Sukrit Sud MD,DM
1.3K posts

Sukrit Sud MD,DM
@Suddoc
Gastroenterologist, Hepatologist, Interventional endoscopist @Medanta the medicity, Spl int:Endosono/3rd space/tumour resection
New Delhi Se unió Mart 2011
937 Siguiendo1.3K Seguidores

@htevethia @DrLakhtakia @drsridhars @saurabhmukewar @doc_zubin @ASGEendoscopy @GIscope_updates @helpatologist @AniruddhaGI @ChahalPrabhleen @drhrr Conscious sedation unless clear contents more than 7cm
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When your EUS list includes these in one day !!!
Do you always intubate your patients during cystogastrostomy ??
@DrLakhtakia @drsridhars @saurabhmukewar @Suddoc @doc_zubin @ASGEendoscopy @GIscope_updates @helpatologist @AniruddhaGI @ChahalPrabhleen @drhrr




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Sukrit Sud MD,DM retuiteado

@dtptraffic take action against such miscreants..driving on wrong side of the road on the highway along western avenue , rajouri at 10am on 2/4/26. DL 1CAF 2600




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Let’s pause and think about what actually happens during a colonoscopy.
You’re sedated. A flexible tube with a small camera is inserted into the colon so physicians can examine the lining and remove abnormal growths at the discretion of the doctor. That lesion may become cancerous in 15-20 years or it may never become cancer. In the meantime, poking a little too hard with the instruments can make a hole, leaking fecal matter into your abdominal cavity. So you could end up with emergency surgery for a possible lesion that could possibly become cancerous someday.
Now, instead of reacting emotionally or projecting the program you’ve been given, step back and think logically. Does this sound like a good idea?
When a procedure can lead to death or permanent damage, don’t you think it’s time to rethink our approach?
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Sukrit Sud MD,DM retuiteado

India loses 750,000+ talented students to foreign universities annually. Why? A NEET topper with 715/720 can't get MBBS while someone with 450 does, not because of poverty, but because of birth. When merit takes a backseat to birth certificates, we don't fight inequality. We institutionalize it. SHAME.
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Sukrit Sud MD,DM retuiteado
Sukrit Sud MD,DM retuiteado

Cácer gástrico, la última revisión, en JAMA (2026). Puntos clave:
🟢 Indicar endoscopia en dispepsia >50 años o síntomas de alarma; aunque cada vez es más frecuente aún en <50 años.
🟢 Biomarcadores: buscar HER2, PD-L1, CLDN18.2 y MMR. Estos definen terapias dirigidas (ej. Zolbetuximab si CLDN18.2+, Trastuzumab si HER2+).
🟢 Manejo Perioperatorio: El esquema FLOT es estándar en estadio II/III. En deficiencia de MMR (dMMR), se sugiere inmunoterapia neoadyuvante
🟢 Estadificación: Laparoscopia diagnóstica con lavado es mandatoria pre-resección curativa; TC y PET tienen baja sensibilidad para metástasis peritoneales.
🟢 Pronóstico: Supervivencia a 5 años <10% en metastásico. La 1ª línea es Quimio + Inmunoterapia/Target según perfil molecular (ej. Nivolumab)



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Sukrit Sud MD,DM retuiteado

ASGE guideslines for early gastric cancer:
giejournal.org/article/S0016-…
🔑Lesions < 2 cm, well differentiated, intestinal: EMR = ESD
🔑 Size 2-3 cm, well differentiated, intestinal = ESD
🔑 > 3 cm or poor differentiation= Consider surgery


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