Modar

Dr. med. #Facharzt für #Inneremedizin #Gastroenterologie #Onkologie .. Mitglied #DGIM 🇩🇪 Hoping for something better 🙏❤️💚

[Modar @modarsaleh91]

You will make your #dream come true .. #Yesyouwill #Havefaith #Youcandoit 👍❣🙏

[Gay Depression 🌧️🌈 @BastiTheGreat]

Man kann übrigens gleichzeitig gegen Islamisten UND gegen Nazis sein

[Keith Siau @drkeithsiau]

I can see why this is a true phenomenon #WorldCupFinal

[Modar @modarsaleh91]

@drkeithsiau Chemoport 🤔

[EndoCollab™ | GI Endoscopy Community @EndoCollabcom]

Enteroscopy in surgically altered anatomy is often more challenging than it needs to be.

One of the most useful things I’ve learned:

→ Understand the surgical anatomy *before* you start
→ Choose the right scope and approach based on the reconstruction type (Billroth II vs Roux-en-Y vs others)
→ Use the “leverage” technique when advancing in sharp angulations

Small adjustments in planning and scope handling make a big difference in success rate and procedure time.

Video demo in the clip.

What’s your biggest challenge with enteroscopy in altered anatomy?

[Douglas G. Adler MD, FASGE, FACG, AGAF @DouglasAdlerMD]

So. Many. Gallbladders. Young patient who is a surgical candidate but not sure if they want surgery. Cholecystitis. Transcystic stent placed to buy them time to think. #gitwitter #surgery

[Modar @modarsaleh91]

@DocOnco @klammerdackel Alles Gute zum Geburtstag lieber Kollege ❤️

[Douglas G. Adler MD, FASGE, FACG, AGAF @DouglasAdlerMD]

So. Many. Gallbladders.

Elderly patient. Not a surgical candidate. Axios placed into GB via EUS in 5 minutes to provide definitive gallbladder drainage and decompression.

The world has changed.

#gitwitter #surgery @Boston_Endo @bsc_endoscopy @Stentingwoman @Kudaravalli1

[Modar @modarsaleh91]

😍❤️👍

[Keith Siau @drkeithsiau]

This little thing has saved countless lives. What is it?

[Modar @modarsaleh91]

@DocOnco 😂😂😂 sowas wird studiert auch !! 🤦‍♂️

[Keith Siau @drkeithsiau]

PPIs do not cause cancer or dementia

[Dr. Michael Schmitz @DocOnco]

Homöopathie hat in der Krebstherapie nichts verloren!

[Douglas G. Adler MD, FASGE, FACG, AGAF @DouglasAdlerMD]

Sphincterotomy in a patient with a "double barrel" duodenal diverticulum during ERCP. #gitwitter #surgery #endoscopy @Stentingwoman @EUSandEndoscopy

[Douglas G. Adler MD, FASGE, FACG, AGAF @DouglasAdlerMD]

Sphincterotomy bleed during ERCP.

Many was to address this.

What is your preferred approach?

#gitwitter @EUSandEndoscopy #surgery #endoscopy @Stentingwoman @AchintyaSinghMD

[Keith Siau @drkeithsiau]

Coffee bean appearance seen on colonoscopy. What is this?

[Modar @modarsaleh91]

@drkeithsiau @ancientmind 😂😂😂😂

[Douglas G. Adler MD, FASGE, FACG, AGAF @DouglasAdlerMD]

Zenker's diverticulotomy with an SB knife for dysphagia.

These procedures are literally life changing for these patients. They go from choking and sputtering to eating normally again.

Are you doing this in your practice?

#gitwitter #surgery #dysphagia #esophagus

[EndoCollab™ | GI Endoscopy Community @EndoCollabcom]

Rectal Polyp - Diagnosis?

[Modar @modarsaleh91]

@DocOnco Was soll ich dazu sagen!!
Aus Thüringen 😬😬🫣

[Douglas G. Adler MD, FASGE, FACG, AGAF @DouglasAdlerMD]

EUS guided gastrojejunostomy final pic! #gitwitter #surgery