Erik Holzwanger, MD, ABOM-D
@HilarHolzy
Followers
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Following
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4,106
Therapeutic Endoscopist; Director, Endoluminal Surgery & Bariatric Endoscopy @tuftsmedicalctr ; Program Director, Advanced Endoscopy Fellowship @tuftsmedschool
Boston, MA
Joined May 2020
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Therapeutic endoscopy dramatically changed with the addition of echoendosonography 🔥
First radial echoendoscope was designed by
@Olympus_Corp
and utilized in Tokyo in 1982
We all ❤️EUS, so let's talk about 4 stations to help guide with anatomy
#GITwitter
#MedTwitter
#MedEd
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I am incredibly honored and blessed to be doing my advanced endoscopy fellowship
@BIDMC_GI
! I am eternally grateful to my family, friends and mentors and look forward to joining the therapeutic endoscopy family!
#advancedendoscopy
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3
171
April is
#esophagealcancerawarenessmonth
Esophageal cancer is a lethal malignancy that affects many families each year worldwide. It is usually difficult for me to talk about my family history, however I find it imperative to raise awareness. Here is my family’s story 🧵
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34
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The path was not an easy one, especially starting out with losing my father as a teenager, but I am so grateful to my friends, family and mentors for their endless support to get me to my goal! Excited to announce I will be joining
@TuftsMedicalCtr
as advanced endoscopy faculty!
33
10
162
Feeling a little extra fortunate today.
I’m so grateful to have been apart of the
@TuftsMedicalCtr
family and couldn’t have asked for better training!
Huge shoutout to all of my family, friends, mentors because my dreams would never come to fruition without all of your support!
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1
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Means a lot to shine 💡 on such an important topic in GI and an honor working with such an all ⭐️ international group (tagged in photo)
@MSawhneyMD
@ASilvaSantisteb
@AnkitChhoda
@BilalMohammadMD
@BIDMC_GI
@AmerGastroAssn
@DDWMeeting
@RodriguezParra_
#GITwitter
#MedEd
16
13
111
Reflecting this week on 1 year
@TuftsMedicalCtr
and I’m so proud of what we accomplished
Started a third space endoscopy program, bariatric endoscopy program and an advanced endoscopy fellowship
Advanced endoscopy volume has multiplied x 10 from a year ago
Thanks to: 🧵
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Thrilled to join the ACG Case Reports Journal editorial board as an associate editor! Looking forward to joining a superb team and hope to be half as good as the ⭐️ before me
@TrieuMD
@KatieFalloonMD
@HD3vedi
@NickMcDonaldMD
@AgnihotriGI
23
7
104
So excited to announce a huge step forward for the
@TuftsMedicalCtr
Division of Gastroenterology/Hepatology where I have been approved to start an advanced endoscopy fellowship!
Keep your 👀out for our 1st AEF
@MikeTalanian
as he is a rising ⭐️
@TuftsMedSchool
@TuftsMedSchool
20
6
101
Living life on the
#edge
with
@tberzin
🦪 The Sand Dollar Sign during EUS directed transgastric ERCP
🦪 Understanding RYGB anatomy is critical
🦪 Remnant stomach (not in all cases) gives sand dollar appearance
🦪Aim for Axios placement
#GITwitter
#MedTwitter
#MedEd
4
20
97
POEM, ESD, Cystgastrostomy and a plethora of ERCP/EUS… all in a day’s work with the
@BIDMC_GI
@harvardmed
A team!
#GITwitter
#MedTwitter
3
6
87
⭐️Gastrocutaneous Fistulas⭐️
🔴Uncommon, late complication of PEG tube removals or other gastric surgeries
➡️ skin irritation/recurrent skin infections/⬇️QOL
🔴May be difficult to treat endoscopically (APC, TTSC/OTSC, X-Tack, Suturing)
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14
84
In honor of
#ColorectalCancerAwarenessMonth
I wanted to post how far
#GI
has come with endoluminal surgery and the amazing options we have for patients
⤵️ Rectal ESD (R0 en bloc resection➡️TVA with extensive HGD) ➡️ curative and 🤞will prevent cancer
#GITwitter
#MedEd
11
6
71
Two boards up and two boards down
I can’t thank my mentors enough
@BIDMC_GI
and
@TuftsMedicalCtr
for the support, teaching and friendship!
#gastroenterologyboardcertified
#obesitymedicineboardcertified
@AmCollegeGastro
@AmerGastroAssn
@ObesityMedicine
@ASGEendoscopy
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Huge thanks to
@AmCollegeGastro
@DrSamirAShah1
@ibdtweets
for this honor and grateful to all my mentors for supporting me in helping patients and families with Barrett’s esophagus and esophageal malignancy
Need to continue to raise awareness globally
#esophagealcancer
#gitwitter
10
7
68
Congratulations to everyone who matched today! So ecstatic to welcome our new group of fellows to
@TuftsMedicalCtr
!
#womeninGI
@christinalee730
@KatieHsia
#kaitlinpayne
@RKaragozian
@KarenFreundMD
@sucharitakher
@KashMahmoodMD
@NOrekondyMD
@aly_kaplanMD
@mfalmeqdadi
9
7
67
✨EUS guided liver FNB Tips and Tricks✨
Goal ➡️ Non-bloody, non-fragmented cores
1. 19g needle➡️stylet out/flush with heparin
2. Wet heparin suction (10cc heparin/10cc air)
3. Doppler is your friend! 😊
4. Suction only on forward actuation
5. 3-4 passes
#GITwitter
#MedEd
17
13
65
Excited to announce that I will be joining the
@AGA_TIGE
team as the social media editor led by the amazing
@VinayChandraMD
!
Keep your 👀 peeled as we will be posting interesting articles weekly
#GITwitter
#MedEd
#MedTwitter
@AmerGastroAssn
📣Meet Erik Holzwanger! (
@hilarholzy
)
👨⚕️Director of Endoluminal Surgery and Bariatric Endoscopy; Program Director, Advanced Endoscopy Fellowship; Assistant Professor of Medicine, Tufts Medical Center; and former TIGE Fellow.
⭐TIGE's New Social Media Editor!
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A woman presents with RUQ abd pain and⬆️LFTs. What do you think is going on based on the cholangiogram?
@DouglasAdlerMD
@MendozaLadd
@DrSaeeeed
@ChahalPrabhleen
@neilRsharmaMD
@DavidDiehlMD
@BilalMohammadMD
@AustinChiangMD
@EndoTx
@shandrawes
#TeachingCase
#GITwitter
#MedEd
17
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63
If you’re around tomorrow morning stop by!
@MSawhneyMD
@BilalMohammadMD
@ASilvaSantisteb
@AkwiAsombangMD
@Taalamri
@Samir_Grover
@stevenbollipo
@drkeithsiau
@AnkitChhoda
@helpatologist
@RashidLui
@RodriguezParra_
@NEndoscopy
@DDWMeeting
#GITwitter
#MedEd
#MedTwitter
8
11
62
Thrilled to be joining
@AGA_TIGE
as one of the incoming editorial fellows with the best
@AbiMansourMD
!
Grateful to
@AmerGastroAssn
@VinayChandraMD
#michaelkochman
and the never ending support from my ⭐️ mentors!
Excited to see the leaps TIGE will take in the coming year
Our Board of Editors, editorial staff, and publisher met today to discuss the past year's progress as well as the strategic direction of the Journal moving forward!
0
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61
First third generation
@bostonsci
EXALT fully disposable duodenoscope
@BIDMC_GI
with
@Boston_Endo
🐐
Thanks
@ChrissyStrangie
and
@Sanko96
!
1
5
61
Getting posters accepted to conferences is an accomplishment, but being able to mentor and watch the growth of your colleagues is truly where the reward is. Congratulations to all those who had posters accepted to
#ACG2021
!
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8
60
When
@tberzin
pranks you at the most opportune moment… lesson learned and an end to a great first week 😂😂😂
3
1
58
Spending a Saturday Morning with the
@BIDMC_GI
@harvardmed
crew and so fortunate to learn from
@MoamenGabrMD
!
#esd
#thirdspaceendo
@ASGEendoscopy
@AmerGastroAssn
@AmCollegeGastro
#GITwitter
#MedEd
1
7
54
Humbled to be awarded the “ACG Outstanding Poster Presenter Award” for our work “Benchmarking false positive definitions for computer-aided polyp detection in colonoscopy”
#ACG2020
#AIinGI
Grateful to my incredible mentors
@BilalMohammadMD
@tberzin
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10
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⭐️Important example of why to ERCP dominant strictures in PSC⭐️
28 y/o panUC transferred for 📈LFTs with MRCP revealing PSC changes and dominant distal CBD stricture.
👀Cholangiogram and Brushings below (30 brushes back and forth is 🗝️)
#GITwitter
#MedEd
@Taalamri
@docdhir
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10
52
🔥Interesting Diagnosis🔥
Pt presented with abdominal pain out of proportion to exam and elevated liver enzymes. EUS negative and liver FNB done as below 🤯
What’s a rare diagnosis you’ve made?
#GITwitter
#MedEd
@ebtapper
@docdhir
@doctornikkid
@neilRsharmaMD
@TrieuMD
@Taalamri
4
8
51
March and April are big months in the
#GI
and
#Oncology
realms as they are
#ColorectalCancerAwarenessMonth
and
#EsophagealCancerAwarenessMonth
, respectively.
I hold this month close to my ❤️and it's imperative to spread awareness: A 🧵
#GITwitter
#MedTwitter
#MedEd
#Surgery
3
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39 y/o F referred to me after having biliary obstruction in 2019 with plastic biliary stent placement and not removed
Thoughts on the cholangiogram? What do you do next?
@Taalamri
@DrSalihTokmak
@SahajRathi
@TrieuMD
@ChahalPrabhleen
@NEndoscopy
@docdhir
#GITwitter
#MedEd
8
19
50
Excited to be kicking off the
#AGATechSummit
with some of the best!
@AmerGastroAssn
@AustinChiangMD
@Scopesdoc
@drsethinyc
@tberzin
@allie_schulman
@PrasadIyerMD
2
5
49
Back to back cholangioscopy with EHL for a large stone and cholangioscopy with spybites for malignant appearing stricture 🔥
Couldn’t ask for better mentors
@tberzin
@MoamenGabrMD
@BIDMC_GI
#GOAT
𓃵
#gitwitter
#meded
1
5
49
🧰EUS Guided Rendezvous ERCP
🔥Great for unusual papillas (inability to identify/cannulate) + dilated CBD
💡19g FNA 🪡, 450 guidewire (straight or angled depending)
💡Ideal position 🪡 parallel to CBD
💡Cannulate next to wire or backload wire with tome
#GITwitter
#MedEd
@docdhir
8
9
46
It's the little things 😊
I never take for granted the honor and privilege I have to be a part of all my patients' lives. There is more to medicine than just diagnosing and performing procedures.
#GITwitter
#MedEd
@TuftsMedicalCtr
@ASGEendoscopy
@AmCollegeGastro
@AmerGastroAssn
10
4
46
Been truly an amazing 2 weeks of complex procedures and working with an amazing endo/anesthesia team
@TuftsMedicalCtr
First research meeting with these rising 🌟 and excited to see their careers continue to 🚀
We will be ready to collab soon 😊
#GITwitter
@surya_khadilkar
1
4
47
Grateful for the endless support from my ⭐️ PD
@RKaragozian
and my mentors!Thrilled to be attending the
@AmerGastroAssn
Tech Summit and looking forward to meet with all the great innovators in the field and learn about novel developments!
@TuftsMedicalCtr
@TuftsMedSchool
Congratulations to
@TuftsMedicalCtr
3rd year GI fellow
@EHolzwanger
for being selected to participate in the
@AmerGastroAssn
Innovation program
#AGATech
#AGACGIT
An excellent opportunity to meet with tech leaders, industry execs,thought leaders about the latest innovations in GI
4
4
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5
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46
What a truly inspiring conference the
#agatechsummit
was! Fortunate to hear from leaders in our field, not only on new innovations, but also promoting equality like
@WomeninEndo
! Big thanks to
@Scopesdoc
@drsethinyc
@AustinChiangMD
@raman_muthusamy
for having us!
1
4
44
You're doing a thorough scan of a fatty pancreas and you come across this slight hypoechoic area in the BOP as seen in the photos attached? Do you sample? If so, why and what do you think it could be?
#GITwitter
#MedEd
@NEndoscopy
@JChristieMD
@amolbapaye
@DrSalihTokmak
@tberzin
16
4
44
🏁Time to pop into the duodenal bulb!
🏁Big wheel slightly away and 👀 a big 🩸vessel ➡️ Portal Vein
🏁Track the PV down and see the portal confluence: SV ➕ SMV
🏁Above the confluence ➡️ head of pancreas and CBD above PD
3
7
43
#AI
is rapidly growing within the field of GI. In 2021, we expect to see more work on CADe in
#colonoscopy
Proud to share our work on benchmarking
#FalsePositive
alarm definitions in
#CADe
in
@endoscopyjrnl
👀👉
Check out this mini
#Tweetorial
👇
3
13
43
For those just starting to learn about EUS, I hope this was a nice introduction! When in doubt, always remember your stations and practice makes perfect! 😊
Image references:
1.
2.
3.
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6
41
Significant duodenitis and anatomical variations can be challenging for ERCP 😡
🗝️: Breathe 🫁 and move forward
This case took time to find the ampulla in D2/D3 junction under a hood surrounded by inflammation in a less conventional ERCP position
#GITwitter
#MedEd
@Taalamri
10
6
38
Shining 💡 on various modalities of treatment during
#EsophagealCancerAwarenessMonth
❄️Cryotherapy❄️ ➡️ BE-related neoplasia
⭐️Liquid nitrogen (-196C, deeper mucosal penetration)
⭐️Helpful for BE/IMCA resistant to RFA
⭐️Can be used for early EAC (e.g. 🚫 surgical candidates)
3
11
39
Where do your metal biliary stents like to migrate? Ours apparently enjoy the stomach 😂
@tberzin
@Boston_Endo
@Taalamri
@BilalMohammadMD
@DouglasAdlerMD
@DrSaeeeed
@DannyIssaMD
@DennisYangMD
@neilRsharmaMD
@NeilBhogalMD
@DavidDiehlMD
@NEndoscopy
@helpatologist
@TrieuMD
@yycui90
4
7
36
Wanted to give a warm welcome to my mentor and friend
@stallwoc
to
#GITwitter
! He is currently a therapeutic endoscopist
@McMasterU
and I was very fortunate to have been trained by him!
@CanGastroAssn
4
7
38
@ScopingSundays
@ImanBostonMD
@MoamenGabrMD
@BilalMohammadMD
@AhmadBazarbashi
@RobertoSimonsMD
@SanchezLunaMD
@rmulkimd
@LizzieAbyMD
@AdvaniRashmiMD
@NnekaUfereMD
@JacquelineChuMD
@DrMalSimons
@SunilAminMD
@amitbhattMD
@neilRsharmaMD
@DennisYangMD
@tberzin
@helpatologist
@NEndoscopy
@stevenbollipo
@drkeithsiau
@KM_Pawlak
@MarijoRojasMD
@RobertBechara
@AgnihotriGI
@babudayyeh
@PrasadIyerMD
@EricJVargasMD
@PopovVioleta
@RavShahMD
@ShimaghavimiMD
@TrieuMD
@ahmad_madkour
@AkwiAsombangMD
@shaimaa_elkholy
@shandrawes
@EndoscopyOthman
@GiJawaid
@MedtronicGI
developed "ProdiGI Traction Wire"
✔️2 components: primary 📎 with a traction nitinol wire/secondary 📎 to secure distal end of wire
✔️Continuous tension of wire and better 👀
✔️Easily modifiable/Internal traction
#ScopingSundays
#GITwitter
3
11
36
When
@Boston_Endo
gives you the honor of being photographed with
#anthonyfauci
during
@BIDMChealth
grand rounds
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2
36
It was an absolute pleasure to give grand rounds on advancements in endoscopy with bariatric endoscopy and third space endoscopy
@sunydownstate
!
What a wonderful crew with 🚀 fellows!
@Stentingwoman
@AmCollegeGastro
@ASGEendoscopy
@SavannaThor
@AmerGastroAssn
#GITwitter
#MedEd
4
2
34
An absolute pleasure to finally meet
@MeirMizrahi1
in person! Great discussion on the role of advanced resection within our field. ESD and underwater EMR 🚀
#GITwitter
#MedEd
#MedTwitter
1
3
37
Words can’t describe the amazing
@PopovVioleta
and how grateful I am to have spent the past month learning medical and endoscopic management of obesity! Excited to work together in the future!
4
0
36
Advanced endoscopy world watch out for this incoming all ⭐️ applicant!
@MikeTalanian
made his first cannulation today look easy 😊
@TuftsMedicalCtr
@ASGEendoscopy
@AmCollegeGastro
@AmerGastroAssn
#TMCGIfellowship
#GItwitter
#MedEd
1
0
36
Come join us tomorrow and let’s talk about advanced resection techniques!!
#ESD
#GITwitter
#MedTwitter
@BIDMC_GI
@MoamenGabrMD
@ImanBostonMD
Everything you want to know about “Basic & Advanced
#ESD
”!
Join us tomorrow at
#ScopingSundays
🔥🔥 to learn some pearls & share your tips & tricks !
Moderated by
@EHolzwanger
&
@ImanBostonMD
- & our Expert Guest
@MoamenGabrMD
!
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121
0
11
35
A timely
#gastrobites
on esophageal cancer during
#esophagealcancerawarenessmonth
5 year survival rate is 20%! I wonder how AI/improved screening may alter this… stay tuned! 👓 🤖
Big thanks to
@AmerGastroAssn
, moderator
@RenaYadlapati
and all the panelists!
2
6
35
🔥Pancreatic Duct Work🔥
Patient with PD leak s/p PD stent and CBD stent referred for removal of stents and reevaluation
👀Images below
Initial attempt with rat tooth, spybasket, sweeping balloon failed ▶️cholangioscopy with spybite for removal
#GITwitter
#MedEd
@bostonsci
5
5
34
Endoscopic internal drainage is 🚀
66 y/o F hx of duodenal ulcer perf 1 year ago s/p graham patch now worsening abd pain and CT ▶️ 6cm fluid collection
What are your thoughts on EID and next steps here?
@ChahalPrabhleen
@TrieuMD
@AlexanderPodboy
@docdhir
#GITwitter
#MedEd
10
10
35
Tried out new
@bostonsci
AcquireS FNB 🪡 and have to say it is 🔥
🔥📈 visualization of needle
🔥Large amount of tissue
👀below pancreas mass sampled with slow pull technique:🦈 vs AcquireS (2 sticks with 10 actuations each)
1st image AcquireS/2nd 🦈/Path
#GITwitter
#MedEd
4
6
32
🚩Tough Case Alert🚩
46 y/o F hx intrahepatic cholangiocarcinoma found to be unresectable due to peritoneal mets during attempted resection s/p chemoradiotherapy now s/p IR drains and trilateral uncovered metal biliary stenting...
1
10
32
Excited to talk all things subepithelial with rising ⭐️s
@tmhamed
@GowthamiR01
!
Tune in 😊
#GITwitter
#MedEd
@TuftsMedicalCtr
@Taalamri
@SahajRathi
@TrieuMD
@MSawhneyMD
@MoamenGabrMD
@Boston_Endo
@tberzin
@NEndoscopy
@neilRsharmaMD
@DharJahnvi
@KM_Pawlak
@DrSalihTokmak
Did you find a lump or bump on
#Endoscopy
?
Join us tomorrow at
@ScopingSundays
to learn about “Subepithelial Lesions” & share your tips & tricks !
Moderated by
@tmhamed
&
@GowthamiR01
and our expert guest
@EHolzwanger
!
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101
4
9
32
@ScopingSundays
@MayssanMuftah
@SighPichamol
@MetabolicEndo
@BilalMohammadMD
@vaibhav_manu
@LizzieAbyMD
@AhmadBazarbashi
@RobertoSimonsMD
@rmulkimd
@NnekaUfereMD
@JacquelineChuMD
@DrMalSimons
@PerelmansPearls
Transoral outlet reduction (TORe) is effective in RYGB with weight regain for sustained weight loss. Average 5 year TWL of 8.6%. Greatest predictors of weight loss at 5 years included %TWL at 1 year and additional weight loss procedures.
#ScopingSundays
#GItwitter
3
13
33
61 y/o SLE on immunosuppression now with 7.5cm HOP mass encasing PV and splenic vessels and biliary obstruction
👀Images below
Differential?
@Taalamri
@DrSaeeeed
@AdvaniRashmiMD
@AgnihotriGI
@drkeithsiau
@stevenbollipo
@Boston_Endo
@docdhir
@TrieuMD
#GITwitter
#MedTwitter
13
8
33
Incredible discussion about diagnosis and management of OIED and EGJOO by our visiting professor, Dr. Vela of
@MayoClinicGIHep
Increasing incidence of EGJOO, but are we now over-diagnosing with newer modalities such as Endoflip?
Huge thanks to
@AmCollegeGastro
!
3
5
32
Please take 5 minutes to fill out this important survey to help us understand the psychological impact of adverse events on endoscopists
@Samir_Grover
@helpatologist
@amolbapaye
@RodriguezParra_
@drkeithsiau
@Taalamri
@RashidLui
@stevenbollipo
@NEndoscopy
@AkwiAsombangMD
It is widely unknown how great of an impact complications have on the endoscopist and the resources available to help with coping 🫤
If you perform advanced procedures, please take a moment to fill out this survey:
2
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2
16
31
Always an honor to give grand rounds, however today was more of an honor giving grand rounds to my mentors and close friends
@StElizabethsMC
!
Truly was a pleasure discussing bariatric endoscopy and the bridge between pharmacotherapy and surgery.
#GITwitter
#MedEd
@KashMahmoodMD
0
3
32
69 y/o M hx of chronic pancreatitis with pancreatogram below. Thoughts?
@MendozaLadd
@Taalamri
@docdhir
@DrSaeeeed
@TrieuMD
@SahajRathi
@ChahalPrabhleen
@mj_pucci
@KMonkemuller
@amolbapaye
@neilRsharmaMD
@DrSalihTokmak
@AdvaniRashmiMD
@NeilBhogalMD
@NEndoscopy
#GITwitter
#MedEd
10
5
32
@MayssanMuftah
@ScopingSundays
@SighPichamol
@MetabolicEndo
@BilalMohammadMD
@vaibhav_manu
@LizzieAbyMD
@AhmadBazarbashi
@RobertoSimonsMD
@rmulkimd
@NnekaUfereMD
@JacquelineChuMD
@DrMalSimons
@PerelmansPearls
ESG suture patterns:
ESG suture patterns:
🔴 No official standardized suture pattern
🔴 U-shaped pattern vs. Z-shaped pattern vs. Triangular-shaped pattern
🔴 Transverse bilinear pattern vs. linear pattern vs. tranverse monolinear pattern
2
10
31
Exciting discussions at Getting Started with AI in Your GI Practice and Research: A Hands-On Workshop
@DDWMeeting
Will
#AI
help us truly with the resect and discard strategy to reduce waste? I believe so, but stay tuned 👀
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@SultanMahmoodMD
@EndoscopyOthman
@neilRsharmaMD
@Taalamri
@DennisYangMD
@JJFordeMD
@DVinsard
@BilalMohammadMD
@TrieuMD
@CarlKayMD
Update: Curative 👀⬇️
@DrSaeeeed
@TudiSabban
@drkeithsiau
@SalihSamo
@GIcancerDoc
@Samir_Grover
@shifaumarMD
@DharJahnvi
@NEndoscopy
@DrSalihTokmak
@amolbapaye
@docdhir
@SunilAminMD
@Scopesdoc
@ShimaghavimiMD
@PopovVioleta
@Lilian_ChenMD
@TheJhall13
#GITwitter
#MedEd
#Oncology
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What would you do? 95 y/o F nonsurgical candidate presents with new ampullary cancer and severe biliary obstruction (CBD roughly 2.3-2.5cm diameter) and you get to the ampulla and 👀this
#GITwitter
#MedEd
@Taalamri
@sahajrathi
@NEndoscopy
@BilalMohammadMD
@DouglasAdlerMD
@EndoTx
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📢Let's go to about 1-2cm under the GEJ and slowly rotate clockwise
Remember EUS 🟰 fine movements
📢You will eventually come across a big 🩸 vessel... this is the Aorta!
📢Push a little forward ➡️Celiac artery and SMA as below
📢Clockwise rotation ➡️ adrenal gland
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@DharJahnvi
@Taalamri
@DrSaeeeed
@AdvaniRashmiMD
@AgnihotriGI
@drkeithsiau
@stevenbollipo
@Boston_Endo
@docdhir
@TrieuMD
@Samir_Grover
@PopovVioleta
@drKumarGI
@GIcancerDoc
@sahajrathi
@MendozaLadd
@ShimaghavimiMD
@mj_pucci
@BilalMohammadMD
@NEndoscopy
Impressed with all the differentials!
Pathology below: Primary Pancreatic Burkitt Cell Lymphoma 😲
Few case reports and here is one nice one from the literature: .
#GITwitter
#MedTwitter
@GI_Guy
@doc_zubin
@KM_Pawlak
@tberzin
@SunilAminMD
@AlexanderPodboy
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4⃣ STEPS AXIOS Deployment (numbers outlined on AXIOS)
1. Stabilize AXIOS on EUS ▶️connect 🔥🔌▶️unlock catheter lock ▶️ advance catheter control hub (CCH) smoothly (🦶 on 🟨) until catheter is in collection then advance CCH further in (no 🔥)▶️lock
#GITwitter
#MedEd
@bostonsci
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I am very honored to win this teaching award! All the gratitude to the Tufts medicine residency!
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EUS in post surgical anatomy can be challenging 🙃
Pt prior history of PDAC at HOP invading ampulla s/p classic whipple now with scans revealing possible tumor recurrence in surgical bed referred for EUS
Interesting EUS images ⬇️ with pathology
#GITwitter
#MedEd
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@ScopingSundays
@ImanBostonMD
@MoamenGabrMD
@BilalMohammadMD
@AhmadBazarbashi
@RobertoSimonsMD
@SanchezLunaMD
@rmulkimd
@LizzieAbyMD
@AdvaniRashmiMD
@NnekaUfereMD
@JacquelineChuMD
@DrMalSimons
@SunilAminMD
@amitbhattMD
@neilRsharmaMD
@DennisYangMD
@tberzin
@helpatologist
@NEndoscopy
@stevenbollipo
@drkeithsiau
@KM_Pawlak
@MarijoRojasMD
@RobertBechara
@AgnihotriGI
@babudayyeh
@PrasadIyerMD
@EricJVargasMD
@PopovVioleta
@RavShahMD
@ShimaghavimiMD
@TrieuMD
@ahmad_madkour
@AkwiAsombangMD
@shaimaa_elkholy
@shandrawes
@EndoscopyOthman
@GiJawaid
@MedtronicGI
@AustinChiangMD
@DrSaeeeed
@NickMcDonaldMD
@NealMehtaMD
@JamesKStone
@RobTrasolini
@FujifilmUS
recently developed "TRACMOTION" 🔥
🟡360 degree rotatable jaws
🟡Single operator
🟡Retracts tissue without complicated locking procedures
#ScopingSundays
#GITwitter
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Honored to be apart of this family
@BIDMC_GI
Its been an honor to be a part of the journeys of these incredible
#endoscopists
who are now advancing the field across the globe
Highlight of
#DDW2024
- reconnecting with our
@BIDMC_GI
“Advanced Endoscopy Alumni”
@MSawhneyMD
@tberzin
@MoamenGabrMD
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@ScopingSundays
@MayssanMuftah
@SighPichamol
@MetabolicEndo
@BilalMohammadMD
@vaibhav_manu
@LizzieAbyMD
@AhmadBazarbashi
@RobertoSimonsMD
@rmulkimd
@NnekaUfereMD
@JacquelineChuMD
@DrMalSimons
@PerelmansPearls
Types of suture patterns for TORe.
#scopingsundays
#GItwitter
💪Interrupted stitch technique
💪Pursestring technique
💪Running pattern
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My story is only one of unfortunately so many. Please consider participating in societies like
@ECAware
@SalgiFoundation
and continue to spread awareness on this lethal disease.
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I take this month to reflect on my family hx of esophageal cancer with my father and the honor I have taking care of patients/families who have to deal with this horrible disease
Please continue to spread awareness and not only can we treat this cancer, we can prevent it!
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ERCP/cholangioscopy/sampled GB lesion, liver lesion and CHD stricture⬇️
A cholangiogram is worth 1000 words
@EndoTx
@LizzieAbyMD
@DVinsard
@aly_kaplanMD
@mfalmeqdadi
@doctornikkid
@DrSalihTokmak
@GI_Pearls
@PerelmansPearls
@shifaumarMD
@Samir_Grover
#GITwitter
#MedEd
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