Rajan kanth

On a Journey..!!!

[Rajan kanth @kanthMD]

EUS Liver segments: Images

[Rajan kanth @kanthMD]

@diego_conejero Beautiful demonstration 👍:)

[Rajan kanth @kanthMD]

@docdhir Here is the link https://t.co/xwKzFkn50g

[Keith Siau @drkeithsiau]

Summary of the 🆕 Ibero-Latin American guidelines on acute pancreatitis in @UEGJournal 🇪🇸🌎

📸: https://t.co/0TrqXSUYNb

[Rajan kanth @kanthMD]

In patients with mild-to-moderate acute cholangitis, urgent ERCP within 24 hours was not superior to early ERCP within 24–48 hours and is associated with a higher rate of procedure-related adverse events #ERCP #GITwitter #Medtwitter https://t.co/XU6Xl0TKEk

[Rajan kanth @kanthMD]

Preemptive fixation of a jejunal enteral tube extension via novel anchoring system (X-tack Suture)
https://t.co/Df7apm1x7h #GItwitter #MedTwitter #Endoscopy #PEG-J #X-tack

[Rajan kanth @kanthMD]

Complete resection of a duodenal submucosal tumor using clip-and-snare assisted endoscopic submucosal resection https://t.co/tiZMLWrx0t #ESD #Medtwitter #GItwitter #EMR

[Rajan kanth @kanthMD]

ERCP- How to perform the Soehendra emergency crushing procedure https://t.co/Kktxx9HOl5 #LCIE #ERCP #GITwitter #Medtwitter #Endoscopy

[Rajan kanth @kanthMD]

@DouglasAdlerMD Is it available in USA to use ? Through CHESS medical ?

[Adriana Zucchiatti @zucchiatti_]

Neuroendocrine neoplasms of the stomach. Update on diagnostic
criteria, classification, and prognostic markers
https://t.co/0TNGkh2ZMQ
#GIpath

[Rajan kanth @kanthMD]

Rule of 5 Vein and 1 Artery- Examination of the Portal System from the Stomach - by Prof.Hussein Okasha #gitwitter #medtwitter #EUS https://t.co/2ZJNlfrfa9 @asianeus @GIscope_updates @EUSandEndoscopy @droktaybulur @EndoscopyNow @NeethiDasu @PrabinSharmaMD

[Enrique de-Madaria @DeMadaria]

The GOULASH trial has been published in @Gut_BMJ!

Multicentric double-blind RCT in acute pancreatitis

High versus gradually increasing energy in enteral nutrition to all comers with AP

High energy was detrimental

Congrats Katalin and Peter!

https://t.co/EgkR9V866V

[Rajan kanth @kanthMD]

@AchintyaSinghMD https://t.co/0osiauILdR

[Rajan kanth @kanthMD]

EUS Liver segments: Images

[Rajan kanth @kanthMD]

Multipoint elastic traction for colorectal endoscopic submucosal dissection: Another similar technique #ESD #gitwitter #endoscopy https://t.co/WPRZwIAAmW

[Rajan kanth @kanthMD]

Star-Loop: a novel, low-cost method of multipoint traction for colonic endoscopic submucosal dissection - VideoGIE https://t.co/hmtRo5iChL #ESD #MedTwitter #endoscopy #GITwitter

[Rajan kanth @kanthMD]

Repositionable Elastic Adaptive Customizable Traction multipoint elastic traction for colorectal endoscopic submucosal dissection: 59 consecutive cases #https://www.giejournal.org/article/S0016-5107%2825%2902524-6/fulltext @ASGEendoscopy #ESD #Endoscopy #gitwitter #medtwitter

[Rajan kanth @kanthMD]

Multi Rubber-band Traction #gitwitter #endoscope #medtwitter # #ESD https://t.co/nFCe8SKBjZ via @YouTube

[Howard Luks MD @hjluks]

I’ve been an orthopedic surgeon for nearly 30 years, and a few patterns have become impossible to ignore. One is that many musculoskeletal problems in adults aren’t sudden injuries. They’re the moment when declining capacity and awful metabolic health finally reveals itself.

Over the decades your strength fades, muscle mass declines, as your aerobic capacity tanks. Tendons and connective tissues lose substance, stiffness, and resilience. For years the body compensated... quietly. Then one day a knee hurts during a run to get the train, or shoulder aches reaching overhead, or a back tightens lifting something simple.

At that point the story usually becomes more about structural damage. An MRI gets ordered. Welcome to high-tech, low-medicine. And the MRI almost always finds something. A meniscus tear. A rotator cuff tear. A disc bulge. Why? Because by midlife these findings are extremely common — even in people with no pain at all. If you have a tear in one shoulder, image the other shoulder... you probably have the same tear there. But I digress.

Once the scan appears, the narrative changes. The image becomes the diagnosis. Now the patient believes something is broken, and the focus often shifts to fixing what the MRI shows.

What often gets lost in this is the reason the symptoms appeared in the first place. Many so-called “atraumatic” orthopedic complaints are not purely mechanical failures. They are the moment when reduced strength, declining tissue capacity, and sometimes broader metabolic health issues finally reach a tipping point. Our tissues change over the decades... get over it.

In other words, the MRI didn’t create the problem. Well... it sort of did in this scenario. But all the MRI showed was something that was already there.... because of your age, lifestyle, health and so on.

The real driver of symptoms is often loss of physiologic reserve. Less muscle. Less tendon or aerobic resilience. Less tolerance for load, etc.

Once the MRI enters the picture, the risk becomes overtreatment. This is probably the number one reason people have surgery. When in many cases the most powerful intervention was never the scan or the procedure.

It was rebuilding capacity.

Strong muscles stabilize joints. Aerobic fitness improves metabolic health and tissue perfusion. Gradual loading restores tolerance.

But people often don't take PT seriously prior to surgery. They often take PT very seriously afterwards. Therefore, PT is probably the reason you feel better, despite the surgery.

The irony is that the treatment many people ultimately need is the same thing that might have prevented the problem in the first place.

Staying strong. Staying active. Maintaining the reserve that protects our joints/tendons/muscles/abilities as we age.

[Rajan kanth @kanthMD]

Transmural gallbladder drainage using a novel endosonographic-guided suture (with video) - Gastrointestinal Endoscopy #EUS #Suture # https://t.co/pt2ILzw92I

[Rajan kanth @kanthMD]

Lymph Node exam - EUS @ASGEendoscopy @drkeithsiau @DouglasAdlerMD @EUSandEndoscopy @NeethiDasu @PrabinSharmaMD

[Rajan kanth @kanthMD]

Lymph Node characteristics Findings on EUS exam
Pink Highlighted LN--> Malignant
Yellow Highlighted LN--> Benign
EUS by by Dr Vikram Bhatia
Source https://t.co/evQnRTncpi #EUS #GItwitter #LN #Malignancy

[Rajan kanth @kanthMD]

Failure of release of the Hot AXIOS distal flange: "handle springing" as a rescue technique https://t.co/M4sDcntHAs #GItwitter #Metwitter #EUS #AXIOS

[Rajan kanth @kanthMD]

Asymptomatic Walled‐Off Pancreatic Necrosis: Natural Course and Risk Factors for Intervention --- size of > 5.6 cm predicted the need for intervention with 88.5% sensitivity and 54% specificity. #GITwitter #MedTwitter #WON #Pancreatitis https://t.co/DiYEhQ4q2g