1/ Here is my yearly reminder that none of the major radiology societies recommend fetal shielding for ERCP (despite recent ASGE GI Endoscopy misguidance...) 2 refs we typically include in consults when discussing ERCP/pregnancy: ajronline.org/doi/full/10.22… aapm.org/org/policies/d…

Dr. Nha Duong and our first year fellow Cristina Batarseh performing an EMR on a large cecal polyp. We do approximately 200 colon EMR per year! Nha T. Duong UMass Chan-Baystate Gastroenterology

Removal of a laterally spreading rectal tumor via band EMR and hybrid APC by 3rd year fellow Dr. Groudan and associate program director Dr. Zakharia. Advanced fellows will receive ample training in removal of large polyps by endoscopic mucosal resection, endoscopic submucosal

Failed ERCP due to acute angulation of papilla from pancreatic mass. We performed EUS guided RV ERCP as there were minimal dilation of the CBD. 19G Boston Scientific FNA needle followed by .025 wire passage is our preferred approach for biliary access in these cases. #GITwitter

Failed ERCP due to inability to reach major papilla from tumor infiltration into duodenum. Tumor prohibited CDS placement in bulb. Pt declined PTBD and elected for attempt at antegrade biliary stent placement via EUS over HGS. After needle puncture and wire placement we entered

Young patient with FAP with small but biopsy proven ampullary adenoma. ERCP with ampullectomy was performed successfully at Baystate Medical Center. We do ~ 10 ampullectomy cases per year Baystate Advanced Endoscopy What is your approach for those polyps? #GITwitter Douglas G. Adler MD, FASGE, FACG, AGAF Do you

A double whammy case of a PD leak post splenectomy for splenic laceration in the setting of a pancreatic head mass prohibiting retrograde PD wire passage. EUS guided pancreaticogastrostomy with placement of a double pigtail stent was performed with resolution of leak. #GITwitter

Mid age man with FAP was referred to Baystate for ampullary adenoma, ERCP with ampullectomy was performed 6 months ago...... so satisfying to see the results on last endoscopy #GITwitter

A must read for all the GI folks out there. Kudos to Yesenia Greeff for highlighting an often overlooked aspect of everyday GI practice. #traumainformedcare #GItwitter

Proud of our fellows!! 🙌🏻

Great work!

Huge congratulations to our newest graduates, Dr. Tiago Martins and Dr. Kevin Groudan!! 🎓🙌🏻

Excited to share that I have matched at BILH Lahey Hospital for advanced endoscopy fellowship. Grateful for the support from my amazing mentors and my family. Can't wait to get started! ASGE GI Endoscopy UMass Chan-Baystate Gastroenterology #AEF #ASGE #GItwitter

ESG, tOREs, and sleeve revisions in Western MA! Nha T. Duong John Miller

Great case by our therapeutic endoscopist Kais Zakharia, MD at Baystate Advanced Endoscopy 👏 We’re fortunate to manage complex, fascinating cases—offering our advanced fellows exceptional hands-on exposure and training! Baystate Health Baystate Health

Our GI fellows representing Baystate 🙌🏻 Dr. Aizaz Khan (PGY5) and Dr. S. Hamza Sohail (PGY6) were each awarded a travel grant to attend the 19th Rocky Mountain Interventional Endoscopy course in Denver, Colorado ⛰️✈️ #RMIE2025 #GITwitter #baystate