Advanced Therapeutic endoscopy educational platform
Joined November 2020
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EUS & ERCP Master retweeted
Editor’s Choice: RCT on top-down vs. step-up approach after EUS-guided drainage of infected walled-off necrosis
Find the article at thieme-connect.de/products/e…
Sanish Ancil et al.
#Endoscopy #Gastroenterology @ESGE_news
ALT Graphical Abstract
EUS & ERCP Master retweeted
BAMPI @AGA_CGH @AmerGastroAssn : A coaxial double-pigtail inside a biliary LAMS cut recurrent obstruction 30% → 9%. RR 0.31. n=91.
But in a cohort where median survival is around four months, is recurrent biliary obstruction the endpoint that matters most?
BAMPI answered the question it set out to answer, and answered it carefully. But RBO is something we can usually manage at the next endoscopy. The outcomes that are harder to reverse — cholecystitis (1 vs 4, two fatal) and related mortality (2% vs 11%, p=0.10) — are outside the trial's power and remain open.
doi.org/10.1016/j.cgh.2025.0…
#EUS #ERCP #GITwitter #PancreaticCancer
EUS & ERCP Master retweeted
Happy to share our original article publication in @GIE_Journal Gastrointestinal Endoscopy !!!
"The Impact of Confocal Endomicroscopy Combined with Standard Diagnostics in Evaluating Large Pancreatic Cystic Lesions: An International Interobserver Study"
Led by Prof @som_krishna 🙏👍👏
⏭️ 15 EUS-CLE naive endosonographers participated in a 2 phase diagnostic study !!! 🇮🇳🇮🇹🇺🇸
💡Diagnostic accuracy before and after nCLE review was compared using histopathology as the gold standard
✅ 66 cases
✅ Accuracy increased - distinguishing mucinous vs non-mucinous cysts (90 to 96%)
✅ similar results for sub-type specific cysts as well.
✅ nCLE significantly reduced misclassification, lowering mean unnecessary benign resections from 7.2 to 4.1 (p=0.010) and missed neoplastic diagnoses from 4.4 to 0.7 (p=0.001) per observer, enhancing clinical decision-making
Thank you to all co-authors : @Samanta_JayPGI @CrinoStefano @ShubhraMishra91 @drnaveenm @DachaSunil @Anand_KumarMD @SumantInamdar and others not on X !!! 😍
Have a nice read ☕️🔗
giejournal.org/article/S0016…
#EUS #CLE #pancreaticcysts
EUS & ERCP Master retweeted
Posting on X again after a hiatus of 1.5 years !!! 😍🙏🙏
Happy to share our Original article accepted in GIE (Gastrointestinal Endoscopy) @GIE_Journal 🥰
"Endoscopic ultrasound–guided coil and glue embolization of gastric varices targeting feeder vessel versus submucosal variceal component: a pragmatic comparative analysis (with videos)"
135 GV analysed using EUS-coil+glue combination (EUS-F = 32; EUS-SVC =103)
▶️Primary outcome: Reintervention rates at 6 months
EUS-F approach resulted in:
✅ lower requirement of coils and glue at index presentation and 6 months
✅ lower reintervention rates (3.1% vs 17.5%; P = .04)
✅ lower EUS sessions for complete obliteration (p=0.02)
⏩ For EUS-guided angioembolization of GV, targeting the feeder vessel, when feasible and discernible, over SVC (conventional method) results in significantly lower requirements of coil and glue, with significantly lower reintervention rates, which might translate to a more cost-effective strategy.
Thankyou to my co-authors: @Samanta_JayPGI @CrinoStefano and others not on X!!!
Have a nice read 📜🔗☕️ with link below
giejournal.org/article/S0016…
Enjoy the free access link too 🙃
authors.elsevier.com/c/1nNG0…
#EUS #gastricvarices @DouglasAdlerMD #PGIMER @pgichd
EUS & ERCP Master retweeted
Endoscopic Approach to Palliation of Pancreatic Cancer -2026 youtu.be/LXgYqIEaeqkReferenc…: Christina S. Gainey et al. AJG 2026
@EndoCollabcom @KMonkemuller @ASGEendoscopy @endoscopyjrnl @DHgua @Aced1970 @EndoscopiaH @RevGastroPeru @seed @sepdigestiva @OPGEgastro @schgastro
EUS & ERCP Master retweeted
The biggest unresolved question in #pancreatology: After #EUS drainage of infected #WON — who needs necrosectomy, when should it happen, and how aggressive should you be? Three new papers address each part of that question. #GITwitter #Pancreas #Endoscopy
EUS & ERCP Master retweeted
50mg rectal indomethacin = 100mg #PEP prevention?
New RCT says yes — for most patients.
But if history of #pancreatitis? Risk difference: +18.4% favoring 100 mg. @endoscopyjrnl @ESGE_news #GITwitter #ERCP #Endoscopy @ASGEendoscopy @drsridhars @drhrr
thieme-connect.com/products/…
EUS & ERCP Master retweeted
An 8 cm stent may not remain 8 cm after deployment!
A crucial concept in stent selection: Foreshortening
Most commonly used SEMS are braided (e.g. WallFlex).
As they expand, they shorten in length—sometimes by as much as 40%.
In contrast, laser-cut stents are fashioned from a single metal tube and exhibit minimal foreshortening.
The tradeoff? Greater axial force and often more patient discomfort.
EUS & ERCP Master retweeted
🛠️Structured training helps junior #endoscopists master EUS-GE with the WEST technique
🔸Technical success 99%
🔸Clinical success 96%
🔸Adverse events 6%
🔸Senior backup ↓ after 30 cases
🔸Fluoroscopy use ↓ plateauing after 70
📖 #OpenAccess 👉 bit.ly/4nR1ooh
ALT Visual abstract
EUS & ERCP Master retweeted
Paciente que debutó con esta lesión en cola de páncreas. En la EUS se aprecia su componente sólido. Nótese la cercanía con la glándula suprarrenal izquierda.
EUS & ERCP Master retweeted
The biliary "variant" framework undersells how individualized biliary anatomy actually is. Unlike vertebral count or hepatic arterial trunks, bile ducts develop via stochastic branching morphogenesis. Every cholangiogram is one of a kind.
Thank you for coming to my TED talk.
EUS & ERCP Master retweeted
Si haces EUS-gastroenterostomía en estenosis duodenal infranqueable: ocluye el píloro con balón para distender el asa yeyunal. Facilita colocar el LAMS. Detalle técnico que marca la diferencia.
🔗 doi.org/10.1055/a-2852-7247
#EUS #Gastroenterostomía #TipEndoscopia
EUS & ERCP Master retweeted
Dos casos de coledocolitiasis diagnosticados por ultraaonografía endoscópica , luego de resultado de resonancia negativo y persistencia de sospecha diagnóstica .
EUS & ERCP Master retweeted
EUS-guided transpapillary vs transluminal biliary stenting: randomized comparison of long-term stent patency
Find the article at: doi.org/10.1055/a-2721-6292
Vinay Dhir et al.@ESGE_news
@docdhir
ALT Graphical Abstract
EUS & ERCP Master retweeted
28/F with 2.4 cm cyst in head of pancreas. EUS shows a nodule within cyst which takes up contrast. Biopsy shows abundant mucin and columnar epithelium. MPD is not dilated. Surgery or observe?
#GITwitter
