Enbloc removal of a large rectosigmoid high risk adenoma with Endoscopic submucosal dissection. Grateful to my mentors for their guidance, support, and training. @SaqibWalayat @SultanMahmoodMD @MuzaffarAkbar @EndoscopyOthman @BilalMohammadMD @DrHasan_Orlando

Patient with malignant duodenal and biliary obstruction secondary to pancreatic head carcinoma. EUS-guided gastrojejunostomy and antegrade stenting were performed in single session @SaqibWalayat @BilalMohammadMD @SultanMahmoodMD

Grateful to work alongside some of the nation’s most skilled advanced endoscopists, including @PrashantKediaMD. 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. @BilalMohammadMD

@CookMedical @methodistdallas @TSGE

“One-stop shop”— combining variceal screening, upper GI bleeding evaluation, VCE deployment for double-balloon enteroscopy planning, EUS-guided bilobar liver biopsy, elastography, and portal pressure gradient measurement — all in a single comprehensive session.

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 @methodistdallas @TexasGastros

💡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 @AGA_Gastro that we could have the first

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: https://t.co/wX8LZv3q1L @TexasGastros @methodistdallas @ASGEendoscopy @ScopingSundays

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. @BilalMohammadMD @SultanMahmoodMD @saqibwalayat @mkahaleh @MuzaffarAkbar @DrHasan_Orlando

EUS-guided gastro-duodenostomy performed in a patient with biliopancreatic diversion and loop duodenal switch to enable internalization of an interventional radiology (IR) drain. @BilalMohammadMD @SaqibWalayat @MuzaffarAkbar @EndoscopyOthman @PrashantKediaMD @helpatologist

Extra-hepatic rendezvous (intra hepatics non dilated, cbd 12 mm) for severe malignant biliary obstruction followed by Cholecysto-duodenostomy for acute cholecystitis. @PrashantKediaMD @SultanMahmoodMD @BilalMohammadMD @SaqibWalayat @helpatologist @MuzaffarAkbar @DrHasan_Orlando

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 @DrHasan_Orlando @SaqibWalayat @BilalMohammadMD

Thank you @BilalMohammadMD for publishing your pearls to internalize GB external drain. Did a quick read and removed this destination external drain from a thankful patient. @SaqibWalayat @mkahaleh @SultanMahmoodMD

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

How do LAMS procedures (CDS, GJ, EDGE) affect surgical outcomes. In the US, Whipple after such LAMS is not universal. 🚨📢@LukeMeredith19 with our case series ⬇️ https://t.co/6ej3QFdRTl @TJUHospital @JEFFsurgery @CharlesJYeoMD @neilRsharmaMD #GITwitter

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. @SultanMahmoodMD @BilalMohammadMD @DrHasan_Orlando

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? @SaqibWalayat @BilalMohammadMD @SultanMahmoodMD @docdhir @AllehibiAbed @DrHasan_Orlando

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. @SaqibWalayat @mkahaleh @BilalMohammadMD @MuzaffarAkbar

EUS Hepaticogastrostomy performed for severe malignant stricture of left hepatic duct in a patient with metastatic hilar cholangiocarcinoma. Purulent drainage noted @SaqibWalayat @BilalMohammadMD @SultanMahmoodMD @docdhir @EndoscopyOthman @mkahaleh

EUS guided gastro-enterostomy for malignant outlet obstruction. Patient had Hx of distal pancreatectomy, partial gastrectomy and severe peritoneal carcinomatosis making it more interesting but challenging. @mkahaleh @SaqibWalayat @BilalMohammadMD @EndoscopyOthman