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Congrats to GI fellow Todd Brenner + cards collaborator @rkwadhera (&co) on this work in @AGA_CGH exploring 10 yrs of P.E. acquisitions in U.S. GI practices: 114 practices, 1,169 sites ➡️ key regional & demographic trends shaping the future of GI care. cghjournal.org/article/S1542-…

Spray Cryotherapy Esophageal Consortium (SPEC) Consensus Recommendations for Liquid Nitrogen Spray Cryotherapy in Barrett’s Esophagus and Esophageal Cancer using a Modified Delphi Process Shah, et al. 📕 doi.org/10.14309/ajg.0… @ahmad1_akram @ShivangiKMD @MLongMD @JasmohanBajaj

Re-upping this great 🧵 by @DrLaurenOR- very relevant to GI #AI Endoscopic diagnosis can involve translating probabilities into binary choices. Should that dichotomization be in hands of the doctor or software developer? Should CADx display "% certainty" or JUST a prediction?

This discussion was getting long, so I thought I'd lay out my thoughts on a common argument: should models produce probabilities or decisions? Ie 32% chance of cancer vs "do a biopsy". I favour the latter, because IMO it is both more useful and... more honest. IMO: 1/13
Celebrating completion of recruitment of our GI fellow run randomized trial on colonoscopy in patients with obesity. @CleveClinicFL @TolgaErim @JimenezBGIMD @ahmad1_akram @Ansari_Zaid7 @DavidJRestrepo2 @AlmomaniMD @TasneemJamalDin @BoutrosMarylise

Congratulations the 2025 #GoldenScope winners! They competed in the semi-finals this past weekend at ASGE IT&T, beating 65 teams. Way to go! Pictured in order: 1st place: Singapore General Hospital, 2nd place: Baylor College of Medicine & 3rd place: Cleveland Clinic. #GIFellows



Congratulations to @Ansari_Zaid7 @ahmad1_akram @khouri_anas on their third place finalist finish in the @ASGEendoscopy Golden scope competition. So proud of them and all our brilliant GI fellows @CleveClinicFL. @TolgaErim @SchneiderGIMD @JimenezBGIMD @leyla_maric @tilakshahmd

📷 #ACGCRJ Image of the Month 66y asymptomatic 👨's 1st screening colonoscopy ➡️ 7mm tubular adenoma, 4mm hyperplastic polyp, sigmoid diverticulosis & mucin extrusion from appendix orifice. 🔎 Pathology: proximal sessile serrated lesion + distal LAMN. 🖇️ tinyurl.com/2nynwjzd

#CGH4ALL @AGA_CGH 📣 Surveillance intervals are determined based on number/risk of polyps found; but should endoscopist-specific ADR/PSPDR also be taken into account? Reported by @Ansari_Zaid7 🔗 cghjournal.org/article/S1542-… @AasmaShaukathMD @KanwalFasiha @Rex_colonoscopy…

Case of the Month: 🔬 An Unexpected Culprit: Fatal GI Hemorrhage from Duodenal Histoplasmosis 🩸 A 69M with ESRD presented with melena. EGD showed a duodenal mass. Biopsies? ➤ Histoplasma capsulatum ➤ Fatal upper GI bleed despite antifungal therapy Reported by @AbelJosephMD

#CGH4ALL @AGA_CGH 📣 EUS-guided tissue sampling can be rarely complicated by seeding; this report highlights one such instance and what to look out for. Reported by @Ansari_Zaid7 🔗 cghjournal.org/article/S1542-… @alhaddad_mo @som_krishna @AnotherPatelMD @ReemSharaiha @ShyamTMD…

#CGH4ALL @AGA_CGH 📣 Would this endoscopic view make you think of primary esophageal adenocarcinoma with diffuse intramural spread? Reported by @Ansari_Zaid7 🔗 cghjournal.org/article/S1542-… @AllonKahn @BilalMohammadMD @MJWhitsonMD @EsophagusDoc @Scopesdoc @drkeithsiau…

✍️ #ACGCRJ Editor's Pick of the Month 🩸 Rare but real! Idiopathic colonic varices can present with life-threatening bleeding. In this case, the culprit varix was successfully clipped along with secondary prophylaxis. 🖇️ tinyurl.com/34syfp67 #GIbleed #ACG #endoscopy

#FTRD cont to be a 🛠️ for mgmt of difficult lesions 1st report of a Novel #FullThicknessResection Device for ✂️ early #CRC 🔥now @endoscopyjrnl ✅ Ease of use Need data to compare efficacy to existing #FTR devices 👏 to @TGHermanMD for leading this thieme-connect.com/products/ejour…
#CGH4ALL @AGA_CGH 📣 Recurrence rates, complication rates, and availability of resources/expertise impact the decision between EMR and ESD. But what about the environmental impact? Reported by @Ansari_Zaid7 🔗 cghjournal.org/article/S1542-… @EndoscopyOthman @FaresAyoubMD…

#CGH4ALL @AGA_CGH 📣 How will we practice in G in the next few years? AI may play a big role in the future - both positively and negatively! Reported by @Ansari_Zaid7 🔗 cghjournal.org/article/S1542-… @tberzin @AndreaStoras @kelkalot @ASGEendoscopy @jglissenbrown @sanjaygadi_…

#CGH4ALL @AGA_CGH 📣 An elevated ferritin level is a non-specific but potentially indicative of excess iron deposition. Refresh your memory on hemochromatosis w/ this article! Reported by @Ansari_Zaid7 🔗 cghjournal.org/article/S1542-… @drtimothyli @theliverdr @ebtapper…

🌟 Become a Peer Reviewer for ACG Case Reports Journal! 🌟 Contribute to gastroenterology research and gain valuable experience. Outstanding reviewers are featured in the journal issue as Reviewer of the Month! #GITwitter #MedTwitter

🔎#ACGCRJ Case of the Month: 🔧OTSC misfire in D2 → Ampulla obstruction → pancreatitis + cholangitis⚡️ 🔹Complication of OTSC misfire = obstruction 🔹OTSC removal is challenging 🔹Rat-tooth rescue = fix w/o removal 🙌 🔗Srivastava et al tinyurl.com/3nz7kwwe

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