Kudo Pit Pattern Classification: Predicting colonic lesion histology in real-time.
Magnifying chromoendoscopy allows for detailed analysis of the mucosal surface during colonoscopy.
This optical biopsy technique helps differentiate neoplastic from non-neoplastic polyps to guide endoscopic resection decisions.
The Key Patterns:
- Type I: Round pits. Normal mucosa (non-neoplastic).
- Type II: Asteroid or stellate pits. Typical of hyperplastic lesions (non-neoplastic).
- Type IIIs: Tubular or round pits, smaller than normal (neoplastic).
- Type IIIL: Tubular or round pits, larger than normal (neoplastic).
- Type IV: Dendritic, branch-like, or gyrus-like pits (neoplastic).
- Type Vi (Irregular): Irregular arrangement and sizes of IIIL, IIIs, or IV patterns (neoplastic, suspicious for high-grade dysplasia or intramucosal invasion).
- Type Vn (Non-structural): Loss or decrease of pits with an amorphous structure (neoplastic, suspicious for deep submucosal invasive cancer).
Save this classification sheet for reference during your next colonoscopy list.
Top tips to master gastric intestinal metaplasia
By. Dr. Christina Carretero
Top 10 tips to master gastric intestinal metaplasia (Shah et al. @GIE_Journal)
✅ Use HD-WLE + image-enhancing tech (NBI, LCI)
✅ Clean mucosa + good insufflation
✅ Spend ≥3 min inspecting the stomach
✅ Sydney protocol for biopsies
✅ Risk-stratify with OLGIM + GIM subtype
Los criterios de Jones son útiles para el diagnóstico de fiebre reumática (2 mayores o 1 mayor + 2 menores), a continuación te los presentamos:
GPC-SS-149-08
Ileum Intubation Made Easy
Free Video Course
00:00 - Introduction to Ileum Intubation
00:42 - Intubation at the 9 O'Clock Position
02:22 - Intubation at the 6 O'Clock Position
03:58 - Tips for Effective Ileum Intubation
Watch now: https://t.co/DsANyqTejE
Different types of gastric varices need different approaches
See the attached image for the Sarin classification we use:
💡 Key takeaways:
• Clean view is crucial
• Identify bleeding points
• Choose right technique
• Stay calm during procedure
• Confirm hemostasis
Want to learn more?
https://t.co/2vukdFfJ5Y
Personalized Endoscopy Approach
The endoscopic technique must be selected based on the specific lesion characteristics:
- Clip application
- Probe treatment
- Band ligation
The choice of method depends entirely on what type of lesion you're dealing with.
Motivos para cuidar la composición corporal
📝El tejido adiposo es el maestro de la inflamación sistémica a través de las adipocinas contribuyendo al desarrollo de trastornos metabólicos
Nueva revisión de @nature
🌱
#obesidad#dieta#ejercicio#cancer
https://t.co/50CUqGGhzb