gastrodoc

@DTDCIndia Worst service provider declined into deep well . I have book premium service where I was assured that it will be delivered max 24-30 hr . It’s been 72 hr still not delivered . I request others not to consider DTDC.

(European Society of Gastrointestinal Endoscopy guidelines): • Complete obstruction = urgent intervention • Delays >24 hrs ↑ perforation risk • Always evaluate & treat underlying pathology #Gastroenterology #Endoscopy #FoodBolus #ESGE #GI #EmergencyEndoscopy

Bolus tightly impacted → not retrievable en bloc. Piecemeal extraction with rat-tooth forceps (~40 mins). Small mucosal defect at 30 cm, no full-thickness perforation. Underlying cause: Peptic stricture at GEJ → managed later with Savary-Gilliard dilation.

Elderly male with absolute dysphagia (unable to swallow saliva) & mid-chest heaviness after mutton ingestion. Delayed presentation ~24 hrs.

Blake A. Niccum and Raj J. Shah et al explore "Around the World: duodenoscope maneuver to permit an en face papillary view and short duodenoscope position in the setting of duodenal compression" in this Original Article. videogie.org/article/S2468-… #GITwitter

ACG-@ASGEendoscopy Quality Indicators for ERCP Anderson, et al. 📕 doi.org/10.14309/ajg.0… @MLongMD @JasmohanBajaj

@DouglasAdlerMD Any tips and tricks for cystic duct cannulation ?

Perforated gallbladder. Surgery unenthusiastic about operating. Gallbladder drained via 7 French double pigtail through the cystic duct. copious pus out through stent. #surgery #gitwitter You can see the extravasation if you look carefully.

@ReporterSahab @grok explain

राजस्थान के जोधपुर में बजाज शोरूम के बाहर एक व्यक्ति ने अपने ई-रिक्शे पर पेट्रोल डालकर उसमें आग लगा दी। ई-रिक्शा ड्राइवर मोहन अपनी गाड़ी की बैटरी की प्रॉब्लम सॉल्व नहीं होने से नाराज था।

@Indian__doctor Might be fascinated or by miss option entry??

Congratulations for Achievement But why Patho?😅 #medtwitter #neetpg2025

My first Individual Biliary metal stenting. 65y,M , pt Ca head of pancreas + malignant ascites+ sever jaundice ( intense itch ) Mx -UCSEMS ESGE 2018 Biliary Stenting – Key Takeaways (Thread 🧵) #GITwitter #ESGE #ERCP #GIEndoscopy #BiliaryStenting #Pancreatobiliary

7. When ERCP Fails •Repeat ERCP after 2–4 days → success ~82%. •If still fails → EUS-BD preferred over PTBD.

6. During ERCP •NSAIDs for PEP prevention: 100 mg indomethacin/diclofenac PR for ALL eligible patients. •Antibiotics only if incomplete drainage expected / immunocompromised. •No routine sphincterotomy before single plastic or uncovered SEMS.

@DrAkhilX Thank you sir .

@AnilcheswinK Good review 👏👏👏

This is how laxative abuse affects colon - resulting in melanosis coli Healthy colon after laxative abuse.