Duodenum is wher endoscopists get humbled.
Thin wall. Bile. Narrow lumen. High vascularity.
#ESD has historically carried perforation rates ~ 50% and surgical rescue rates ~ 14%.
Wat dos high-volume centre @AIGHospitals achieve in real-world practice?
https://t.co/dHfyCvWKSo
Great science hapens whn curious minds cme together.
An inspiring discussion w/ colleagues & collaborators acros the globe, exchanging ideas, challenging perspectives, learning from each other's experiencs in #endoscopy#research.
#MedicalEducation#Gastroenterology#GITwitter
A personalized endoscopic step-up strategy
📊 Predict re-intervention risk @ baseline
⚖️ Reserve upfront DEN for high-risk (large WON, high debris, paracolic extension)
✅ Drain & observe low-risk:most won't need DEN
🚫 Stop applying universal upfront necrosectomy to every WON