Prophylactic Antibiotics in Endoscopy ▪️Biliary obstruction + incomplete drain ▪️Mediastinal cyst + EUS-FNA ▪️Pancreatic cyst + EUS-FNA ▪️Percutaneous gastrostomy/jejunostomy ▪️Cirrhosis + acute GI bleed ▪️Peritoneal dialysis + colonoscopy 🔗 asge.org/docs/default-s…

Axon-Clarke Gastropathy ▪️Cause of hematemesis 🤮🩸 ▪️Localized red mucosa near GEJ ▪️Retrograde intussusception of stomach ▪️Occurs during retching/vomiting ▪️Mimics Mallory-Weiss presentation ▪️First described by Axon & Clarke in 1975 🔗 ncbi.nlm.nih.gov/pmc/articles/P… #GITwitter

Fantastic article by our recent graduate Mahesh and current fellow Priyadarshini Loganathan! ➡️6 RCTs comparing early (< 4hrs) vs late (> 4 hrs) feeding after PEG placement​ ➡️No difference in complication events and mortality rates within 72 hrs​.

Indications for IV & Oral contrast in Abdominopelvic CT IV Contrast ▪️Suspected tumor ▪️Infection/Inflammation ▪️Vascular eval ▪️Trauma ▪️Postop complications Oral Contrast ▪️Bowel obstruction ▪️Perforation ▪️Fistula assessment ▪️Mass localization 🔗 acr.org/-/media/ACR/Fi…

CPT Jess Basso at #ACG2024

CPT Ryan Santos at #ACG2024

Maj Zach Eagle at #ACG2024

Capt Matt Schwartz at #ACG2024

Capt Jessica Demes at #ACG2024

CPT Ajay Bhola at #ACG2024

CPT Scott Edelson at #ACG2024

Let’s talk thiopurines in AIH! Thiopurine metabolism: 6MP/Azathioprine are metabolized into: 🔷 6-TGN (therapeutic metabolite) 🔸 Via hypoxanthine phosphoribosyltransferase 🔷 6-MMP (toxic metabolite) 🔸Via thiopurine S-methyltransferase 🔗 journals.lww.com/hep/fulltext/2…

When it comes to arterial bleeding in the rectum, Ovesco clips outshine standard TTS clips! 🌟 With superior hemostasis, precision placement, and stronger retention, they’re a game changer! Ovesco Endoscopy #GItwitter

We are excited to announce the 1st Annual South Texas Updates in General GI symposium! 💥Invited speakers from across the country 💥Cutting edge updates in general GI 💥Networking opportunities Stay tuned for more updates on the full agenda! Prabhleen Chahal MD,FASGE,FACG

Board certified gastroenterologist ✅ American Board of Internal Medicine (ABIM) #GITwitter

Another year of 100% board pass rate! 10 years in a row. David Dulaney John Gancayco M.D. #GITwitter

Pro-tip for new fellows: suctioning with the valve OFF during colonoscopy! Valve removal during washing and removal of pools of particulate debris reduces the risk of clogging the suction pathway. N.B. Know where you are pointing it! 💩💨🤓 🔗 giejournal.org/article/S0016-…

Track your own colonoscopy quality! If you don’t have access to GIQuIC, here’s my own quality metric tracker for anyone to use! ✅ ADR (all) >35% ✅ ADR (male) >40% ✅ ADR (female) >30% ✅ SSLDR >6% ✅ APC >0.6 ✅ ADR with (+) fecal screening >50% 🔗 docs.google.com/spreadsheets/d…

Anorectal Diagnosis Grid Helpful to consider four hallmarks features of anorectal lesions: ▪️Pain ▪️Bleeding ▪️Drainage ▪️“Weird” tissue Very practical approach to place diseases on this grid/axis. 🙏 Mark Zhao, MD, MAS UCSF Surgery 🔗 vumedi.com/video/non-surg…

Come join Jerry Edelson at #DDW2025 Endohepatology – Ready for Prime Time? 📅 Date: Mon, May 5 ⏰ Time: 10:00 AM – 11:30 AM (PDT) 👨‍⚕️ Speaker: MAJ Edelson 📍 Location: Room 4 – SDCC Digestive Disease Week