AXIOS Lumen Apposing Metal Stent (LAMS) for WOPN A 🧵for folks learning #advancedendoscopy 1. Perform endoscopy first ▶️measure GEJ (want to avoid placing LAMS in esophagus if possible), evaluate stomach/duodenum for extrinsic compression #GITwitter #MedEd ASGE GI Endoscopy

Perfect timing for this study in AJG - The American Journal of Gastroenterology to come out ! ✅ 45-49 yr olds - underwent screening colonoscopy, ADR = 28.2% ✅ Similar to what is rec for 50-54 yr old ✅ Re-inforces ACG & other organizations recommendations to start CRC screening at 45 yrs

Benefits of water assisted colonsocopy #colorectalcancerawarenessmonth

What a great symposium VCU Stravitz-Sanyal Institute for Liver Disease! #MedEd

Endoscopic view of the stomach of a patient with abdominal pain and anaemia. What’s the diagnosis?

Interested in a #QualityImprovement project? Check out our article for tips to success! Richard Sterling

Check out this review on non-invasive tests in hepatic fibrosis! Richard Sterling VCU Stravitz-Sanyal Institute for Liver Disease

CT scan of a patient with abdominal pain and recurrent vomiting. What’s the diagnosis?

Channeling Andy Tau, MD today! Pt with hematemesis & varices on CT. Key takeaways: 1. Prep all tools/glue before case 2. Align plan(s) & language with assistant pre-case 3. Expect brisk bleeding anytime 4. Stay CALM—have a plan B & C in mind just in case

👉🏽 Treatment first line for H.pylori has evolved 👉🏽Choose: 🔸 optimized bismuth based 🔸 rifabutin triple 🔸 vonaprazam dual 👉🏽 avoid macrolides or fluoroquinolones due to resistance 👉🏽 treat X 14 days #ACGMidwestRegional ACG

Is it a dream ?! 😱 Pancreatic cysts made it to the NEJM ‼️ 🍇 A comprehensive review of a NOT anymore rare disease … 🚀 a great news for all pancreas lovers!

Weekend filled with learning at the ACG Virginia Gastroenterological Society regional PG course at historic Williamsburg 🏯 Fun times with the co-fellows! ☺️ VCU Stravitz-Sanyal Institute for Liver Disease VCU 🔑 take-ways from Jonathan Leighton, MD’s keynote lecture on wellness 💪 Train your attention 🌱 Grow your community

Intrabiliary pressures and the concept of cholangiohepatic reflux 🤯 📸: Illustrated Surgery, A Road Map, 2017

First conference with the VCU GI family! 💫 Big congrats to Mahum Nadeem #PresidentialPosterAward and Nikita Chadha, D.O. #OutstandingPosterPresenterAward 🏅 🤩 VCU Stravitz-Sanyal Institute for Liver Disease Prabhat Kumar, MD Spencer Harris Asiya Tafader Raseen Tariq, MD, MS #ACG2024 ACG

Festivities with the amazing VCU Health Endoscopy squad 🎄 Grateful for the camaraderie and teamwork. Wishing everyone joyful holidays! ❄️ VCU Stravitz-Sanyal Institute for Liver Disease American Gastroenterological Association (AGA) ACG AASLD Richard Sterling Sahaj Rathi MD, DM, MRCP Mahum Nadeem Spencer Harris Asiya Tafader Nikita Chadha, D.O.

Fellow teaching: Here's a nice technique I picked up a few years ago from Klaus Mönkemüller, MD, PhD for tattooing the GI tract. Create a saline bleb, then switch to tattoo. Ensures tattoo stays in the submucosa & doesn't go to peritoneum. Especially useful in a moving target as shown below

For which condition is this an effective treatment?