Oscar Cahyadi
@Endo_OC
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Gastroenterologist, aspirant interventional endoscopist, esp. towards 3rd space endoscopy and complex EUS interventions. Views are of my own.
Joined April 2022
Have you heard of an explosion during Uw-ESD. Have you seen this #GItwitter? https://t.co/QObntgP7AZ
@EndoscopyOthman @jmosko29 @KMonkemuller @drkeithsiau @Taalamri @ahmad_madkour @neilRsharmaMD @DrHasan_Orlando @HilarHolzy @alexsworking @amolbapaye @RobertBechara @NEndoscopy
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Would you consider Hemopill to stratify your endoscopy for comorbid anemic patient? Patients need no fasting whatsoever @drkeithsiau @stavris03 @DGVSJuGa @helpatologist @Taalamri @DrBloodandGuts @alexsworking #endoscopy #GITwitter
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Endoscopy workup for anemia in comorbid patients is challenging. A novel blood-sensor capsule Hemopill @OvescoEndoscopy can help. Our recent paper highlights its potential to detect occult bleeding due to malignancy in anemic comorbid patients https://t.co/5uYJAOJ5Iq
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Für alle Sonographie Begeisterte 🦇 vielen Dank @DEGUMeV für die Möglichkeit diesen Fall zu teilen.
Moderne Medizin nutzt Bildgebung für die Früherkennung + Diagnose von #Pankreaskarzinomen. Wie Abdomen- und Endosonographie präzise Diagnose und frühzeitige Gewebeentnahmen ermöglicht, um Therapiechancen zu optimieren und die Patientenversorgung zu verbessern👇
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⭐️ #POCUS No. 7️⃣ - Appendicits 🚑🧭 ✅Start with the Iliac Vessels ✅Search Above the Iliopsoas Muscle 💡Look below the terminal ileum ➡️ try to locate the caecum 🧐 use mild and slow compression US features: Diameter >6mm, free fluid, vascularity⬆️ #MedTwitter #MedEd
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What do you think? Do you apply this already? @helpatologist @Srisha_Hebbar @NEndoscopy @docdhir @AgnihotriGI @AntonioFaccior6 @CrinoStefano @drkeithsiau @DrSalihTokmak @paris_golfakis @KM_Pawlak @DGVSJuGa @EUSandEndoscopy @alexsworking @HilarHolzy @Stentingwoman @Taalamri
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Many EUS needles are available. Not all can try out each needle. The work offers a comparison of actual needles, so you can look for the "best" needle for your needs. But it is obvious different needles for interventions and tissue sampling are needed. https://t.co/ouyWa7lmcy
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Hot axios for Braun entero-enterostomy after Whipple. An interesting fact is that the anastomosis is still patent 1.5 year after a indwelling time of 6 mo. Have you done this too? What do you think? Axios also coming for benign conditions? https://t.co/k2RkhwYQT6
videogie.org
Pancreaticoduodenectomy (Whipple) is a complex surgery associated with significant postoperative morbidity ranging from 30% to 60%. Delayed gastric emptying and bile reflux gastritis are well-known...
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🧊 vs 🔥 EMR - A 🇩🇪 RCT (open access!) 💠 perhaps for SSL&LST-G 💠 no perforation/few bleeding but higher recurrence ❗️know your polyp, plan your resection well. LST-MT is not for 🧊 ❗️> 4cm = higher AE risk ❗️margin coag. is 🔑 for less recurrence?
gastrojournal.org
Cold resection of large nonpedunculated colorectal polyps appears to be safer than the hot technique with almost complete elimination of major AE, however, at the cost of a higher rate of residual...
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Advancements in medical therapy means longer survival; do you think we would return to regular PS exchanges during stable times and SEMS for the last phase? @NEndoscopy @helpatologist @drkeithsiau @MarcusHollenba1 @Taalamri @shandrawes @theliverdr @TarunRustaGI_MD @CaptCholangio
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25y historical data on hilar drain Clin.success: SEMS/uniSEMS (89%/91%)> PS/uPS (85%)>PS within SEMS (71%/74%) SEMS/PS-SEMS>PS for stentAEs (OR SEMS 4.85; PS-SEMS 9.99). DPT>Straight in AEs (OR 6.74;3.95-11.45;p<0.001). https://t.co/h9LR91EnT8
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I always feel that post-ERC cholecystitis (esp. after FC-SEMS placement) is common and put it at about 5-10%. This study shows that it is not, at~1.5%. What is your experience? Should we be more relax on this topic? https://t.co/0Lj8wPNJIW
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Please support our simulator study and test the Mikomoto Fujifilm simulator at #ESGEdays2024. Great tool! Find us at room 8 behind overflow stage @ESGE_news @KM_Pawlak @drkeithsiau @AnaDugic @drmanmeetm @DGVSJuGa @Endo_OC
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Simulators would play a big role in future training. @DGVSJuGa is testing a novel colon simulator, which has elongation&stretch sensors! We are looking for volunteers, who want to test their skill& help us shape the future. Join our study during #ESGEDays2024 simulator rallye
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