Juan David Espinoza

Gastroenterólogia y endoscopia digestiva.

[Juan David Espinoza @jdgemelo]

An 85-year-old patient presentsjaundice and cachexia.The patient has advanced infiltrating ampullary carcinoma. Given the poor overall prognosis and limited life expectancy, approach plastic biliary stent, rather than a metal stent,.
Are you agree @DouglasAdlerMD @KMonkemuller

[Frontline Gastro @FrontGastro_BMJ]

🚀 BSG EndoBridge Series (11/15): Endoscopic Anti-Reflux Therapy

Can we treat reflux without lifelong PPIs or surgery?

https://t.co/HIdkhKQT0U

📢 The therapeutic landscape is changing.
🔍 TIF and cTIF are now endorsed by the 2025 ASGE guideline in appropriately selected patients
🎯 Objective reflux testing is essential before intervention
✂️ Newer options include GERD-X, ARMS and ARMA
🧩 Success depends on phenotype, anatomy and patient selection

The key message?

The right patient. The right procedure. The right outcome.

📖 Open Access x 6 months

#BSG2026 #BSGEndoBridge #FrontlineGastroenterology #GERD #GORD #Endoscopy #TIF #ARMA

@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

[Juan David Espinoza @jdgemelo]

@videogie @KeihanianTara @VKesarMD Apc mutation , sd poliposis adenomatosa familiar

[Keith Siau @drkeithsiau]

Takeaways from his masterclass talk 💡

[Frontline Gastro @FrontGastro_BMJ]

🌊 BSG EndoBridge Series (10/15): Underwater Endoscopy

What happens when we remove the air and add water?
💧 Water-aided colonoscopy
💧 Underwater EMR
💧 Saline-immersion ESD

https://t.co/1rS2r0FVeu

Immersion techniques are transforming colorectal endoscopy:
✅ Improved patient comfort
✅ Better mucosal visualisation
✅ Enhanced lesion detection
✅ More efficient resection
✅ Novel approaches to complex ESD

From colonoscope insertion to advanced therapeutic resection, water is no longer just irrigation—it's becoming a key endoscopic tool.

@AEMLondon @Samanta_JayPGI @DharJahnvi among co-authors!

📖 Open Access x 6 months

#BSG2026 #BSGEndoBridge #FrontlineGastroenterology #Endoscopy #Colonoscopy #EMR #ESD #CRCPrevention

@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

[Frontline Gastro @FrontGastro_BMJ]

🚀 BSG EndoBridge Series (8/15): Third-Space Endoscopy

Third-space endoscopy has transformed the management of GI motility disorders and subepithelial tumours.

https://t.co/DIUt2HP1ie

🔹 POEM for achalasia
🔹 G-POEM for gastroparesis
🔹 Z-POEM for Zenker's diverticulum
🔹 STER for organ-preserving tumour resection

And the next frontier?
🤖 AI-assisted anatomical mapping
🎯 Real-time procedural guidance
📈 Safer, more reproducible interventions

The boundaries between endoscopy and surgery continue to blur.

📖 Open Access x 6 months

#BSG2026 #BSGEndoBridge #FrontlineGastroenterology #POEM #ThirdSpaceEndoscopy #GPOEM #ZPOEM #STER #Endoscopy

@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

[Frontline Gastro @FrontGastro_BMJ]

🚀 BSG EndoBridge Series (4/15): Gastric Neoplasia

The best treatment for gastric cancer starts with finding it early.

🔗 https://t.co/8JItROIsZQ

🔍 Recognise the premalignant stomach: atrophy and intestinal metaplasia
📸 Use image-enhanced endoscopy to identify subtle neoplastic lesions
🎯 Optical diagnosis can predict histology, invasion depth and resectability
✂️ ESD is now the standard of care for appropriately selected early gastric cancers
🤖 AI and blood-based biomarkers may transform future detection and surveillance

📖 Open Access x 6 months

#BSG2026 #BSGEndoBridge #FrontlineGastroenterology #GastricCancer #Endoscopy #ESD #AIinMedicine #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

[Juan David Espinoza @jdgemelo]

@DouglasAdlerMD @Stentingwoman 🙌🏻🙌🏻💪🏼💪🏼

[Gastroenterology @AGA_Gastro]

📣 The July issue of #Gastroenterology is now online! Essential reading includes:
🔹New research on gut–brain connections and IBS
🔹An RCT of timing for pancreatic necrosectomy
🔹A brief report forecasting #IBD incidence around the globe
🔗 https://t.co/wbDHindRgd

[Juan David Espinoza @jdgemelo]

An infiltrating duodenal ampullary tumor was diagnosed, and ERCP was performed as a bridge to definitive surgical treatment.”

[Enrique de-Madaria @DeMadaria]

I am pleased to announce that the third edition of the Harvard Medical School postgraduate course Management of Pancreatic Disorders for the Practicing Clinician will take place on November 13–14, 2026. The course material will remain available for three months.

This will be an online course designed for gastroenterologists, surgeons, internists, intensivists, nutritionists, and other healthcare professionals interested in pancreatic diseases. It is accredited by one of the world’s leading universities, Harvard University.

The course will be co-directed by Dr. @YhernandezMD, from Massachusetts General Hospital-Harvard Medical School, and by me, Enrique de Madaria, from Hospital General Universitario Dr. Balmis-ISABIAL, Instituto de Investigación Sanitaria y Biomédica de Alicante-Universidad Miguel Hernández de Elche.

Over these two days, the course will feature lectures delivered by some of the world’s leading pancreatologists, addressing key aspects of clinical pancreatology from a practical and up-to-date perspective.

We will be sharing more information in the coming months.

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

🧪 Diagnóstico de hepatitis autoinmune

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

New publication! POEM versus Lap Heller versus Dilation versus Botox for achalasia! Congrats to the entire team! Paper is in Journal of Clinical Gastro. #giwtitter #poem #surgery #achalasai #esophagus #dysphagia

[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 💡🆕
#SEPD2026

[AESPANC @AESPANC]

🚨#ASCO2026 + @NEJM
RCT III #RASolute302: uno de los avances más relevantes de los últimos años en #PancreaticCancer metastásico

⚠️500👫con mPDAC pretratado aleatorizados a daraxonrasib (inhibidor panRAS) vs QT estándar

🇪🇸 Participó la Dra. Rocío García-Carbonero (@AESPANC) 👇

[Pedro J. Rosón @Pedro_Roson]

Primer caso realizado durante el Málaga live 2026, Achalasia tipo II tratada por los doctores Zozaya y Muñoz. Muy interesante ver como se resuelve una mucosotomia compleja..
Activa las notificaciones para estar al tanto del resto de vídeos del curso que iremos publicando!
https://t.co/swS0210L2i

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

Diagnóstico y manejo de las condiciones premalignas gástricas: resumen de las guías ACG 2025 📍

[Gonzalo Perez @gonzaeperez]

ROL DE LA ACTIVIDAD FÍSICA EN EL TRATAMIENTO DE LA OBESIDAD
Statement AHA
La actividad física es esencial para el tratamiento de la obesidad
🔴Mejora la pérdida de peso
🔴Mejora el perfil de factores de riesgo
🔴Mejora la calidad de vida
Vía @CircAHA
https://t.co/WYGzD2EplE

[AESPANC @AESPANC]

🚨📢¡RECIÉN PUBLICADAS!

Primeras guías ibero-latinoamericanas de #PancreatitisAguda (#iLATAM-AP), fruto del trabajo conjunto de expertos de España, Portugal y Latinoamérica.

🧵Abrimos hilo con las recomendaciones clave👇

@aegastro @OPGEgastro @sied_online @AESPANC @SP_Gastro

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

Causas de deficiencia de vitamina B12
@BrighamMedRes