Muhammad Khan, MD

@KevinWatsonJrMD @PedsGIChat @RossMaltz Bridge to a better surgery.

@MuhammadKhanMD @PedsGIChat @RossMaltz So would this be in place of surgical bowel resection to prevent recurrence or as a bridge to prolong time before surgery?

Q7. Stent placement has been used in adults via endoscopy for small bowel and colonic obstructions, any utility available at this time in pediatrics? If not why? #GItwitter #NASPGHAN #PEDSGIChat #pedsGI @MuhammadKhanMD

@deslilo @PedsGIChat @AustinChiangMD Same number of sensors over half the distance = higher resolution!! Motilists right now:

@MuhammadKhanMD @PedsGIChat @AustinChiangMD Any specific benefit why an 8 cm will be better?

Q6. When proceeding with #POEM any specifics on your approach depending on the type of achalasia? #GItwitter #NASPGHAN #PEDSGIChat #pedsGI @MuhammadKhanMD

@PLLU @PedsGIChat @AustinChiangMD There is a calculated degree of Goldilocks improvement I then look for - not too lax for reflux and not too tight for dysphagia. Some good studies have been done to calculate this.

@PLLU @PedsGIChat @AustinChiangMD I get a baseline DI & pressure at the start of the procedure and understand what the DI is at the same pressure after the myotomy, under the same anesthetic conditions.

@PatReevesMD @drkeithsiau @DrDLerner As with any endoscopy: 1) Strive to be well trained (competently competent) 2) Learn how to manage endoscopic complications endoscopically 3) Know your limits

So the general surgery residency invites you to give an endoscopy talk. What should be your top 3 points? (correct/safe scope set up is a given) @MuhammadKhanMD @drkeithsiau @DrDLerner

@deslilo @PedsGIChat Submucal expansion to prevent thermal injury or perforation of the muscularis mucosa when resecting a polyp.

@MuhammadKhanMD @PedsGIChat What are the advantages of EMR exactly, very curious

Q4. A 12 y/o 👧 w/ recently diagnosed Peutz-Jegher syndrome has abd pain and 🤮. MRI with potential large polyps in jejunum. How can advance endoscopy help? #GItwitter #NASPGHAN #PEDSGIChat #pedsGI @MuhammadKhanMD

@PedsGIChat Thank you for the opportunity @PedsGIChat My hands even thank you!

Thank you, Dr. Muhammad Khan @MuhammadKhanMD, as well as all our contributors for joining our #PedsGIChat and answering questions to learn more about Advanced Interventional Endoscopy!

@PedsGIChat @PLLU @nationwidekids @deslilo @KarenDiefenbach Even the @AmerGastroAssn supports its use in motility/endoscopy centers of excellence!

@PedsGIChat @PLLU @nationwidekids @deslilo @KarenDiefenbach At the end of the day, this is a challenging population that we are still learning much about from the physiologic end, but there is a TON of interest in G-POEM and Gastric Electrical Stimulation!

Last Question. When can G-POEM by used for gastroparesis? #GItwitter #NASPGHAN #PEDSGIChat #pedsGI @MuhammadKhanMD

@PedsGIChat @davidvitale Find an advanced endoscopist to help! We are (almost) everywhere!

@PedsGIChat @davidvitale With all this technology available to us today, there’s no reason to make this child wait by getting MRCP (esp when NPV is 60%!), or even checking daily labs.

Q9. A 16 year old 👧 presents with 🤮 and RUQ abdominal pain. LFT's with ⬆️D bilirubin. Abd US with dilated CBD and stones in GB. Any reasons why ERCP would not be an option? When would waiting be a possible option? #ERCP #GItwitter #NASPGHAN #PEDSGIChat @MuhammadKhanMD

@PLLU @PedsGIChat @davidvitale @DavidVitaleMD Yes, sorry @DavidVitaleMD !

@MuhammadKhanMD @PedsGIChat @davidvitale You mean @DavidVitaleMD!

@PedsGIChat @MeirMizrahi1 @MoamenGabrMD @Medtronic @olympusamericas @FujifilmUS @BostonSciWDD Maybe one day we can also have devices that help infants too?? Like an ERCP scope?? @olympusamericas @FujifilmUS @BostonSciWDD

@PedsGIChat @MeirMizrahi1 @MoamenGabrMD The number of devices today from @Medtronic @olympusamericas @FujifilmUS @BostonSciWDD dedicated to just resecting polyps today is incredible! #technology #advancedendoscopy #endoscopy

Q8. Traditionally large polyps and dysplasia prone lesions may be sent for surgical resection. What is the role of endoscopic resections in these polyps and lesions?? #GItwitter #NASPGHAN #PEDSGIChat #pedsGI @MuhammadKhanMD