Thayer Nasereddin, MD

Biliary drainage via EUS-guided hepaticogastrostomy for distal MBO after failed ERCP. EUS continues to redefine what’s possible in GI intervention Precision. Palliation. Progress. #EUS #Hepaticogastrostomy #InterventionalEndoscopy #GITwitter #MedTwitter #surgery

@thayern @MyFranciscan Grateful for our time together during your training !!! I know you are now serving so many patients with esophageal cancer in Indiana with your amazing talents.. continue our mission brother 🙏🏾

Progress/palliation in esophageal cancer — thoughtful integration of endoscopic therapy with med/surg oncology. Grateful for my training with @neilRsharmaMD and excited to bring similar approaches to our patients at @MyFranciscan azfamily.com/2025/12/20/gro… #GITwitter #OncTwitter

@JAMASurgery Minimizing percutaneous drainage time should be a top priority! Internal endoscopic drainage is consistently shown to be superior and is a large gap in surgical education/training. Perc drainage is not benign!

@JAMASurgery @Dr_Chris_Brown Perc CCY tubes, in general, should be avoided. High morbidity, patients despise them, and endoscopic approaches that are widely available provide durable internal drainage and allow future surgery. #gitwitter # surgery

@SChandanMD Thanks Saurabh! I prefer overstitch for full thickness bites. This was a standard duodenoscope - TJF-Q190V. I’ve gotten into the habit of trying to place the LAMS in the proximal/mid body and dilating the pylorus as needed to ease scope passage.

@thayern Nicely done! What did you use for stent fixation? And was it a regular duodenoscope or the slim one?

One-stage EDGE performed for a RNY pt with symptomatic choledocholithiasis. Transgastric access obtained w/ LAMS → stent fixation → ERCP with duct clearance. A reliable option for RNY anatomy that avoids the long-limb ERCP challenges in altered anatomy. #GITwitter #ERCP #EUS

@GaiLonghurst @drkeithsiau You’re right, but used figuratively, ‘acquisitiveness’ can mean a strong desire to learn or increased curiosity, though less common and depends on context. I’ll leave it to ur interpretation. ‘Inquisitiveness’ might be a better fit, but it didnt flow as well with the ‘A’ theme ha

@thayern @drkeithsiau Acquisitiveness?

What’s the secret to being a good doctor?

@KamathGurudutt @drkeithsiau Yes, keep learning or staying curious

@thayern @drkeithsiau What would be Acquisitiveness? Keep learning?

@drkeithsiau 😂

@thayern I tell medical students about the 3As, but wasn’t aware it has been upgraded to 5 😅

@ASyedMD Ha thanks 😊, appreciate you brother!

@thayern you're the man

EUS-guided cholecystoduodenostomy for acute cholecystitis in a non-surgical candidate. LAMS deployed, pus drained. Always satisfying to see the immediate relief these pts experience. Minimally invasive. Maximally impactful. #GITwitter #EUS #InterventionalEndoscopy #MedTwitter

Pleased to announce we are looking to expand our GI subspecialization opportunities at Banner Health/Banner University (U of A)! ✅career & program growth focus ✅mentorship ✅resources ✅teaching & clinical trials #IBD #Motility #DGBI #Hepatology Just send me an message

@RahulKarnaMD @BIDMChealth @harvardmed @UMN_GIHep @BilalMohammadMD @StuartKAmateau @gurutrikumd @TKapetanos @AasmaShaukatMD @LizzieAbyMD @AlexJohnstonDO @VijaySAre9 @mabdallahmd @NickMcDonaldMD @SChandanMD @shifaumarMD Amazing! So proud of your success. Keep pushing!

Honored at match @BIDMChealth @harvardmed for Advanced Endoscopy Fellowship training 🥳 Beyond grateful to my institution @UMN_GIHep & mentors @BilalMohammadMD @StuartKAmateau @gurutrikumd #Dr. Martin Freeman for inspiring & lighting the path of my academic journey 📚 Stoked to have the opportunity to train with @tberzin @MSawhneyMD @Boston_Endo @ImanBostonMD & carry the legacy of this prestigious institution 🏫

@MarijoRojasMD Thank you!

@thayern Awesome job 🙌🏻🙌🏻❤️

Biliary drainage via EUS-guided hepaticogastrostomy for distal MBO after failed ERCP. EUS continues to redefine what’s possible in GI intervention Precision. Palliation. Progress. #EUS #Hepaticogastrostomy #InterventionalEndoscopy #GITwitter #MedTwitter #surgery

@hisanosyodai I typically do place a coaxial double pigtail stent to maintain access. It’s a preference.

Thank you, @neilRsharmaMD — truly means a lot. I’ve been lucky to have mentors like you who emphasized not just procedural/clinical skills, but also the value of team building, multidisciplinary care, & building trust across specialties. Excited to keep growing and contributing.

@muhammadbaigmd Thank you! Patient had a slightly torturous CBD requiring EUS to be in a relatively unstable position to get good access. Patient also had partial GOO, want to reserve ability for future stenting if EUS-GE cannot be done.

@thayern Excellent. Why did u choose hgs vs eus cdd

Welcome to The Free Space project The educational company was created to fill the gap in longitudinal fellowship style training: Comprehensive online curriculum, series of live pig labs, & ongoing mentorship to build a program thefreespaceproject.org #GITwitter @FreeSpaceCo