Rui Mendo

Medical Doctor. Gastroenterology (ESD/EMR/Bariatric Endoscopy)

[Rui Mendo @mendorui]

@MrBeast 6,750,001

[Rui Mendo @mendorui]

@benjamincowen The game should have ended like 2-3min before

[Cassandra Unchained @michaeljburry]

Staying married, a happy household, evidence of the parents working hard, childhood sports and watch all competitions, lots of hugs, reward merit, punish only egregious misbehavior, don't yell, restrict social media, monitor messages through 8th grade, the real expectation is college and academic excellence without pressure from parents, get children reading books early, no pacifiers, respond to needs not wants, babies sleep on their own through the night by 6 months, identify develop and support any talent or aptiude, one sport after age 10 is ok, communicate openly and easily with kids through grade 12, allow mistakes, and leave them alone in college. And then hope.

[Joseph Sleiman, MD, FACP @JosephHabibi_MD]

#CGH4ALL @AGA_CGH 📣

Necrosectomy timing for >1️⃣5️⃣cm pancreatic WON

🚨🚨accelerated necrosectomy for the 🥇
https://t.co/wOzurveRGg

@GitteAabye , @SiddikiGI , @DouglasAdlerMD,@DennisYangMD, @BilalMohammadMD, @JennPhanMD, @allie_schulman, @VinayChandraMD, @shailsingh, @ShyamTMD, @KellyHathornMD

📢 @DrRutwikSharma

[Rui Mendo @mendorui]

@DouglasAdlerMD @Stentingwoman @EUSandEndoscopy How long do you leave them in place?

[Frontline Gastro @FrontGastro_BMJ]

🎥 BSG EndoBridge Series (15/15): Best Practice in Delivering Live Endoscopy Events

Live endoscopy remains one of the most powerful educational tools in gastroenterology—but only when patient safety comes first.

📖 https://t.co/2dSvrwszcu Open Access x 6 months

Key principles:

🔹 Patient safety always overrides educational objectives
🔹 Clear learning outcomes and careful case selection
🔹 Experienced moderators and faculty
🔹 Dedicated patient advocate in every procedure room
🔹 Robust technical infrastructure and communication pathways
🔹 Ability to instantly stop the broadcast if clinical concerns arise

As endoscopy education evolves, the future may combine live cases, curated video content, simulation training and AI-enhanced learning.

#BSG2026 #BSGEndoBridge #FrontlineGastroenterology #Endoscopy #MedicalEducation #PatientSafety #GITraining

@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 (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 (1/15): Diathermy Demystified

Most endoscopists can select a generator setting, but how many truly understand why it works?

📢 The first article in our 15-part BSG EndoBridge Special Issue explores the principles of diathermy that underpin everyday and advanced endoscopy.

🔗 https://t.co/ZGORnAKUfa

⚡ Why identical settings can produce different tissue effects
⚡ Cut vs coagulation: what's really happening?
⚡ The importance of voltage, impedance & current density
⚡ How saline immersion changes electrosurgical behaviour
⚡ Practical lessons for EMR, ESD, ERCP & third-space endoscopy

Whether you're performing a polypectomy or an ESD, understanding the physics behind electrosurgery can improve precision and reduce complications.

📖 All EndoBridge articles are fully Open Access.

#BSGEndoBridge #FrontlineGastroenterology #Endoscopy #EMR #ESD #ERCP #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

[GIE @GIE_Journal]

Online now in GIE’s Articles in Press: "American Society for Gastrointestinal Endoscopy Technology Status Evaluation Report: endoscopic submucosal dissection" by Galen Leung et al. https://t.co/O6uiEterfX

#GITwitter

@DVinsard @V_Akshintala @MarkHanscomMD

[JAMA @JAMA_current]

#ColorectalCancer rates in younger people have risen dramatically in recent years. While many factors are thought to be at play, the exact cause is still unknown.

Learn more about trends in #cancer incidence among younger people, the potential causes, developments in screening, and treatment options in the latest episode of #HealthyDialogue, a new podcast from the JAMA Network.

📽️ Watch the video and read the full article: https://t.co/TeBOAg87Rb

@KimmieNgMD @DFarberYoungCRC @DanaFarber

[Frontline Gastro @FrontGastro_BMJ]

An important study highlighting the potential impact of expanding treatment eligibility for chronic hepatitis B.

With updated WHO (2024) and EASL (2025) guidance recommending broader access to antiviral therapy, timely implementation could improve outcomes, prevent liver-related complications and reduce healthcare costs.

Well worth a read - https://t.co/AUz1jl687g

#FrontlineGastroenterology #Hepatology #HepatitisB #LiverTwitter

@basl_events @heppharm @livernursing @LiverAHPs @Liver4Lifeuk @f4liverresearch @IQILS_Liver @LiverTrust @EASLedu @EASLnews @BritSocGastro @BavenoCoop @BCLC_group @ILCAnews @APASLnews @liverfellow @my_ueg @UKCPAGastro
@PhilSmithIsBack @OTavabie @dr_aditi_kumar @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman @BSGtrainees @drkeithsiau @ebtapper @DrLChina @acv69cardenas @GeriKeane @jamesbmaurice @ClinicLiver @DrJMKennedy

[GIE @GIE_Journal]

In this Review Article, Laine outlines "Topical hemostatic therapies for endoscopic treatment of nonvariceal gastrointestinal bleeding." https://t.co/FNL9SFhniN

#GITwitter

@yaransarkis

[Frontline Gastro @FrontGastro_BMJ]

🎯 One lesion. One strategy.

Management of non-pedunculated colonic neoplasia continues to evolve. Key messages:

🔍 Characterise before you resect (JNET, NICE & pit pattern classification)
❄️ Cold snare for lesions <10 mm
✂️ Cold EMR increasingly for 10–19 mm lesions
🔥 EMR + margin ablation remains standard for lesions ≥20 mm
🔬 ESD when en bloc resection is needed

🔗 https://t.co/NKyjsRFWuW

A practical update on optical diagnosis, EMR, ESD, underwater EMR and surveillance.

#FrontlineGastroenterology #Endoscopy #Colonoscopy #EMR #ESD #ColorectalCancer

@PhilSmithIsBack @OTavabie @dr_aditi_kumar @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman @BSGtrainees @WorldGastroOrg @ulstergastro @SEEDendoscopia @AmCollegeGastro @Aegastro @SAGES_updates @WAGE_media @my_UEG @amergastroassn @NASPGHAN @UHSEndoscopy @ESGE_news @amergastroassn @BritSocGastro @ASGEendoscopy

[Andy Tau, MD @DrBloodandGuts]

Bipolar cautery is a bit of a lost art of hemostasis. Ensure the probe &gt;= vessel. Also, use the dials to optimize the vector of pressure laterally. This may change in real time during the process. I let it cool and irrigate before pulling off. I use epi before or after.

[Frontline Gastro @FrontGastro_BMJ]

📢 New in Frontline Gastroenterology: Third-space endoscopy in 2026 and beyond

💡 Submucosal tunnelling is opening new pathways for minimally invasive GI therapy.

🔍 This review explores:

➡️ POEM for achalasia
➡️ G-POEM for gastroparesis
➡️ Z-POEM & D-POEM for diverticular disease
➡️ STER for subepithelial lesions
➡️ Training, complications & reflux prevention
➡️ The future: AI-assisted anatomical mapping

📖 Practical, forward-looking and packed with key developments.

🔗 https://t.co/RgNCPsYWs1

#FrontlineGastroenterology #Endoscopy #POEM #ThirdSpaceEndoscopy #Gastroenterology

@PhilSmithIsBack @OTavabie @dr_aditi_kumar @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman @BSGtrainees @WorldGastroOrg @ulstergastro @SEEDendoscopia @AmCollegeGastro @Aegastro @SAGES_updates @WAGE_media @my_UEG @amergastroassn @NASPGHAN @UHSEndoscopy @ESGE_news @amergastroassn @BritSocGastro @ASGEendoscopy

[Frontline Gastro @FrontGastro_BMJ]

🎥 Live endoscopy events in 2026 and beyond

Live endoscopy remains a powerful educational tool — but only when patient safety comes first. Key principles:

✅ Clear learning objectives
🛡️ Patient advocate in every room
🎧 Structured communication with moderators
✂️ Ability to cut the feed instantly if needed
🌍 Hybrid/virtual formats can widen access and reduce travel

🔗 https://t.co/HAiqXCpEuB

#FrontlineGastroenterology #Endoscopy #MedEd #Gastroenterology #Training

@PhilSmithIsBack @OTavabie @dr_aditi_kumar @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman @BASLedu @BSGtrainees @WorldGastroOrg @ulstergastro @pancreatitis_nl @SEEDendoscopia @EASLedu @AmCollegeGastro @Aegastro @SAGES_updates @WAGE_media @my_UEG @amergastroassn @NASPGHAN @UHSEndoscopy @ESGE_news @amergastroassn @BritSocGastro @ASGEendoscopy

[Frontline Gastro @FrontGastro_BMJ]

💧 Underwater endoscopy in colorectal neoplasia

New in Frontline Gastroenterology. This review explores how immersion techniques are reshaping lower GI endoscopy:

🔎 Water exchange
Improves comfort, cleansing and adenoma detection

✂️ Underwater EMR
Efficient resection without routine submucosal injection

🔬 SITE-ESD
Saline immersion may improve visualisation, traction and electrosurgical performance

🔗 https://t.co/QwNTrxGumY

#FrontlineGastroenterology #Endoscopy #Colonoscopy #EMR #ESD #ColorectalCancer

@PhilSmithIsBack @OTavabie @dr_aditi_kumar @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman @BASLedu @BSGtrainees @WorldGastroOrg @ulstergastro @pancreatitis_nl @SEEDendoscopia @EASLedu @AmCollegeGastro @Aegastro @SAGES_updates @WAGE_media @my_UEG @amergastroassn @NASPGHAN @UHSEndoscopy @ESGE_news @amergastroassn @BritSocGastro @ASGEendoscopy

[Frontline Gastro @FrontGastro_BMJ]

🔍 Serrated polyposis syndrome: what you need to know

SPS is the most common colorectal polyposis syndrome — but remains underdiagnosed due to subtle serrated lesions.

Key messages:

⚠️ Increased CRC risk
👀 Detection requires careful inspection
🖥️ HD imaging + chromoendoscopy can help
✂️ Cold snare for most non-dysplastic lesions <10 mm
📅 Surveillance remains variable — annual after clearance, with emerging data supporting selected 2-year intervals

A practical update for endoscopists on detection, resection and surveillance.

🔗 https://t.co/xjKPsyJGmd

#FrontlineGastroenterology #Endoscopy #Colonoscopy #SerratedPolyps #CRC

@PhilSmithIsBack @OTavabie @dr_aditi_kumar @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman @BSGtrainees @WorldGastroOrg @ulstergastro @SEEDendoscopia @EASLedu @AmCollegeGastro @Aegastro @SAGES_updates @WAGE_media @my_UEG @amergastroassn @NASPGHAN @UHSEndoscopy @ESGE_news @amergastroassn @BritSocGastro @ASGEendoscopy

[Abdulrahman Qatomah عبدالرحمن قطومه @A_Qatomah]

New publication in @videogie

“Multitraction point (MTP) ESD strategy to manage difficult colorectal lesions”

We’re able to show how to utilize multiple traction to facilitate resection of large colorectal lesions in a case series, take home messages:

✅ Lesion assessment and scope access
🎯 Choosing the correct sites for traction (including clip placement in the contra-lateral wall) is 🔑, to allow for maximum submucosal exposure, speedy yet safer dissection.
📌 Traction point removal using scissors to release one point and grasping to release second poiand extract the lesion.

We found taht MTP found safe to use in the these cases, but more studies are needed!

Proud to have performed all these cases solo under @ThirdspaceEndo supervision!

@DarylRamai
@ChrisChapmanMD

🔗 https://t.co/ekJNMbHtdM