashi @CarlKayMD @vaibhav_manu @RobertoSimonsMD @JosephHabibi_MD @AdvaniRashmiMD @TrieuMD @LizzieAbyMD @rmulkimd When performing an EUS, you identify a heterogeneous 4th layer lesion with a hypoechoic rim surrounding the lesion. What would be your diagnosis?
#ScopingSunday #GITwitter
@ScopingSundays @GowthamiR01 @EHolzwanger @BilalMohammadMD @AhmadBazarbashi @CarlKayMD @vaibhav_manu @RobertoSimonsMD @JosephHabibi_MD @AdvaniRashmiMD @TrieuMD @LizzieAbyMD @rmulkimd @ShimaghavimiMD @pritesh_mutha @drkeithsiau @SChandanMD @EndoscopyOthman @buxbaum_l @ChahalPrabhleen @drKumarGI @AnandSahaiEUS @DavidDiehlMD @neilRsharmaMD @TheGastrologer @Samir_Grover @TomTielleman @SanchezLunaMD @MouhannaMDGI @ShyamTMD @DrWaqarAhmed1 @KMonkemuller @iGUT_Houston @DCharabaty @SultanMahmoodMD @AgnihotriGI @drdalbir @mayyismail EUS reveals a 5-layer pattern numbered from the lumen out: first and second (mucosa including the muscularis mucosa), third (submucosa), fourth (MP), and fifth (serosa or adventitia)
#ScopingSunday #GITwitter
@ScopingSundays @GowthamiR01 @EHolzwanger @BilalMohammadMD @AhmadBazarbashi @CarlKayMD @vaibhav_manu @RobertoSimonsMD @JosephHabibi_MD @AdvaniRashmiMD @TrieuMD @LizzieAbyMD @rmulkimd @ShimaghavimiMD @pritesh_mutha @drkeithsiau @SChandanMD @EndoscopyOthman @buxbaum_l @ChahalPrabhleen @drKumarGI @AnandSahaiEUS @DavidDiehlMD @neilRsharmaMD @TheGastrologer @Samir_Grover @TomTielleman @SanchezLunaMD @MouhannaMDGI @ShyamTMD @DrWaqarAhmed1 @KMonkemuller Role of EUS with SELs
🔭 Characterize whether a lesion is intramural or extramural, the layer of origin, size, echogenicity of the lesion, and presence of blood vessels on doppler flow
🔭 Tissue acquisition (linear EUS)
#ScopingSunday #GITwitter
@ScopingSundays @GowthamiR01 @EHolzwanger @BilalMohammadMD @AhmadBazarbashi @CarlKayMD @vaibhav_manu @RobertoSimonsMD @JosephHabibi_MD @AdvaniRashmiMD @TrieuMD @LizzieAbyMD @rmulkimd @ShimaghavimiMD @pritesh_mutha @drkeithsiau @SChandanMD @EndoscopyOthman @buxbaum_l @ChahalPrabhleen @drKumarGI @AnandSahaiEUS Changing a patient’s position can help shift the position of adjacent organs (such as the liver) to assess for extrinsic compression, leading to the false appearance of a true intramural SEL.
#ScopingSunday #GITwitter
@ScopingSundays @GowthamiR01 @EHolzwanger @BilalMohammadMD @AhmadBazarbashi @CarlKayMD @vaibhav_manu @RobertoSimonsMD @JosephHabibi_MD @AdvaniRashmiMD @TrieuMD @LizzieAbyMD @rmulkimd Performing EUS for SELs: Confirm endoscopic location of lesion and then evaluate with EUS
Decipher between intramural lesion vs. extrinsic compression
#ScopingSunday #GITwitter
@ScopingSundays @GowthamiR01 @EHolzwanger @BilalMohammadMD @AhmadBazarbashi @CarlKayMD @vaibhav_manu @RobertoSimonsMD @JosephHabibi_MD @AdvaniRashmiMD @TrieuMD @LizzieAbyMD @rmulkimd You are evaluating a subepithelial lesion in the gastric body. You notice it is arising from the third wall layer of the stomach. Which layer is this? #ScopingSunday #GITwitter
Last Seen Hashtags on Sotwe
CapitalDeLosGrandesEventos
Seen from United States
mannenmyten
Seen from Japan
国漫
女生内衣
Seen from United States
omegle
Seen from United States
伪娘
Seen from Korea
弹力插
Seen from United States
nolimit()********************************************
Seen from Germany
visitaPapaRTVE
Seen from Brazil
trustetc
Seen from United States
Most Popular Users
Elon Musk 
@elonmusk
240.9M followers
Barack Obama
@barackobama
119.2M followers
Donald J. Trump
@realdonaldtrump
111.8M followers
Cristiano Ronaldo
@cristiano
111.5M followers
Narendra Modi
@narendramodi
107.1M followers
Rihanna
@rihanna
97.9M followers
NASA
@nasa
92.2M followers
Justin Bieber
@justinbieber
91.1M followers
KATY PERRY
@katyperry
88.2M followers
Taylor Swift
@taylorswift13
82M followers
Lady Gaga
@ladygaga
73.5M followers
Virat Kohli
@imvkohli
70.7M followers
Kim Kardashian
@kimkardashian
70M followers
YouTube
@youtube
68.7M followers
Bill Gates
@billgates
64.2M followers
Neymar Jr
@neymarjr
63.5M followers
The Ellen Show
@theellenshow
62.4M followers
CNN
@cnn
61.9M followers
Selena Gomez
@selenagomez
61.2M followers
X
@x
60.8M followers