I am proud to be able to show this now!
The Pathfinder CR coverts the existing flexible overtube into an unmatched suction device. The clots pass around the scope and within the tube. This is under direct visualization. I presented this innovation at DDW Shark Tank.
#GITwitter

This was my best Digestive Disease Week yet! So amazing to see old friends and meet #GITwitter friends IRL who already feel like old friends! Learned A LOT and am so excited for the future of GI and #livertwitter ! See you next time!

#AGAGastroSquad AASLD Foundation Liver Fellow Network

First 150 players to play the AGA game show today receive a FREE 💩 stress reliever. 🤩

Bring your #AGAGastroSquad , test your GI knowledge and get #OnTheLeaderboard !

📍 AGA Central

Overview of Hemostatic Powders from Andy Tau, MD

▪️Hemospray (Cook)
▪️Nexpowder (Medtronic)
▪️Endoclot (Olympus)

🔹Dose
🔹CO2 v Air Delivery
🔹Clogging issues
🔹Visualization
🔹Duration of action
🔹Cost

#DDW2024

Monopolar Hemostatic Forceps

Note: they pass in retroflexion

▪️Coagrasper $200
▪️Ensure Hemostatic Forceps $145
▪️Hot biopsy forceps $25-40
▪️Coag Dissector $400

#DDW2024

🙏 Andy Tau, MD

As you’re creating your schedule for today, go ahead & add this session to your line up!

“Branding & Leadership Early In Your Career” American Gastroenterological Association (AGA)

📆 TODAY!
⏰ 10 AM - 11:30
📍149AB

Digestive Disease Week #DDW2024 AdventHealth Central Florida Florida Women in GI Neena S Abraham MD MACG FASGE AGAF Katie Hutchins, MD

Pro Tip for GI Conferences: Get a Wireless Portable Charger for your Phone! 📱🪫

Lots of attendees missing out on GREAT afternoon sessions to find outlets.

Get a PORTABLE CHARGER that fits in your pocket!

🔗 a.co/d/auf0SR5

#DDW2024 #ACG2024

Acquiring 🆕 Skills after GI Fellowship

▪️ASGE GI Endoscopy proctorship
▪️~2weeks/month
▪️Several proctorship sites
▪️Must be 5+ years out from training
▪️EUS, ESD, OTSC, RFA
▪️$75 for application

🔗 asge.org/home/education…

🙏Dr. Robert Sedlack

#DDW2024

EUs Bubble Study for Detection of Extracardiac Shunting: Endohepatology in Diagnosis of Hepatopulmonary Syndrome

▪️Bubbles enter Right Atrium
▪️Bubbles in Left atrium (5th cardiac cycle)

Need LARGE bubbles to accomplish this! Not just standard contrast bubbles.

#DDW2024

Hepatic Vein Arrival Time (HVAT) by Contrast-Enhanced EUS (CEEUS) predicts portal hyphenation; >14sec

Very cool concept!

#DDW2024 #Endohepatology 🔦👊

EUS-guided Liver Biopsy Protocol

▪️19g FNB needle
▪️Remove stylet first
▪️'Wet' (flush needle w/heparin) suction
▪️Full suction + syringe (20cc) w/ 2cc H20
▪️1 pass, 3 actuations
▪️Right lobe access & sampling

🙏Harshit S. Khara, MD, FACG, FASGE

#DDW2024 🔦👊

Steps to EUS-guided Coil Therapy for Gastric Varices

▪️Intubate
▪️One dose of ABx
▪️Start with EGD
▪️Then linear EUS
▪️Instill 250-300cc water in fundus
▪️19g for 0.035” & 22g for 0.018” coils
▪️Target perforater
▪️Doppler to guide coil #
▪️Absorbable gelatin sponge

#DDW2024

Not all chronic abdominal pain = IBS. Lin Chang reviews broad differential to consider + some practical tips to risk stratify.
👉🏻 diffuse vs. localized pain
👉🏻 + Carnett’s sign = abdominal wall pain
👉🏻 neg FCP / CRP = very low risk of #IBD
👉🏻 eval for alarm signs
#DDW2024

Hepatic Hydrothorax & Spontaneous Bacterial Empyema

▪️HH & SBE ➡️ poor prognosis
▪️No MELD exception points for HH/SBE
▪️HH often RIGHT-sided!
▪️HH Dx when serum:pleural albumin>1.1
▪️AVOID chest tube/pleurodesis for HH
▪️SBE when (+) Cx and >250 PMNs

🔗 journals.lww.com/hep/fulltext/2…

In the 📕 #RedJournal :

Diagnosis and Management of Biliary Strictures: A Clinical Practice Guideline Dissemination Tool
Anna Tavakkoli, MD, MSc & Jennifer L. Maranki, MD, MSc

👉 bit.ly/44FZMnw
Millie Long Jasmohan Bajaj

'🔍👀 Discovering Cameron lesions in patients with large hiatal hernias is like finding hidden treasure on a gastric map! These linear erosions at the diaphragmatic pinch tell a tale of the stomach's journey. #CameronLesions #HiatalHernia #MedEd 🗺️'