Wissam Kiwan M.D.
@kiwangidoc
Advanced Endoscopy Fellowship Director @SLUgastro
ID: 3081497122
09-03-2015 12:12:20
139 Tweet
310 Followers
142 Following
#ScopingSundays Fouad Jaber, MD, MS Wissam Kiwan M.D. Mohammad Bilal, MD Ahmad N. Bazarbashi أحمد بازارباشي Roberto Simons-Linares, MD Vaibhav Wadhwa Ramzi Mulki, MD Mohamad El Zein MD, MPH Lizzie Aby, MD Michelle Baliss, DO Rashmi Advani, MD, ABOM-D Malorie Simons Vignette 1: You are about to perform a colonoscopy on a 59-year-old woman with a history of hysterectomy and family history of colon cancer in sister. What is an optimal technique for colonoscopy insertion: A. Push around corners with adequate air insufflation and torque as you
#ScopingSundays Taranika S Das Wissam Kiwan M.D. Mohammad Bilal, MD Ahmad N. Bazarbashi أحمد بازارباشي Roberto Simons-Linares, MD Vaibhav Wadhwa Ramzi Mulki, MD Mohamad El Zein MD, MPH Lizzie Aby, MD Michelle Baliss, DO Rashmi Advani, MD, ABOM-D Malorie Simons 🚨You Just completed a screening colonoscopy for a 55-year-old male with 5 adenomas resected. The preparation quality is adequate.🩺 When to repeat colonoscopy? 🔄 A. 3 years B. 1 year C. 5 years D. 5-10 years Saqr Alsakarneh, MD, MSc Mohammed Qasswal, MD @Ahmed_salih_md Natalie Wilson, MD
#ScopingSundays Taranika S Das Wissam Kiwan M.D. Mohammad Bilal, MD Ahmad N. Bazarbashi أحمد بازارباشي Roberto Simons-Linares, MD Vaibhav Wadhwa Ramzi Mulki, MD Mohamad El Zein MD, MPH Lizzie Aby, MD Michelle Baliss, DO Rashmi Advani, MD, ABOM-D Malorie Simons Vignette (3) 👨⚕️ A 55-year-old man had a screening colonoscopy. Three small polyps were resected from the ascending colon. The bowel prep score after washing was 1 + 2 + 3 = 6. Two polyps were tubular adenomas, and one was hyperplastic. When should the next colonoscopy be? 🤔 a)
#ScopingSundays Fouad Jaber, MD, MS Wissam Kiwan M.D. Mohammad Bilal, MD Ahmad N. Bazarbashi أحمد بازارباشي Roberto Simons-Linares, MD Vaibhav Wadhwa Ramzi Mulki, MD Mohamad El Zein MD, MPH Lizzie Aby, MD Michelle Baliss, DO Rashmi Advani, MD, ABOM-D Malorie Simons Aasma Shaukat MD MPH Gastroenterology & Hepatology | NYU Langone Health Mark B. Pochapin, MD Options
Wissam Kiwan M.D. Fouad Jaber, MD, MS #ScopingSundays Taranika S Das Ahmad N. Bazarbashi أحمد بازارباشي Roberto Simons-Linares, MD Vaibhav Wadhwa Ramzi Mulki, MD Mohamad El Zein MD, MPH Lizzie Aby, MD Michelle Baliss, DO Rashmi Advani, MD, ABOM-D Malorie Simons Saqr Alsakarneh, MD, MSc Mohammed Qasswal, MD @Ahmed_salih_md Natalie Wilson, MD American Gastroenterological Association (AGA) I think distal attachment is really helpful, not just finding polyps but also helps in removing them
#ScopingSundays Fouad Jaber, MD, MS Wissam Kiwan M.D. Mohammad Bilal, MD Ahmad N. Bazarbashi أحمد بازارباشي Roberto Simons-Linares, MD Vaibhav Wadhwa Ramzi Mulki, MD Mohamad El Zein MD, MPH Lizzie Aby, MD Michelle Baliss, DO Rashmi Advani, MD, ABOM-D Malorie Simons Aasma Shaukat MD MPH Gastroenterology & Hepatology | NYU Langone Health Mark B. Pochapin, MD Answer B Discussion: o General principles: Non-pedunculated adenomas <10 mm: Cold Snare (forceps okay for tiny ≤3 mm). Non-pedunculated adenomas 10-19 mm: Cold Snare is preferred, as per Mangira et al. (2023) and Rex et al. (2022), with low rates of incomplete resection and
#ScopingSundays Fouad Jaber, MD, MS Wissam Kiwan M.D. Mohammad Bilal, MD Ahmad N. Bazarbashi أحمد بازارباشي Roberto Simons-Linares, MD Vaibhav Wadhwa Ramzi Mulki, MD Mohamad El Zein MD, MPH Lizzie Aby, MD Michelle Baliss, DO Rashmi Advani, MD, ABOM-D Malorie Simons ACG Gastroenterology & Hepatology | NYU Langone Health Answer C Discussion Dysplasia is uncommon: 1-3% even in SSL ≥ 2cm SSL without concerning features is usually non-dysplastic. Common in the R colon; concerns include post-resection bleeding and perforation. Most SSL are flat and not fibrotic; easily removed by piecemeal Cold
Looking forward to this virtual ASGE GI Endoscopy endo hangout session with Christopher Chapman and Allison Schulman MD, MPH on Sep 12th on leaks/fistulas and perforations, moderated by Michelle Baliss, DO. Link below to register. Thank you to ASGE and Shifa Umar, MD shorturl.at/bvD3j