IB

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via @NYTimes https://t.co/5Tk3qwWaIN

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@BeingYaserWani So nice to see some of our teachers! God bless.

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Wordle 326 1/6

🟩🟩🟩🟩🟩

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@nsenussiMD @DrBloodandGuts @AustinChiangMD @SanchezLunaMD @ibdtweets @RobertBechara @BilalMohammadMD @stevenbollipo @Samir_Grover Colonic interposition

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@BIDMC_GI @MoamenGabrMD Great news. Congratulations Moamen.

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@tberzin During my time at Tufts NEMC long back, I used to walk through the children’s hospital. Great history.

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University of Nebraska Medical Center | Advanced/Interventional GI Endoscopy Fellowship/Instructor https://t.co/lvQMN6Rxnd

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@BIDMC_GI @Boston_Endo @harvardmed @BIDMC_Medicine Yay—- congratulations 🍾🎈Doug. So happy.

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@tberzin In the absence of overt/subtle endoscopic change, the yield of biopsies remains low. It just adds cost. More jars, more expense! It is similar to the very low yield for duodenal biopsies on endoscopically normal duodenum, for celiac disease.

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@TarunRustaGI_MD @AmerGastroAssn @AmCollegeGastro @SAGES_Updates @GiJournal @tberzin @BilalMohammadMD @ChahalPrabhleen @teoh_anthony @DrLakhtakia @AustinChiangMD Very nice. Did you have to dilate the tract? If so, what did you use?

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@ChahalPrabhleen Looks like an intrahepatic CCa or a secondary. Because hilum is free so by definition not a perihilar CCa. Triple phase MR to r/o HCC. For dx-Ercp, brush, potential spy bx, FISH. HPB consult. Obviously dominant R lobe, hence jaundiced. Need to drain RAHD and if possible RPHD.

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@DrJBerrueta @DrHarryThomas Probably did FOBT only 😛

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@tberzin @vivek_murthy In a first, Berzin nomination to be contested in the Supreme Court!

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@shifaumarMD @ScopingSundays @MayssanMuftah @Scopesdoc @BilalMohammadMD @AhmadBazarbashi @LizzieAbyMD @DrMalSimons @JacquelineChuMD @NnekaUfereMD @vaibhav_manu @rmulkimd @RobertoSimonsMD @DrMohdZein @ShyamTMD @HarshitKharaMD @EndoscopyOthman @AgnihotriGI @allie_schulman @AustinChiangMD @shailsingh @ChahalPrabhleen If one has done paracentesis, should be able to do decompression by an angiocatheter or a Veress needle. Clearly abdomen will be tense and tympanitic. Vitals might change. Peak pressures may increase per anesthesia.

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@VMehendirattaMD @tberzin @RKeswaniMD @allie_schulman @ChahalPrabhleen @drKumarGI @RajeshKris @gutdoc33 We use Medtronic. That is what we learnt on at BIDMC. @tberzin

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@rsatyak Very sad. I talked to him quite a few times about patients. May God rest his soul in peace.

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@FaisalOA @junjiehuangucd1 @ChahalPrabhleen @tberzin @KM_Pawlak @RodriguezParra_ @KralJan @shanilkadir @RashidLui @SunilAminMD @gastrowala @GiJournal @CarvalloP_MD @HenryHW_Liu Granulation tissue. Biopsy should be enough. Will ooze for sure. Could snare too.

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@UNMC_GIHEP https://t.co/u3wGjVh5Jy

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https://t.co/u3wGjVh5Jy

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@RKeswaniMD @tberzin Thanks for sharing. Deployment of the proximal flange remains the most technically challenging step in the process. And most times we worry about the stent getting pulled. Assuming not a stent malfunction, I wonder if stent device entered the cavity tangentially than end on.