Elderly patient with dementia, cholecystitis, and sepsis. Surgery declined cholecystectomy. Gall bladder not in good position for transmural drainage. Gallbladder accessed by a cystic duct and drained with a double pigtail stent. #gitwitter #surgery #medtwitter

How would you classify this papilla? #gitwitter

Impending biliary obstruction. Patient not jaundiced but has this cholangiogram. #gitwitter #surgery

Online now in GIE’s Articles in Press: “Comparison of adenoma miss rate and adenoma detection rate between conventional colonoscopy and colonoscopy with second-generation distal attachment cuff” by Kelly E. van Keulen et al. giejournal.org/article/S0016-…

Douglas K. Rex, MD

More TITANS at RMIE! ⁦Tyler Berzin MD, FASGE⁩ and Paul Spier ⁦Olympus⁩ #rmie

Meeting with the GIANTS!! Carl Budge ⁦Boston Scientific⁩ and Kade Kennington ⁦Olympus⁩ #gitwitter

San Francisco airport, 4:20 AM. I have the whole place to myself! #travel #gitwitter ⁦United Airlines⁩

Jahnvi Dhar Digestive Diseases and Sciences Zaheer Nabi Antonio Facciorusso Stefano Francesco Crinó Enrique de-Madaria Gabriele Capurso MD, PhD🇺🇦 Sundeep Lakhtakia Turki AlAmri |تُرْكي عبدالله الْعَمريَّ MD Rajan Singh Prabhleen Chahal MD,FASGE,FACG Neil Sharma, M.D. FASGE, FACG, AGAF Congrats Jayanta sir, Jahnvi Dhar and all coauthors! We too looked into this a couple of years ago and found that the data was primarily observational - ncbi.nlm.nih.gov/pmc/articles/P… Babu P. Mohan Daryl Ramai, MD, MPH, MSc. Antonio Facciorusso Douglas G. Adler MD, FASGE, FACG, AGAF

FNB of a large leiomyoma! #gitwitter #medtwitter #pathology

Listen to the podcast of 'New endoscopic closure technique, 'internal traction-assisted suspended closure,' for GI defect closure: a pilot study (with video)' by Gong et al. giejournal.org/content/podcast

Online now in GIE’s Articles in Press: “Exploring the utility of EUS in Budd-Chiari syndrome: a multicenter multiobserver prospective cohort study” by Akash Shukla et al. giejournal.org/article/S0016-…

14 cm circumferential Barrett's esophagus with low grade dysplasia. Time for RFA! #gitwitter #medtwitter Medtronic

Closing the mucosotomy following a recent GPOEM. Using Resolution Ultra clips. Some suture these shut, but I prefer clips. #medtwitter #gitwitter #surgery Boston Scientific

Beautiful image of a liver biopsy obtained by endoscopic ultrasound. Path is steatohepatitis. #medtwitter #gitwitter AASLD

Very clear image of a malignant rectosigmoid polyp. #gitwitter ⁦Colorectal Cancer Alliance⁩ ⁦Fight Colorectal Cancer⁩ #surgery

Beautiful EUS guided coiling today for bleeding gastric varices in an ICU patient! #gitwitter ⁦Society of Interventional Radiology⁩ ⁦David Diehl⁩ ⁦David Schwartz⁩ ⁦Mohammad Bilal, MD⁩ ⁦Mohamad I. Itani, MD⁩ ⁦Jenn Phan MD⁩ ⁦Cook Medical--MedSurg Division⁩

Some pretty hard-core chronic pancreatitis going on here. #pancreas #gitwitter

EUS guided gallbladder drainage as seen on EUS. We LOVE doing these cases. So helpful for the pts! Saves them the tube. #gitwitter Boston Scientific Aslak Gottlieb GIE

Online now in GIE’s Articles in Press: “Impact of transpancreatic precut sphincterotomy on the quality of ERCP in a low-volume setting” by Wei-Chih Su et al. giejournal.org/article/S0016-…

Fantastic article in GIE by Robert Bechara & Douglas Motomura sharing experience of circumferential esophageal ESD ✂️ for Barretts neoplasia

✅ 100 % en-bloc resection
✅ 82% R0 resection

⁉️ Post ESD stricture mostly tx by dil

giejournal.org/article/S0016-…

Douglas G. Adler MD, FASGE, FACG, AGAF