✅ A quick review on endoscopic band ligation for gastric antral vascular ectasias (GAVE)
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EndoCollab™ | GI Endoscopy Community
9.3K posts
EndoCollab™ | GI Endoscopy Community
@EndoCollabcom
Become a better endoscopist with EndoCollab, the world's most comprehensive endoscopy community. Join us: https://t.co/EkRtunpQyB
🌎 Katılım Şubat 2021
2.9K Takip Edilen30.5K Takipçiler
Small bowel imaging modalities in Crohn’s disease
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🪨 Bouveret’s versus 🆚
🪨 Mirizzi
by María Paula Forero, MD
Español
Practical classification of pancreatic cystic lesions
When a cystic pancreatic lesion is detected, the first step is to decide whether the lesion is most likely a pseudocyst or a cystic neoplasm.
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Sphincteroplasty for Stone Extraction
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A 35-year-old male with Lynch Syndrome underwent a colonoscopy 2 years ago. On yesterday's colonoscopy, he was found to have this sessile Paris 0-Is, Kudo IIIL polyp.
Based on the visual presentation above, is this polyp resectable? What is your visual diagnosis?
Answer and diagnosis: endocollab.com/blogs/uncatego…
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Negative upper and lower endoscopy. CT angiography unrevealing. But the patient keeps bleeding.
Occult GI bleeding demands persistence:
→ Timing matters — scope during active bleeding when possible
→ Capsule endoscopy for small bowel surveillance
→ Don't give up after one clean exam
Some lesions only appear intermittently. The workup isn't failed — it's incomplete until the source declares itself.
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EndoCollab™ | GI Endoscopy Community retweetledi
Absolutely true 👍🏻
🤖 AI is a 🔝 tool to search and summarize patient data, including differential diagnosis and therapy options
✅ A good clinician then makes the best choice based on the available information
Papa Heme@Papa_Heme
AI is not gonna replace physicians. However, physicians who don’t utilize AI will be replaced. When I am sick I want AI going through all my data and then render an opinion and an excellent clinician doing the same. Then the two of them can work together to fix me.
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Prague C&M only works if the GE junction is identified correctly.
Common failure points:
• overinsufflation
• sliding hernia
• mistaking folds for landmarks
• measuring islands incorrectly
Bad landmarks make precise numbers meaningless.
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Difficult bile duct stones are not just “big stones.”
Escalate early when anatomy predicts extraction failure:
• distal duct narrowing
• unfavorable papilla
• stone/duct mismatch
• impacted stone
• unstable wire position
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Peptic ulcer bleeding fails when therapy is too timid.
The decision is not “clip or inject?”
It is whether the visible vessel needs durable mechanical compression, thermal coaptation, combination therapy, or escalation.
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EndoCollab™ | GI Endoscopy Community retweetledi
🔥 Small bowel pancreatitis
EndoCollab™ | GI Endoscopy Community@EndoCollabcom
“Small bowel pancreatitis” is rare enough that the name can distract from the mechanism. The useful question: true ectopic pancreatic tissue, inflammatory extension, or a mimic? If you’ve seen a case, what confirmed the diagnosis?
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EndoCollab™ | GI Endoscopy Community retweetledi
🧰 Full course on ERCP at Endocollab.com
✅ From basics to advanced, total of 50 videos 🎥 and many more posts with tips and tricks
EndoCollab™ | GI Endoscopy Community@EndoCollabcom
Sometimes, the key is in how you shape your tools. Curving the catheter tip can provide the exact angle needed to selectively enter the bile duct when standard approaches fail. In our latest course video, we break down exactly how and when to curve the catheter for maximum success during ERCP. Watch the full technique here: endocollab.com/blogs/course-v…
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Before the snare, describe the lesion.
Size. Location. Morphology. Surface pattern. Vascular pattern. Lifting behavior. Features of invasion.
Bad characterization leads to the wrong resection plan.
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A negative CTA does not rule out hemosuccus pancreaticus.
Issue 4 of the EndoCollab Community Digest covers 5 real cases from the WhatsApp group, including sentinel bleed, black esophagus, gastric neoplasm, acute hepatitis, and UC without biologics.
endocollab.com/blogs/communit…
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“Small bowel pancreatitis” is rare enough that the name can distract from the mechanism.
The useful question: true ectopic pancreatic tissue, inflammatory extension, or a mimic?
If you’ve seen a case, what confirmed the diagnosis?
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The 6–10 mm polyp is where “routine” creates misses.
Before resection, decide:
• morphology
• optical pattern
• cold vs hot
• one-pass complete removal
• retrieval strategy
The goal is complete removal the first time.
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Sometimes, the key is in how you shape your tools.
Curving the catheter tip can provide the exact angle needed to selectively enter the bile duct when standard approaches fail.
In our latest course video, we break down exactly how and when to curve the catheter for maximum success during ERCP.
Watch the full technique here: endocollab.com/blogs/course-v…
English
EndoCollab™ | GI Endoscopy Community retweetledi
DIEULAFOY LESION: missed twice, found on the third EGD.
72-year-old with recurrent melena + hematemesis. Hgb 7.1. Two prior EGDs: negative. Third EGD: active bleeding from the duodenum, no ulcer visible.
A Dieulafoy lesion is a caliber-persistent submucosal vessel that bleeds without any overlying ulceration. It accounts for 6.5% of upper GI hemorrhage.
Hemostasis with a through-the-scope clip. Case resolved.
But it has to be found first.
Full case with endoscopic images:
thepracticingendoscopist.com/p/dieulafoy-le…
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Pancreatic cysts become manageable when you first separate:
• pseudocyst
• serous cystadenoma
• mucinous cystic neoplasm
• IPMN
• solid pseudopapillary neoplasm
The first question: mucinous risk, duct communication, high-risk features.
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