Next level of advanced endoscopy.....!!!

EUS Learning: Not a Sprint, but a World Live Marathon! @docdhir

New PBC guideline is here! Our new joint guideline with @AASLDtweets covers: 💊 Newer second-line therapies 🔬 Diagnosis 📈 Risk assessment 🩺 PBC-related itching ➡ ow.ly/RPPy50ZZHJC @AGA_Gastro @DrCynthiaLevy @AparnaGoelMD @SedkiMD @SultanShazi

Our experts from USA and Canada showing live EUS procedures. Pl register..

👶 Pediatric ERCP | Small Patient, Big Decisions This week was a little different in our endoscopy unit! Performing ERCP in children reminded me of something we sometimes forget when working with adults: The smaller the patient, the bigger the responsibility. And for our fellows, it was a great opportunity to see how small decisions can make a big difference. ❤️ 💡 A few lessons from the week: 🔹 Scope selection: ≥10 kg, an adult duodenoscope may be feasible. But weight alone doesn't decide. Anatomy matters. 🔹 Positioning: Work with pediatric anesthesia. A good position can save you a lot of trouble. 🔹 Shortening: Less looping, more control. Never fight the scope. 🔹 Cannulation: Be gentle with the papilla. Know when to stop, rethink, and change your approach. 🔹 Pancreatitis prevention: It starts before the first attempt, not after the procedure. 🎯 One thing I wanted our fellows to remember: In pediatric ERCP, knowing what to do is important. But knowing when not to push further is just as important. Sometimes, the best endoscopic skill is knowing when to stop. ❤️ #PediatricERCP #ERCP #TherapeuticEndoscopy #EndoscopyTraining #MedicalEducation

SGA Colorectal EMR Certification Course — Riyadh — A practical one-day course, in collaboration with Olympus. saudigastro.com/courses/emr-…

Important publication to include in GI curriculum Trainee don’t get enough exposure in managing upper GI bleed 🩸 @BASLedu @BSGTrainees @my_ueg @AmerGastroAssn thieme-connect.de/products/e…

Great work by Nadeem and team to explore a problem nearly every advanced endoscopist has faced: * patient presents with obstructive jaundice * you place a biliary stent perfectly * several days later, the bilirubin has barely budged

Thanks, Tyler! It only took 9 years from conception of the idea to delivery, truly a paper that was too long in the making to be a short read! 😄 Wouldn’t have been possible without colleagues like you @EyadGadour @SyedGerdezi and @NEndoscopy 🙏

Saudi Endoscopy Days 2026 shaping to be a conference not to be missed. Excited to co-organize the scientific sessions and trainee hands-on course alongside @AlmuhaidbAymen. Thursdays trainee workshop is fully booked and we are looking forward to a day full of teaching and learning. Thank you to all our invited faculty.

Bilirubin not improving post technically successful ERCP⁉️ read our shared experience 👇 @EyadGadour @tberzin @NEndoscopy @SyedGerdezi @UmairKamran11 @Notts_DrSaqib @shanilkadir @eusdoctor @Marktheliverdoc @ShyamVedantam

✨️Pleased to share our latest 📃 @FrontGastro_BMJ 🔬 Post-ERCP Persistent Hepatocellular Secretory Failure (PHSF) 💡 Key message: Persistent jaundice after successful ERCP does not always mean persistent mechanical obstruction. doi.org/10.1136/flgastro-202…⁠�

🔬 Saudi Endoscopy Days 2026 🇸🇦 📅 Nov 13–14 | 📍 Riyadh @KFSHICO @SGA_KSA 🎓 20 CME hours Two exciting days of advanced endoscopy, including a dedicated hands-on training day for GI Fellows. . 🔗 Register here⁠� #SaudiEndoscopyDays #SGA #ERCP #EUS #Endoscopy #Gastroenterology

A misdeployed stent during EUS-GE used to mean one thing. Call the surgeon. Not anymore. Our updated classification in Digestive Endoscopy maps each type to an endoscopic rescue. Surgery moves ⬇️ the list. @drradhikachavan #ChaitiGandhi @drsridhars #SanjayRajput @ASGEendoscopy

I see your 10mm bile duct, and I raise you 14mm as the new 'normal' limit post CCY after 65..

Summary of the 2026 Baveno VIII guidelines relevant to variceal bleeding💡🩸

🔥🆕Publication: Biliary stricture management: ESGE Guideline 🔗esge.com/biliary-stricture-m… ⏰Published today online in @endoscopyjrnl 🔖 Bookmark the graphic abstract for future reference Congratulations to all authors!

Baveno VIII further strengthens the role of EUS in #EndoHepatology, particularly for gastric varices (GOV2/IGV1), with EUS-guided variceal control recognised as a preferred option. Yet EUS remains on the sidelines for secondary prevention & SWE. EUS-PPG? Baveno IX perhaps… 😉

Every time I listen to a lecture on Electrocautery I learn something new. This year at @ASGEendoscopy FYF course @EndoscopyOthman & @HilarHolzy taught us the basics of ⚡️ Some high yield concepts: ⭐️ The pedal doesn’t determine the tissue effect. ⭐️ The selected generator mode primarily shapes the tissue effect by controlling the electrical waveform. ⭐️ The device then influences how that energy interacts with tissue through its design, contact, and current density. Think of it this way: ✂️ Cut → Rapid tissue heating → Intracellular water vaporizes → Tissue divides 🩸 Coagulation → Slower tissue heating → Protein denaturation, desiccation, and vessel sealing Once you understand this foundation, electrosurgical settings become much less about memorization and much more about understanding the desired tissue effect. In the next post, we’ll build on this by comparing APC, bipolar probes, and hemostatic forceps - 3 devices that achieve hemostasis through very different mechanisms. #GITwitter #MedEd #Endoscopy #Electrosurgery

Found best video to learn ERCP 😝 Must watch @SyedGerdezi @UmairKamran11 @umairtayyubmeer @helpatologist @drkeithsiau

🔥Teaching point : Transpancreatic sphincterotomy, quick points: Wire in the PD, leave it there — that's your landmark. Sphincterotome in, cut the septum toward 11 o'clock. Keep the cuts short. The septum's thinner than you think. Bile duct shows up at the top of the cut. Can't see it? Poke around the apex, don't just keep cutting. Drop a PD stent and give rectal NSAIDs. Every single time. #GI #Endoscopy #Teaching @SyedGerdezi @NEndoscopy @neilRsharmaMD @HilarHolzy @DharJahnvi @JamesHaddadMD