Samiullah MD, FASGE, FACG

@DouglasAdlerMD @asge @gie @AmCollegeGastro Endometriosis ?

Large submucosal mass in sigmoid. What are the top THREE things in your differential diagnosis? Comment below. #gitwitter #surgery #colorectal @asge @gie @AmCollegeGastro

@neilRsharmaMD Great course. Was a pleasure to meet and learn.

Teaching cholangioscopy with Dr Raj Shah at Univ of Colorado for the masters course: An amazing cohort of experienced attendees !! Mix of live cases, lecture, hands on & discussions #MedEd #Endoscopy #GITwitter

A few words about Shield- a new blood test for colorectal cancer screening 🌸 FDA approved Guardant Health's Shield™ blood test as a primary screening option for colorectal cancer. 🌸 Shield test meets performance requirements for Medicare coverage. 🌸 Intended for average risk individuals aged 45 or older; not for high-risk individuals. 🌸 Detects DNA fragments shed by tumor cells and precancerous growths. 🌸 It is not an equivalent alternative to colonoscopies, which are more accurate and can remove precancerous polyps. 🌸 Shield test recommended every 3 years, colonoscopy every 10 years. 🌸 False positive rate of Shield test is about 10%. 🌸 Clinical trial: Shield may miss 1 in 10 with precancerous lesions and 1 in 1,000 with cancerous lesions. 🌸 Current screening: fecal tests every 3-5 years, colonoscopy every 10 years. 🌸 Some patients resist fecal tests and colonoscopies due to inconvenience and preparation requirements. 🌸 Blood tests might lead to increased screening uptake due to convenience. 🌸 Positive Shield test results require follow-up colonoscopy. @AmCollegeGastro @CrohnsColitisFn @gastrogirl @HealioGastro @SSMHealth @SSMHealthSaints

@zubairkhan254 @DrHasan_Orlando @DennisYangMD @KKadkhodayan @MahamHayatMD @NCosgroveMD @MN_GIMD @SChandanMD @abdullahaabbasi @helpatologist @ASGEendoscopy Congratulations

ASGE AEF match was a great experience. I was really humbled to have met so many great individuals along the way. I am really happy and excited to have matched at CIE Advent Health Orlando. I am grateful to faculty at CIE for giving me this opportunity to pursue my passion 🙏

@BilalMohammadMD @umn_dom @UMN_GIHep @AmyOxentenkoMD @AasmaShaukatMD @TKapetanos @tberzin @MSawhneyMD @Boston_Endo @JoseDebesMD @EndoscopyOthman @BilalUCSF Congratulations

Beyond humbled and honored & grateful to all my mentors, mentees, colleagues & collaborators over the years for their endless support, kindness and belief in me! Grateful to the 🙏 @umn_dom @UMN_GIHep for this honor of being #AssociateProfessor 🥹

@Taalamri @helpatologist @AllehibiAbed @AkwiAsombangMD @Almotasembilla1 @AlmuhaidbAymen @AnandSahaiEUS @AntonioFaccior6 @BilalMohammadMD @CarlKayMD @DharJahnvi @DouglasAdlerMD Awesome

🔴Beautiful EUS-Liver Biopsy demonstration by @helpatologist #DrBenedettoMangiavillano 👇clip With three teaching points : 1️⃣Common pitfall in EUS-LB is to be mistaken for spleen👇..... An easy way to differentiate is that the spleen will be on Extreme Clockwise rotation; observe your body position. 2️⃣for the Suction technique in EUS-LB: one, you do your pass (from puncturing the capsule [suction on] once you reach the maximum depth, close the suction and repeat the technique with each actuation; such technique will help to avoid suctioning the blood and fluid, another thing once you do your pass and you observe blood in suction Syringe such thing indicates your injured something. 3️⃣Have some time post-liver biopsy to assess the track for any immediate bleeding by Doppler. If there are signals ( blood), keep the needle 30sec. If it persists, push some tissue that has retaken inside the liver. @NEndoscopy @SahajRathi @Endo_OC @drdalbir @drkeithsiau @KMonkemuller @TrieuMD @TomTielleman @SultanMahmoodMD @DrLakhtakia @Endoscopist4 @DrMohdZein @WJuakiem @Rquezadap @Dr_mike08 @DeMadaria @HilarHolzy @SyedGerdezi @GIscope_updates @ahmad_madkour @alhaddad_mo #7thInternationalLiveEndoscopy #EUS #Teaching

@DouglasAdlerMD Good for a sphincterotomy papilla

How would you classify this papilla? #gitwitter

@Taalamri @alherz_fadhel @TomTielleman @DharJahnvi @KMonkemuller @drkeithsiau @Ferreira_gastro @SultanMahmoodMD @drdalbir @DrMohdZein @shanilkadir @GIscope_updates Tough to coordinate times however I do prefer my own set up in endoscopy for ercp . Ercp in OR only for emergencies and lap assisted cases.

🔴Single-session laparoscopic cholecystectomy and ERCP; Great cooperation with my colleague ⭐️ surgeon @alherz_fadhel and his outstanding efforts to adopt such an approach in a great facility. ✅️Single-session ERCP and LC are safe, effective, economically viable, and reduce hospital stay compared with performing ERCP and LC during separate sessions. Most importantly, it's linked to minimising the risk of pancreatitis as there is no manipulation with the papilla Directly with the rendez-vous approach and before that one-day procedure. ➡️I think it's deserved for multi-centre studies to assess the efficacy of such an approach and how to overcome the logistics...There are a couple of studies in the past... Interested to know the Thoughts from different practices; if you have a surgeon willing to do with logistics support, nursing, time, etc, do you stand with such an approach, or do you prefer to do ERCP solely? @BilalMohammadMD @SamIgbinedion @SoudagarGIMD @samigidoc @Samir_Grover @SyedGerdezi @CarlKayMD @DrJonnys @HilarHolzy @DouglasAdlerMD @TrieuMD @neilRsharmaMD @Almotasembilla1 @AnandSahaiEUS @SahajRathi @NEndoscopy @helpatologist #ERCP #Cholecystectomy #teaching #Eidmubarak

Eid Mubarak #EidAlFitr2024

@Taalamri Eid Mubarak

كل عام وأنتم بخير وصحة وسعاده Eid Mubarak #EidMubarak #عيد_الفطر_المبارك

@DouglasAdlerMD @asge @GIE_Journal @iGIEjournal How about presence of cystic duct stones

Quick poll: Patient undergoes ERCP. Duct cleared. No cholangitis. Stones in gallbladder noted. Going for CCY in 1 week. Would you leave a stent in the CBD or no? #gitwitter #surgery #ercp @asge @GIE_Journal @iGIEjournal

@BartsQuandry @SawyerMerritt I have bought 2 Model S . Amazing cars , FSD is great too but I ll probably avoid another one due to massive depreciation.

Most people have no clue how affordable Teslas have become. Most people have no clue how many Supercharger stations there are and their 99.97% uptime rating. Most people have no clue that an EV (Model Y) was the best-selling car in the world in 2023. Most people have no clue that an EV (Model Y) is the most American made vehicle. Nearly everybody has no clue how good FSD is now.

@DouglasAdlerMD Pretty common . Also best is when cholangitis patient is on a regular diet in am too :)

TWICE this weekend my ERCP patients got blood thinners immediately before procedure. This is so maddening. Do you guys see this as well? #gitwitter

Our first Advance GI Fellow (ERCP) has been awarded ASGE training award @ZainabASamad @ASGEendoscopy @AKUGlobal @AdilHaiderMD

Many congratulations 🙌 to @ibdtweets for a very well-deserved accolade. @southasianIBD @CrohnsColitisFn @jalpa_devi @getgutsycanada

@omparkash_2013 @ZainabASamad @ASGEendoscopy @AKUGlobal @AdilHaiderMD Congratulations.

@SIAGPK @AmCollegeGastro @ASGEendoscopy @WorldEndoOrg Depends on risk profile of patient , if high risk for PEP , will leave wire in on 1st attempt . If low risk will try to reposition the wire in CBD.

When would you consider double wire technique. 1st unintentional entry to PD. 2nd unintentional entry to PD or more than twice unintentional entry to PD @AmCollegeGastro @ASGEendoscopy @WorldEndoOrg

@JerapasT @AmCollegeGastro @TTUHSC @AhmedShoukrie @RomeliaBarba @afrinarimu Say hi to Kanak

A little delay on Friday 3/1 from @TTUHSC at Lubbock GI! Get your : checked starting at 45 #BlueForCRC #DressinBlueDay!  #ColorectalCancerAwarenessMonth #GITwitter @AhmedShoukrie @RomeliaBarba @afrinarimu @AmCollegeGastro Thank you for great material for our patients

@KMonkemuller @EndoCollabcom Biliary hamartomas

What's your diagnosis? ✅Starry night appearance of the liver Source: Contributed by Amir Borhani, MD StatPearls.com