Danny Galloway

Consultant Gastroenterologist & Interventional Endoscopist @chelwestFT | Pancreatobiliary Medicine | ERCP & EUS | Kew Resident | Evertonian

[Kevin Monahan @kevinjmonahan]

Any gastroenterology or surgical trainees interested in a research fellowship @StMarksHospital @stmarksbcsc in #LynchSyndrome and #Colonoscopy please get in contact, thanks! @BSGTrainees @Dukes_Club @ImperialSandC

[The Lancet Gastroenterology & Hepatology @LancetGastroHep]

New research - Bang et al - Upfront endoscopic necrosectomy or step-up endoscopic approach for infected necrotising pancreatitis (DESTIN): a single-blinded, multicentre, randomised trial

https://t.co/bRCpomv6lm

#GITwitter #Pancreatitis

[Danny Galloway @PBEndoscopy]

@NEndoscopy @SahajRathi @Srisha_Hebbar Great read thanks John 👍 I think that 2/3 figure may hold up today if relying on scan report of reporting general radiologist, but if asking your ‘go to’ HPB radiologist today to report can’t believe it would be that high.

[Danny Galloway @PBEndoscopy]

@NEndoscopy @SahajRathi @Srisha_Hebbar You may’ve already answered indirectly in that if operable you wouldn’t EUS but do brushings / SpyBite. I think Fluoro-guided endobiliary Bx can be done safely with excellent results. Gonna start reviewing a few years of data with SpR for our cases.

[Danny Galloway @PBEndoscopy]

@NEndoscopy @SahajRathi @Srisha_Hebbar What’s the sensitivity without imaging evidence of significant soft tissue abnormality / mass / node on CT or MR John? Do you get a good pick up rate with FNB without above and just a bit a wall thickening when u do EUS?

[Danny Galloway @PBEndoscopy]

@SahajRathi If associated mass lesion, or if stricture level of intrapancreatic CBD would always do EUS in same sitting prior to ERCP.

[Danny Galloway @PBEndoscopy]

@SahajRathi Do it as routine if imaging looks like primary ductal lesion. Keep GW in situ to guide re: line, needs adequate sphincterotomy, advance ~15mm out of scope then initial engagement of forceps into duct with scope manoeuvres only using endo and fluoro guidance to ensure good line.

[Danny Galloway @PBEndoscopy]

@NEndoscopy @AnandSahaiEUS Was there downstream duodenal obstruction John causing a degree of a sump in duodenum with stasis and then reflux thru LAMS?

[Danny Galloway @PBEndoscopy]

@Srisha_Hebbar @GIscope_updates @SahajRathi @SunilAminMD @NEndoscopy @helpatologist @DrLakhtakia @ChahalPrabhleen @TarunRustaGI_MD @Taalamri @dredgodfrey What’s your experience re: these patients getting cholangitis when LAMS placed immediately upstream of a degree of duodenal obstruction?

[Tom Tielleman, MD @TomTielleman]

Got asked to help out with a nice EMR this week. I've become a big fan of Tip-In EMR for certain polyps. Are you using it in your practice? What would have been your resection strategy of choice on this polyp? @BilalMohammadMD @EndoscopyOthman @RobertBechara @neilRsharmaMD

[Rodrigo Gerardo, M.D. 🟧 @RodGerardo]

One of my favorite attendings from med school gave me advice that I still think about to this day. Over the past 5 years of residency, I've adjusted some items to be more applicable to a surgery resident so here is a 🧵of Dr. Touss' 5 rules of 💩 (w/ surgical modification) ...

[Imran Bhatti @ib9994]

@javlatif @PBEndoscopy @DerbyPBunit @Innov_Medicine @SAGES_Updates @MISIRG1 @BehindTheKnife @IHPBA @rbarbosa91 @altaf_awan12 @MedicalAdv @imedverse IMV this work should not be underestimated and I believe dedicated benign centres should take an interest and push for excellence to achieve better outcomes. Societies such as @GBIHPBAnews @Augishealth should promote and trainees should do fellowships like @DerbyPBunit

[Danny Galloway @PBEndoscopy]

@ib9994 @javlatif @DerbyPBunit @Innov_Medicine @SAGES_Updates @MISIRG1 @BehindTheKnife @IHPBA @rbarbosa91 @altaf_awan12 @MedicalAdv @imedverse @GBIHPBAnews @Augishealth @GutsCharityUK Exactly that.

[Danny Galloway @PBEndoscopy]

@ib9994 @javlatif @DerbyPBunit @Innov_Medicine @SAGES_Updates @MISIRG1 @BehindTheKnife @IHPBA @rbarbosa91 @altaf_awan12 @MedicalAdv @imedverse @GBIHPBAnews @Augishealth Absolutely. IMO pancreatitis patients get a rough deal, nobody wants to own, they need A team be it medical/surgical with an interest in the disease to own and manage. Unfortunately we are miles away from this in the UK at present.

[Danny Galloway @PBEndoscopy]

@DerbyPBunit @Innov_Medicine @SAGES_Updates @MISIRG1 @BehindTheKnife @IHPBA @rbarbosa91 @altaf_awan12 @ib9994 @MedicalAdv @imedverse Re: this case. Reminds me of a lost LAMS (duodenal puncture) as an SpR within PPFC. 2 years later comes back for ERP for ongoing CP pain, scope down - LAMS now visible in D1 lumen easily removed

[Danny Galloway @PBEndoscopy]

@DerbyPBunit @Innov_Medicine @SAGES_Updates @MISIRG1 @BehindTheKnife @IHPBA @rbarbosa91 @altaf_awan12 @ib9994 @MedicalAdv @imedverse Fascinated by the work you guys at Derby are doing re: WOPN / PPFC drainage. Not reflected by surgeons in my region: keep pushing the education 👍

[Ramon Bataller @rabataller]

Simple analogy of alcohol liver disease vs hepatitis C:

- Not detecting alcohol underreporting is like using a HVC test with many false negatives.

- Not treating underlying alcohol use disorder, it’s like denying antivirals to HCV patients.
#livertwitter #MedTwitter @EASLedu

[Marcus Holmberg @holmberg_marcus]

OPTIMAL-IPMN officially up n’ running!

We need to stop resecting IPMN with low grade dysplasia.

Can we push time-point for resection?

Join us to find predictors for resection or surveillance!
https://t.co/mDRu2OAFBO

@poyaghorbani @HpbKarolinska @EAHPBA

[Danny Galloway @PBEndoscopy]

@cparisinos @pbendoscopist Good memories Costas!

[Giovanni Marchegiani @Gio_Marchegiani]

Risk of main duct dilatation in mixed-type IPMN 🌿 in @AGA_CGH

Risk of cancer at 2 and 5 years:

⚠️ 5-9 mm ➡️ 8% and 10%
🚨 > 10 mm ➡️ 16% and 33%

🔥 Hot topic at @EurPancClub 2023 and for the upcoming guidelines !!!

https://t.co/RxwgiQPFEc