The latest ASGE report on benign pancreaticobiliary strictures is worth reading.

Here are my top 5 take aways👇🧵

I’ve always enjoyed listening to the @GIE_Journal Podcast, so it was a pleasure to join @DouglasAdlerMD for a discussion about a question that comes up more and more in advanced endoscopy: Should every advanced endoscopist be doing everything?

We trained in very different times, and it was interesting to compare our experiences and reflect on how much the field has expanded. Advanced endoscopy now encompasses such a broad range of procedures that it raises important questions about training, developing expertise, maintaining quality and safety, and whether one person can or should truly do it all

A great conversation about where the field has been and where it may be heading.

The next generation is here! The first batch of first year fellows is in the house to absorb all things GI and endoscopy. Hearing from seasoned experts, getting hands-on experience and making connections......it's all happening now at ASGE's IT&T.

The future is 🔥🔥!
#GITwitter #Endoscopy #Fellows

I'm excited to share that I'll be joining the University of Alabama at Birmingham's Advanced Endoscopy group. It's a privilege to practice alongside such a collaborative and talented team, and I'm looking forward to the work ahead.

@rmulkimd @uabmedicine

@JAMASurgery Yes but in the modern world the average general surgeon would rather walk uphill barefoot a mile in the winter to avoid a common bile duct exploration.

In our multicenter prospective study we show that sending FNB samples for histopathology had similar diagnostic yield compared to cytology. Ability to offer EUS-FNB may not need to be strictly tied to the presence of a cytopathologist at the institution. @bcm_gihep

TxIEG is welcoming distinguished national and international faculty to the 6th Annual Transluminal & Third Space Endoscopy Workshop. Only 5 spots remain! register soon: txieg.org/event-info/5th…

Effect of 3-Day Linaclotide Administration to Reduce the Polyethylene Glycol Volume for Colonoscopy Bowel Preparation: A Multicenter, Noninferiority, Randomized Controlled Trial
Pan, et al.

📕 doi.org/10.14309/ajg.0…

@MLongMD @JasmohanBajaj

👏🏼👏🏼🙌🏼🙌🏼Bravo ⁦⁦@ACPIMPhysicians⁩ for this bold stand:

Physicans Are Not Providers: The Ethical Significance of Names in Health Care: A Policy Paper From the American College of Physicians | Annals of Internal Medicine

⁦@AnnalsofIM⁩ acpjournals.org/doi/10.7326/AN…

Sometimes simple things do work! Easily translatable intervention to ⬇️ #postERCPpancreatitis @AmCollegeGastro

Can we safely offer colorectal ESD to elderly patients in Western settings?

In our study of 710 patients undergoing colorectal ESD @StLukesHealthTX and @bcm_gihep , we found:

🔹 Comparable en-bloc resection rates across age groups: <65 yrs: 87.4% | 65–75 yrs: 80.9% | ≥75 yrs: 80.st-procedure adverse event rates:
<65 yrs: 6.7% | 65–75 yrs: 8.5% | ≥75 yrs: 6.3%

🔹 Slightly longer hospital stay in ≥75 yrs (1.1 days), but still shorter than Eastern cohorts.

Despite higher Charlson scores and more antithrombotic use, outcomes in the elderly remained robust.
🧠 This is the largest Western and US cohort to date assessing colorectal ESD in the elderly and supports its broader use in aging populations when performed by expert endoscopists.
📄 Read the full article in J Clin Gastroenterol journals.lww.com/jcge/abstract/…

Congrats @FaresAyoubMD on leading this excellent study.

#WesternESD #ColorectalCancer #ESD #AgingPopulation #GIresearch

There are 3 methods to stop diverticular bleeding - indirect vs direct clipping, or banding.

While direct clipping is suggested to be superior, it’s hard!

If bleeding is in L colon,
I perform band ligation. Ask for it pre-installed on another scope to save time.

I attended this course last year and found it incredibly high-yield. I'm attending again this year virtually. Highly recommended!! @FaresAyoubMD @EndoscopyOthman

Research by @fouadsjaber &amp; @FaresAyoubMD shows endoscopic removal of colorectal polyps increased ⬆️ (2015–2023), while surgeries declined ⬇️. Patients who had endoscopy had fewer complications &amp; lower mortality. #DDW2025 @ASGEendoscopy @bcm_gihep

🚨 TODAY: No-cost preventive screenings for colorectal cancer are under threat, as the Supreme Court considers a case that could strip away vital protections.

💪 ACG stands with 37 organizations in urging the court to #SaveCRCScreenings!

➡️ Read more: bit.ly/scotus-crc

The fight against #pancreaticcancer is more urgent than ever. 💜 The five-year survival rate remains at just 13% and diagnoses are rising. But together, we can change the story of this disease.

During our #PanCANPurpleStride National Registration Drive, take your first step to istering for the ultimate walk to end pancreatic cancer, coming to a community near you on Saturday, April 26. 👟

It's free to register, so invite your friends and family to stride with you!

🔗 Register today and set your fundraising goal: purplestride.org

Original illustration of the Goff septotomy in @GIE_Journal (Goff JS. Common bile duct pre-cut sphincterotomy: transpancreatic sphincter approach. Gastrointest Endosc. 1995;41:502–505)

Acute liver injury patterns. For those who asked, here is the full version of the table, as well as an algorithm that helps navigate the table, since it's very complex. Notice how everything starts from the AST:ALT ratio (De Ritis ratio). #LiverInjury #ASTALT #Hepatology #MedEd

Excellent work @QusaiMasad
@RWMCIM

I have known 7 MDs who committed suicide (6M, 1F)

300-400 doctors kill themselves/year in USA.

Suicide attempts 250% higher among ♀ docs &amp; 70% higher among ♂
We are used to helping, not needing help
In USA, call/text 988 for help 24/7
#medx #MedTwitter Please RT