Rajesh R

Gastroenterologist 🇸🇬 Adv Endoscopist ⚡️ Interested in Bariatrics and GI Oncology. Addicted to 🏃‍♂️ and Tech 🤿 .

[Yi Yuan Tan @Yiyuan_Tan]

NMA for Steroid refractory ASUC!

- TFC looks very promising
- Accelerated IFX > IFX 10mg/kg
- UST role is limited, prob only in specific popn groups

- Have to note that non IFX and CyA study numbers are much smaller

#GITwitter #MedTwitter #IBD

[Malcolm Tan @IBDGastroDocSg]

Colonic dysplasia/cancer in PSC-IBD

- majority are right-sided
- ?younger age of onset
- risk starts at dx of PSC, not after 10 years of IBD
- a/w poorer outcomes

- high rates of invisible dysplasia, multifocality & non-conventional types of dysplasia

[Muhammad Haseeb @haseeb170]

🚨 📣 Our study in @JAMANetworkOpen comparing Semaglutide vs Endoscopic Sleeve Gastroplasty for Weight loss is now out!
Link to the article 👇🏻
https://t.co/bmcqmP5DSv
🔑 Points 👇🏻
#obesity #weightloss #ESG #wegovy #ozempic @JAMA_current @harvardmed @MassGenBrigham

[Carl Kay, MD @CarlKayMD]

Treatment Algorithm for Managing C. difficile infection in 2024

1️⃣ 1st Episode
2️⃣ 2nd Episode
3️⃣ 3rd Episode

▪️Fidaxomicin > vancomycin
▪️Look for risk factor - use BEZ
▪️Use Microbiota replacement therapy (MRT)

🙏Dr. Paul Feuerstadt

#EBMed

[Yi Yuan Tan @Yiyuan_Tan]

Eosinophilia beyond the esophagus is less clearly defined, and each patient can take a varied disease course.

A quick rundown on clinical approach, manifestations, histology and treatment options 👇

#GITwitter #MedTwitter

[Yi Yuan Tan @Yiyuan_Tan]

Not all chronic colitis is IBD, and the importance of a good temporal history to correlate with imaging and histology cannot be overstated.

A quick refresher on IBD mimics, and flowchart of histological patterns of colitides!

#IBD #GITwitter #MedTwitter

[Andrew Ong @AndrewOngML]

https://t.co/zZ0wTZZwMF

Many GI physicians treat gastroparesis as a motor disease, but it is very much a sensorimotor disease where pain can be a dominant feature

Hence neuromodulation is shown in this @AGA_CGH article to be effective as mono or combination therapy

#GITwitter

[Rajesh R @rajeshrgastro]

🚨Been a while since you last set a PEG with the "push"/introducer technique?🤔 This is a 💎 refresher: https://t.co/Emr00gt2Oj

Kudos to @ravishnkr03 🇸🇬@carlosfrncscomd🇵🇭 and team! #GITwitter #MedTwitter #PEG #Endoscopy #Nutrition

[Josh Farkas MD 💊 @PulmCrit]

20 meta-analyses of the same four RCTs https://t.co/MF4JgBeSlm

[Rajesh R @rajeshrgastro]

Gold probe is a⭐️tool in our arsenal for bleeding GI lesions. I find it esp useful in positions that are difficult to clip e.g. in retroflexion. Helps that it is bipolar as well💪 What settings to use for gold probe? 👇 #GITwitter #Medtwitter #GIbleeding #Endoscopy

[Rajesh R @rajeshrgastro]

Answers:
(A) Sigmoid alpha loop and resolution with clockwise torque
(B) Sigmoid N loop and resolution with gradual withdrawal and clockwise torque
(C) Reverse alpha loop
(D) Splenic flexure ‘hockey stick’
(E) Transverse loop
(F) Transverse gamma loop.

[Rajesh R @rajeshrgastro]

🧠 A quick Saturday quiz. Do your recognise all these l➿ps in colonoscopy? Answers in the next post👇 #MedTwitter #GITwitter #Colonoscopy #Endoscopy

Article credit: https://t.co/TMoh8HGI1l

[Rajesh R @rajeshrgastro]

Iron deficiency anaemia is commonly misdiagnosed leading to unnecessary GI Evaluation! This is a 🌟summary on the spectrum of iron deficiency. #GITwitter #MedTwitter #IDA #Anemia

[Tarun Rustagi @TarunRustaGI_MD]

OTSC @OVESCO
✅types-a, t, gc
✅11/6-1st no. is scope diameter, 2nd no. is depth of cap
✅sizes 11 & 12 for upperGI
✅14 is typically for lowerGI given large (21 mm!!) outside diameter. Possible but difficult/risky to pass through UES and pylorus.
✅load & deploy-same as bander

[Rajesh R @rajeshrgastro]

If you had missed my previous post, this is our step by step approach to GV injection💡 Always have a plan that is reproducible under pressure 💪

[Rajesh R @rajeshrgastro]

Does gastric varix injection still give you the jitters 🫣? My summary slide from a recent forum 👇 #gastricvarix #cirrhosis #GItwitter #MedTwitter

[Rajesh R @rajeshrgastro]

@JSebastianPA https://t.co/aXCg2kSn1E

Easier to open pdf mode > page 6

Happy reading :)

[Rajesh R @rajeshrgastro]

💡Are you using the correct terminology in the scope report of your IBD patients? Check out the exact description of common terms that we all use! 👇 #IBD #Endoscopy #GITwitter #MedTwitter

[Rajesh R @rajeshrgastro]

🚨Everything you need to know about HP vs SSL vs TSA in a 💎table! Huge fan of hyper-summarised resources.
#Polyps #GITwitter #MedTwitter