#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 Case 5: You are performing colonoscopy and you notice this lesion 3 cm in size on the ascending colon. You notice no feature of submucosal invasion. Which is your plan technique? A. Take multiple biopsies and send for surgery B. Saline lift and forceps removal C. Saline lift 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

#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 Douglas K. Rex, MD Mark B. Pochapin, MD Gastroenterology & Hepatology | NYU Langone Health ACG Discussion Answer D Malignant Polyps (pT1) and Management: Malignant polyps (pT1) are colorectal polyps with submucosal neoplastic invasion, not extending into muscularis propria. Lesions with high-grade dysplasia confined to epithelium or lamina propria are classified as

Fouad Jaber, MD, MS #ScopingSundays Taranika S Das Wissam Kiwan M.D. 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 If the scope gets stuck always check to see pt has an abdominal hernia where the scope got stuck - ideally should check for presence of abdominal hernia prior to procedure & can keep Hernia reduced manually to help w not getting stuck

Rashmi Advani, MD, ABOM-D Taranika S Das #ScopingSundays Fouad Jaber, MD, MS 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 Malorie Simons ACG Gastroenterology & Hepatology | NYU Langone Health Thanks Rashmi. I frequently find underwater life-saving for some difficult polyps like you explained here 👍

#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 9 A 59-year-old on coumadin for A fib with mechanical valve and aspirin for PCI 4 years ago comes for colon cancer surveillance. He has a history of 4 sub centimeter adenomas and one 2 cm cecal tubular adenoma 3 years ago. What is your approach? A. Send for FIT test

Fouad Jaber, MD, MS #ScopingSundays Taranika S Das Wissam Kiwan M.D. 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 Splenic injury - it can happen - Blast from the past where we reported and talked about it 👇 dldjournalonline.com/article/S1590-…

#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 Discussion: Answer C For patients on warfarin who are undergoing elective and planned outpatient endoscopic GI procedures, we suggest warfarin be continued unless they are undergoing an advanced endoscopic procedure (Table 3), which may incur a higher risk of procedural

Taranika S Das #ScopingSundays Fouad Jaber, MD, MS 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 C (minus bridging) 😃 Bridging is rarely ever found helpful in reduction in thromboembolic events. Would love to hear from others about that.

Thank YOU to everyone for Rapid 🔥🔥🔥 session on “Basics of #Colonoscopy” We would like to THANK our moderators Taranika S Das & Fouad Jaber, MD, MS our Expert Guest Wissam Kiwan M.D.! Please let your comments tricke & we will post #ScopingSummary mid week!

#ScopingSundays Mohammad Bilal, MD Taranika S Das Fouad Jaber, MD, MS Wissam Kiwan M.D. Amazing discussion again 🙏🏻 thank you #ScopingSundays and Taranika S Das Fouad Jaber, MD, MS Wissam Kiwan M.D.

Fouad Jaber, MD, MS #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 I trained w/ moderate sedation & benefit of that was immediate pt feedback / awareness of pt discomfort - they definitely let you know! So many adv to deep sedation but be mindful of not getting that immediate feedback always & really minding your technique to try to avoid cx

#ScopingSundays Taranika S Das 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 Great session guys.. Good learning points 👍

Taranika S Das #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 So many great points. I encourage the fellows to absorb what different preceptors do. Modify your technique based on unique anatomical challenges. Right balance between water and CO2 insufflation. Avoid clearance of puddles as long as you can keep moving forward. #scopemanship

An outstanding summary on colonoscopies led by our very own exceptional Advanced PD, Wissam Kiwan M.D. ✨

Missed out on the 🔥🔥 #ScopingSundays discussion last weekend on “Basics of #Colonoscopy” Check out the #ScopingSummary from the interactive discussion led by Wissam Kiwan M.D., Taranika S Das & Fouad Jaber, MD, MS ! Special thanks to Kimberly G. Ho for the summary!