Gastro endoscopy issues Dr Mohamed Hussien
@GastroIssu96098
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Assistant Prof of Gastroenterology and Hepatology at faculty of medicine
Joined July 2023
Unmet needs in cholangiocarcinoma
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Biologic therapy contribute to decrease colorectal Disease
đ¨ NEW Meta-analysis: Cancer risk reduction in IBD A systematic review of 1.4M patients shows: ⨠Anti-TNF therapy reduces colorectal cancer (CRC) risk in ulcerative colitis ⨠Non-sulfasalazine 5-ASAs reduce CRC risk in both UC and Crohnâs disease â ď¸ Immunomodulators show no
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Ischemic colopathy
đĽ Sudeck and Griffith points in ischemic colitis â
EndoCollab
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Biologic therapy in ulcerative colitis
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How can we personalized the biologic use in IBD https://t.co/8flcjZkrIr
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CBD in chongiolathy
At the Focal Point, Moffett et al explain "Duct and cover: a case of post-COVID-19 cholangiopathy with large biliary cast removal." https://t.co/tGLztEksXU
#GITwitter
@Moffett_RachelP
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Key Rules for Basket Use Challenges in ERCP: Management of Bile Duct Stones Using Stone Extraction Baskets More than 12 tips for your daily practice WATCH: https://t.co/FnMOG76a1A
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Cholangiocarcinoma
Cholangiocarcinoma seen on Spyglass cholangioscopy. Often very hard to definitively diagnose given desmoplasia. #gitwitter #surgery @bsc_endoscopy
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Beatuful appearance appearance of villi in terminal illium
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Multiple Large CBD stones very small papilla even after sphincteroplasty . Opinions
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Insertion of Pigtail stent in the cystic duct for well Drainge of GB
Cholecystitis in an octogenarian with severe comorbidities. GB not abutting lumen. Gallbladder drained with a 7 French by 15 cm double pigtail stent to good effect. #gitwitter #surgery
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Paraotic Lymphadenopathy in EUS https://t.co/fAr6U3xV4o
Aorto-pulmonary window adenopathy on EUS. Many people are never properly taught how to see (or even to look at) the AP window. In some cases it is critical to look here. #gitwitter #EUS #surgery #thoracic
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Wireless Endoscopy
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Gastric ischemia
Peculiar endoscopic appearance of the stomach in a patient with upper abdominal pain. Whatâs the diagnosis?
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Fistulaized Crhons Disease
Medical Management of Fistulizing Crohnâs Disease (AGA)
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Dynamic submucosal cushion technique: A crucial skill for lesion resection. How to do it? 1ď¸âŁ Inject laterally & under the polyp. 2ď¸âŁ Move the needle back & forth. 3ď¸âŁ Torque the endoscope.
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Best sphincterotomy you can see https://t.co/KUyaLkzS51
2/2 Go big or go home. Sphincterotomy in the aforementioned massively dilated ampulla. Stones subsequently cleared. #gitwitter #surgery
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Transcystic Drainge of Distanced cholycystitis
Another one. End stage liver disease with profound decompensation. Large ascites and severe coagulopathy. Acute cholecystitis treated with ERCP transcystic stent to very good effect. #gitwitter #liver #surgery @Stentingwoman âŚ@EUSandEndoscopyâŠ
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