The Difficult Colonoscopy is humbling to all endoscopists.
My Pearls :
#1 Female Patients
If hysterectomy or diverticulitis, use pedi colonoscope + water immersion. (Angulated colon)
If chronic idiopathic constipation or visceral obese, use adult colonoscope (redundant colon)
What a great presentation by @DrBloodandGuts at #DDW2026. This will surely be one of the most loved talks of the meeting.
A true innovator in GI bleeding management. Inspiring and extremely valuable for fellows, including me. ๐ฉธ๐
#GIBleed#Endoscopy#MedTwitter#GITwitter
If a patient with cirrhosis and varices also has Barrett's esophagus, you can BAND IT! Treats the varices and the Barrett's at the same time.
Only downside is you do not get a specimen for path, but a reasonable tradeoff! #esophagus#gitwitter#barrett#cirrhosis@AASLDtweets
So incredibly proud of this phenomenal group of residents and fellows who represented @Creighton at #ACG 2025! @AmCollegeGastro
Over 40 research posters, multiple ๐ฅ Presidential Awards, and countless accolades โ a true testament to their dedication, intellect, and teamwork.
๐
โ๏ธ Good morning from Day 1 of #ACG2025
I must admit, Iโm a sucker for last minute cramming ๐
Put together some CliffNotes (aka #CliveNotes) on what YOU should be doing during ACG ๐ซต
Watch and bookmark ๐
Did I miss anything? Let me know!
#GITwitter#FutureOfGI
๐จ Did you miss the @ASGEendoscopy Senior Fellows Program this past weekend? ๐ซต
Come with me. Letโs relive it a little ๐
โ Cracking talks
โ Hands-on scope skills
โ Prime networking
โ Delicious food
โจ Check it all out below ๐๐ป๐๐ป๐๐ป
#GITwitter#MedTwitter
When you move to a new job, donโt be the person who says โwhen I was at [prior institution], we didnโt โฆโ
That is unless you see people
1. Routinely biopsying normal TI
2. Doing surveillance for severe esophagitis
Then, You can say what you need to!
https://t.co/8ahWzRuLdb
#FTRD cont to be a ๐ ๏ธ for mgmt of difficult lesions
1st report of a Novel #FullThicknessResection Device for โ๏ธ early #CRC ๐ฅnow @endoscopyjrnl
โ Ease of use
Need data to compare efficacy to existing #FTR devices
๐ to @TGHermanMD for leading this
https://t.co/TFP3ATZAzL
July is always a mix of excitement and nerves for new residents & fellows. I had a blast giving a lecture on GI emergencies to this bright group, followed by some well-earned shenanigans at a local sports bar. Cheers to new beginnings! #MedTwitter#GITwitter
Pancreatic Steatosis is a Risk Factor for Post-ERCP Pancreatitis (PEP)
A long-ignored finding of the pancreasโpancreatic steatosisโappears to be a significant risk factor for PEP.
Mung Jee Chung and colleagues from Korea studied 527 individuals, of whom 157 (29.8%) had pancreatic steatosis and 370 (70.2%) did not. At 24 hours after ERCP, there was a significant difference in PEP identified: 22 patients (14.0%) in the pancreatic steatosis group, compared to 23 patients (6.2%) in the "no pancreatic steatosis" group (P = .017; odds ratio, 2.09; 95% confidence interval, 1.08-4.03). No other variables were identified as risk factors for PEP.
Source: [GIE Journal] (https://t.co/pw3Fn0Lvth)
The Sydney system for gastric biopsies when evaluating gastritis.
Proper biopsy sites are crucial for accurate diagnosis.
Image credit: Adapted from Kono S et al. World J Gastroenterol 2015; 21(46): 13113-13123.
"Had an incredible time at the ACG 2024 conference! ๐36 abstracts, presidential and poster awards, enjoyed hands-on endoscopy tips, and connected with friends and mentors ๐ See you next time in Phoenix, AZ!๐" @AmCollegeGastro@ISrinivasanMD@AkwiAsombangMD