EUS Hepaticogastrostomy performed for severe malignant stricture of left hepatic duct in a patient with metastatic hilar cholangiocarcinoma. Purulent drainage noted Saqib Walayat Mohammad Bilal, MD Sultan Mahmood MD vinay dhir Mohamed Othman Michel Kahaleh

Colo-colonic anastomotic leak in a non surgical candidate treated with ablation, endoscopic suturing and fully covered stent placement with excellent results. Pre and post treatment images attached here. Saqib Walayat Michel Kahaleh Mohammad Bilal, MD Hafiz Muzaffar Akbar Khan

EUS-CDD performed for a malignant biliary obstruction due to metastatic pancreatic head tumor. How long do you attempt conventional ercp before switching to EUS guided access? Saqib Walayat Mohammad Bilal, MD Sultan Mahmood MD vinay dhir Prof. ABED AL-LEHIBI/أ. د. عابد اللهيبي MK Hasan

EUS-GJ for metastatic cholangioCA with outlet obstruction. Stomach full of solid food debris despite 3 days of NPO and NG decompression. What are your tricks to remove gastric food? How much food is safe to proceed with GJ. Sultan Mahmood MD Mohammad Bilal, MD MK Hasan

How do LAMS procedures (CDS, GJ, EDGE) affect surgical outcomes. In the US, Whipple after such LAMS is not universal. 🚨📢Luke Meredith, MD with our case series ⬇️ sciencedirect.com/science/articl… Jefferson Health Jefferson Surgery Charles J. Yeo, MD, FACS Neil Sharma, M.D. FASGE, FACG, AGAF #GITwitter

I have known 7 MDs who committed suicide (6M, 1F) 300-400 doctors kill themselves/year in USA. Suicide attempts 250% higher among ♀ docs & 70% higher among ♂ We are used to helping, not needing help In USA, call/text 988 for help 24/7 #medx #MedTwitter Please RT

Thank you Mohammad Bilal, MD for publishing your pearls to internalize GB external drain. Did a quick read and removed this destination external drain from a thankful patient. Saqib Walayat Michel Kahaleh Sultan Mahmood MD

Intra-hepatic EUS-rendezvous for failed biliary cannulation from malignant ampullary involvement and severe biliary obstruction from pancreatic head mass. Off to orlando to learn some new tricks at adventhealth conference MK Hasan Saqib Walayat Mohammad Bilal, MD

Extra-hepatic rendezvous (intra hepatics non dilated, cbd 12 mm) for severe malignant biliary obstruction followed by Cholecysto-duodenostomy for acute cholecystitis. Prashant Kedia MD, FACG, FASGE Sultan Mahmood MD Mohammad Bilal, MD Saqib Walayat Nadeem Tehami Hafiz Muzaffar Akbar Khan MK Hasan

EUS-guided gastro-duodenostomy performed in a patient with biliopancreatic diversion and loop duodenal switch to enable internalization of an interventional radiology (IR) drain. Mohammad Bilal, MD Saqib Walayat Hafiz Muzaffar Akbar Khan Mohamed Othman Prashant Kedia MD, FACG, FASGE Nadeem Tehami

EUS-PDD for post whipple PJ stricture, recurrent pancreatitis and disrupted PD. Successful EUS guided stent placement across disrupted PD and PJ stricture into afferent enteric limb. Mohammad Bilal, MD Sultan Mahmood MD @saqibwalayat Michel Kahaleh Hafiz Muzaffar Akbar Khan MK Hasan

Please join TEAM (Therapeutic Endoscopy at Methodist) for our virtual webinar series on all things pancreatitis! August 26th at 12pm. Here is the link to register: methodisttransplant.jotform.com/252016061025037 Texas Society for Gastroenterology and Endoscopy Methodist Dallas ASGE GI Endoscopy #ScopingSundays

💡Complications related to endoscopic procedures have a profound impact on the endoscopist. Unfortunately, this tends to be a taboo subject within Gastroenterology and most surgical/procedural fields. I am so honored and grateful to Gastroenterology that we could have the first

Difficult EUS-BD with transpap ante FCSEMS placement. Hardest part was getting a wire across the the stricture - required large balloon to redirect a hydrophilic wire through a super tight stricture (#4). 8mmx6cm FCSEMS placed. T-EUS rocks Methodist Dallas Texas Society for Gastroenterology and Endoscopy

Grateful to work alongside some of the nation’s most skilled advanced endoscopists, including Prashant Kedia MD, FACG, FASGE. Thankful to my creator and mentors for the opportunity to make a difference. This elderly lady's LES relaxed well after successful E-POEM today. Mohammad Bilal, MD

Patient with malignant duodenal and biliary obstruction secondary to pancreatic head carcinoma. EUS-guided gastrojejunostomy and antegrade stenting were performed in single session Saqib Walayat Mohammad Bilal, MD Sultan Mahmood MD

Enbloc removal of a large rectosigmoid high risk adenoma with Endoscopic submucosal dissection. Grateful to my mentors for their guidance, support, and training. Saqib Walayat Sultan Mahmood MD Hafiz Muzaffar Akbar Khan Mohamed Othman Mohammad Bilal, MD MK Hasan

Excited to be registered for one of the premier advanced endoscopy conferences. Looking forward to great learning and meeting friends from all around the globe. MK Hasan Mohammad Bilal, MD Saqib Walayat Hafiz Muzaffar Akbar Khan Maham Hayat, MD Abdullah Abbasi, MD