Ryan Sung-Eun Cho

#Gastroenterologist @GI_Alliance | Husband | Girl Dad | Interests: #Pancreas #MedEd #GITech

[José C. Marín @jocamaga1974]

When to take biopsies and when not to in an upper gastrointestinal endoscopy, according to @BritSocGastro
Do you still biopsy subepithelial lesions?
And do you biopsy L.A. grade C/D esophagitis?
doi: 10.1136/flgastro-2025-103316
The recommendations are summarized right here 👇

[Keith Siau @drkeithsiau]

Localised complications of acute pancreatitis ⚠️

📸: @MatthewHoMD

[Carl Kay, MD @CarlKayMD]

New ACG Highlights on 🆕 @AmCollegeGastro Guidelines for Diagnosis & Management of Gastric Premalignant Conditions (GPMC)

▪️Endoscopy pearls🔦
▪️Histology pearls 🔬
▪️Recognizing Correa cascade 🦀
▪️Non-dysplastic GPMC Mgmt
▪️Dysplastic GPMC Mgmt

📄 https://t.co/RFdms6knSt

[Frontline Gastro @FrontGastro_BMJ]

Calling all ERCP endoscopists! Check out this paper on the use of Needle knife fistulotomy (NKF) in the setting of difficult cannulation, published in the journal.

✅ NKF is an effective method for achieving biliary cannulation in difficult cases on initial attempt (88.5%) and repeat attempt (92.7%), with low risks of pancreatitis (2.4%), bleeding (0.3%) and perforation (0.3%).
📈 Factors associated with higher success and lower complications included ERCP performed for stone disease and Haraldsson type 3 papillae.
⚠️ NKF should be considered early in ERCP where there is difficulty in achieving biliary cannulation, especially where there are favourable characteristics.

https://t.co/JAK9qBCr8S

With thanks to the authors: Wai Liam Lam (@bluewailiam), Michael Ding, Chia Chuin Yau, Roderik Prawiradiradja and Srisha Hebbar (@Srisha_Hebbar).

@PhilSmithIsBack @OTavabie @dr_aditi_kumar @DrJMKennedy @DunnePdj @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman @drkeithsiau @DrOmerAhmad @Dunnepdj @shraddha_gulati @CardiffGastro @DrBuHayee @poodocnisha @Sharm_Sub

#ERCP #BiliaryEndoscopy #Pancreatobiliary #HPB #BileDuct #Sphincterotomy #TherapeuticEndoscopy #AdvancedEndoscopy #GIEndoscopy #EndoTwitter

[Gastro Girl @gastrogirl]

New ACG Guideline Alert!
Gastric cancer rates in the U.S. are 2-13x higher in certain non-White & immigrant populations — yet most cases are caught too late.

The latest @AmCollegeGastro guideline focuses on managing gastric premalignant conditions to change that.

Early detection matters.
https://t.co/LP2P2bXhWe

#GastricCancer #GI #GPMC #guthealth

[Klaus Mönkemüller, MD, PhD @KMonkemuller]

Cystic lesions of the pancreas
Source: NEJM

[GIE @GIE_Journal]

Editor’s Choice: Barnes lists "Top tips for pouchoscopy." https://t.co/3Fo6Ic7Ijf

#GITwitter #GIEJournal

@DVinsard

[GIE @GIE_Journal]

Online now in GIE’s Articles in Press: "Safety and efficacy of underwater EMR for 10- to 20-mm colorectal serrated lesions (SEA CLEAR study)" by Kosuke Tanaka et al. https://t.co/d5kWgJcjpk

#GITwitter #GIEJournal

@japanet10

[Keith Siau @drkeithsiau]

Digestion and absorption of nutrients

[Keith Siau @drkeithsiau]

Commonly used classification systems for upper GI endoscopy 💡

https://t.co/Z3LogsIwFL

[SAUSHEC Gastroenterology & Hepatology @SAUSHEC_GI]

Gastric Intestinal Metaplasia

▪️Pathophysiology
▪️Sydney protocol
▪️Endoscopic classification
▪️Histologic classification
▪️Risk of progression
▪️Management

🙏 Dr Jess Basso

[EndoCollab™ | GI Endoscopy Community @EndoCollabcom]

Cholangiocarcinoma (CCA) is best classified according to the primary, anatomic subtype as intrahepatic CCA (iCCA), perihilar CCA (pCCA) and distal CCA (dCCA).

iCCA is located proximally to the second-order bile ducts within the liver parenchyma.

pCCA is localized between the second-order bile ducts and the insertion of the cystic duct into the common bile duct.

dCCA is confined to the common bile duct below the cystic duct insertion.

[EndoCollab™ | GI Endoscopy Community @EndoCollabcom]

Types of Colectomies:

↓
- Low anterior resection

- High anterior resection

- Sigmoid colectomy

- Left hemicolectomy

- Right hemicolectomy

- Abdominal-perineal resection

- Total proctocolectomy

- Subtotal colectomy

- Total abdominal colectomy

[Manual Of Medicine @ManualOMedicine]

@drsamshuaibi Intestinal Obstruction from Adhesions

[Keith Siau @drkeithsiau]

GI causes of iron deficiency anaemia #4KMedEd @AGA_Gastro

https://t.co/ZFNajfBC4K

[Keith Siau @drkeithsiau]

Management of abdominal bloating - 🆕 clinical practice update from @AmerGastroAssn

https://t.co/mlyAqp4anf

[Carl Kay, MD @CarlKayMD]

Risk of occult SMIC according to gross morphology & location

High risk features:
🔴 LST-NON-GRANULAR
🔴 Distal > proximal LST-NG

Low risk features:
🟢 Laterally spreading GRANULAR tumors
🟢 Proximal > distal LST-G

🔗 https://t.co/FWkTgmqREN

#GITwitter @AGA_Gastro

[Carl Kay, MD @CarlKayMD]

Ovesco Product Overview

▪️Bleeding management
▪️Endoscopic resection
▪️Diagnostics
▪️Closure
▪️Removal
▪️Esophageal stenosis & stent fixation

@OvescoEndoscopy has more than just over-the-scope clips!

🔗https://t.co/ZcueoKGgGc

#GITwitter

[GIE @GIE_Journal]

Online now in GIE’s Articles in Press: “Top tips for endoscopic biliary stenting for hilar obstruction” by Ryan Law. https://t.co/RVCnVwT7qr

[EndoCollab™ | GI Endoscopy Community @EndoCollabcom]

Understanding the anatomy of the ampulla is key to successful cannulation.

The ideal position for cannulation is in the upper third of the endoscopic view and in