LuDERG

Ljubljana Digestive Endoscopy Research Group

Department of Gastrointestinal Endoscopy at @GI_UMCLJ @ukclj

contact:
[email protected]

[Gastroenterology Department UMC LJUBLJANA @GI_UMCLJ]

"Patient-reported Outcomes in Clinical Trials of Inflammatory Bowel Disease: A Systematic Review and Meta-analysis - Clinical Gastroenterology and Hepatology"

The study, published in @AGA_CGH was led by dr.Hanžel. We invite you to read the article: https://t.co/UuzZmeiCUj

[LuDERG @L_uDERG]

@rokdezman @GavricAle @GI_UMCLJ @ukclj Thank you.

[LuDERG @L_uDERG]

First STER at @GI_UMCLJ @ukclj

[LuDERG @L_uDERG]

Honored to host Dr. Ivo Boskoski, who visited us and demonstrated Gastric Mucosal Ablation (GMA) and Endoscopic Sleeve Gastroplasty (ESG) during a live case session. An excellent opportunity to learn from one of the leading experts in bariatric endoscopy.
@GI_UMCLJ @ukclj

[Aleksandar Gavric @GavricAle]

Cold EMR: 13–16 mm SSL in the Descending Colon

https://t.co/0JIfNk2fex

[Aleksandar Gavric @GavricAle]

Endoscopic ampullectomy: step-by-step guide for a 16mm ampullary adenoma with LGD.

https://t.co/MZNYQeldiV

[Aleksandar Gavric @GavricAle]

64F admitted in hemorrhagic shock. History notable for heavy NSAID use (6–8 tablets/day). After infusion/transfusion, she became stable enough for urgent EGD without intubation. CT showed no signs of perforation.
Ulcer shown below.
What would be your next step in management?

[Sara Nikolić @SN_gastro]

@GavricAle having a brilliant talk about genetic polyposis syndromes followed up at @L_uDERG

#endoscopyman

[Aleksandar Gavric @GavricAle]

10min ERCP case in a 34 yrs-old female pt. (choledocholithiasis). 2 pancreatic duct wire passages. Pancreatic stent, sphincterotomy, stone removed.

18hrs later severe abd pain (pancreatitis). CRP 21. CT:few air bubbles around the duodenum.

Do you rescope and stent bile duct?

[Aleksandar Gavric @GavricAle]

We have recruited 54 patients for the
Prospective Randomized Controlled Trial Evaluating Adenoma Recurrence after Endoscopic Mucosal Resection with Margin Marking or Post-Resection Treatment with Snare Tip Soft Coagulation (ERADICATE)
trial).

[Aleksandar Gavric @GavricAle]

Went for cold pEMR.

The patient returned (12h) to the emergency unit with abdominal pain (pancreatitis).

This was periampullary lesion.

Basics: when dealing with polyps in this region, always confirm that the papilla is intact.

[Aleksandar Gavric @GavricAle]

Images were obtained using prograde optics with a distal cap attachment.

Location: descending duodenum, approaching the horizontal (third) portion.

How would you remove this lesion? Any additional comments?

[LuDERG @L_uDERG]

How would you remove this lesion?

20th patient recruited at @GI_UMCLJ @ukclj for a prospective cohort study: Cold Snare Endoscopic Mucosal Resection of Duodenal Adenomas >= 10mm.

@GavricAle @BilalMohammadMD

[Mohamed Othman @EndoscopyOthman]

🚨 Advanced Endoscopy – Academic Opportunity at Baylor College of Medicine 🚨
We are excited to recruit two academically driven Advanced Endoscopists to support the expansion and restructuring of our Advanced Therapeutic Endoscopy program.
This is a unique opportunity to join a high-performing academic group and contribute to shaping the future of advanced endoscopy.

📍 Positions Available:
• One Advanced Endoscopist at Baylor St. Luke’s Medical Center / Woodlands campus
• One Advanced Endoscopist at Ben Taub Hospital

🎯 Who We Are Looking For:
• Recent graduates or early-career faculty (Assistant/Associate Professor)
• Strong foundation in EUS and ERCP
• Academic mindset with a track record or clear trajectory in research and publication
• Interest in becoming a future leader in academic gastroenterology
• Additional expertise or interest in bariatric or third space endoscopy is welcomed but not required

🔬 What We Offer:
A highly productive, innovation-driven academic environment:
• Dedicated Advanced Endoscopy practice (70–80%)
• State-of-the-art endoscopy unit (10 rooms)
• Robust research infrastructure:
– 4 full-time research assistants supporting IRB, study design, and grant preparation
• Strong clinical trials portfolio:
– 12+ ongoing trials
– 25+ completed clinical trials
• Proven academic productivity:
– Our team publishes 10–15 peer-reviewed publications annually
– Our team secures 3–4 grants annually
• Active presence at national and international meetings, including DDW
• Structured mentorship in advanced procedures and academic career development
• Dedicated training in grant writing, with opportunities to serve as PI on your own clinical trials

🌟 Why This Opportunity Stands Out:
• Baylor College of Medicine Gastroenterology is among the premier programs in the U.S., with a long-standing history of academic excellence and leadership
• Located within the Texas Medical Center, one of the largest and most innovative medical ecosystems globally
• Direct exposure to cutting-edge endoscopic innovation, with many novel technologies and procedures developed and trialed within our group
• Opportunities to collaborate with leading advanced endoscopists across institutions within the Texas Medical Center
• Active participation in the Texas Interventional Endoscopy Group (TXIEG | https://t.co/Uya4OHS1TV)
– Collaborative teaching platform for fellows, physicians, nurses, and technicians
– Involvement in premier hands-on workshops and advanced endoscopy courses
– Engagement in a broad, multidisciplinary network of advanced endoscopists across the region
📩 For inquiries or to refer candidates, please email me at:
[email protected]

[Aleksandar Gavric @GavricAle]

"Twitter Endoscopy: A Mini Atlas of Gastric Dysplasia"

Here I share some of the dysplastic lesions referred for endoscopic resection at @GI_UMCLJ

1. Antrum, low grade dysplasia. Removed via ESD. Specimen 43x32mm / dysplasia 20x13mm. R0

[LuDERG @L_uDERG]

Patient no.49 was recruited at @GI_UMCLJ @ukclj for ERADICATE trial.

The lesion was randomised to the margin marking before hpEMR.

@GavricAle @DennisYangMD

[Aleksandar Gavric @GavricAle]

How to examine papilla with a distal cap-fitted gastroscope.

https://t.co/n0v4M60sIS

How do you examine papilla in patients with polyposis syndromes? Duodenoscope or gastroscope with a distal attachment cap?

[Aleksandar Gavric @GavricAle]

This one was very subtle.

42-year old Lynch syndrome (MSH2), ascending colon.

cpEMR, Boston Captivator 10mm snare.

[Aleksandar Gavric @GavricAle]

This lesion was diagnosed in the distal sigmoid colon?

What do you do next?

[Aleksandar Gavric @GavricAle]

How do you treat gastric GIST tumours <3cm at you institution?

Any comments?

@BilalMohammadMD
@DennisYangMD @EndoscopyOthman @EndoCollabcom @MendozaLadd @shaimaa_elkholy @RahulKarnaMD @SultanMahmoodMD @AEMLondon