SAUSHEC Gastroenterology & Hepatology

SAUSHEC GI Fellows of Class of 2027 Air Force 1️⃣ Capt Michael Craig 2️⃣ Capt Cody Ashcroft Army 1️⃣ CPT Brendan Martino 2️⃣ CPT Oliver Lee 3️⃣ CPT Krzysztof Saraczewski #GITwitter #militarymatch @USUhealthsci @BrookeArmyMed

Come join @edelson_jerry at #DDW2025 Endohepatology – Ready for Prime Time? 📅 Date: Mon, May 5 ⏰ Time: 10:00 AM – 11:30 AM (PDT) 👨‍⚕️ Speaker: MAJ Edelson 📍 Location: Room 4 – SDCC @DDWMeeting

Anorectal Diagnosis Grid Helpful to consider four hallmarks features of anorectal lesions: ▪️Pain ▪️Bleeding ▪️Drainage ▪️“Weird” tissue Very practical approach to place diseases on this grid/axis. 🙏 Mark Zhao, MD, MAS @UCSFSurgery 🔗 vumedi.com/video/non-surg…

Track your own colonoscopy quality! If you don’t have access to GIQuIC, here’s my own quality metric tracker for anyone to use! ✅ ADR (all) >35% ✅ ADR (male) >40% ✅ ADR (female) >30% ✅ SSLDR >6% ✅ APC >0.6 ✅ ADR with (+) fecal screening >50% 🔗 docs.google.com/spreadsheets/d…

Pro-tip for new fellows: suctioning with the valve OFF during colonoscopy! Valve removal during washing and removal of pools of particulate debris reduces the risk of clogging the suction pathway. N.B. Know where you are pointing it! 💩💨🤓 🔗 giejournal.org/article/S0016-…

Another year of 100% board pass rate! 10 years in a row. @DavidD_MD @JohnGancayco #GITwitter

Board certified gastroenterologist ✅ @ABIMcert #GITwitter

We are excited to announce the 1st Annual South Texas Updates in General GI symposium! 💥Invited speakers from across the country 💥Cutting edge updates in general GI 💥Networking opportunities Stay tuned for more updates on the full agenda! @ChahalPrabhleen

When it comes to arterial bleeding in the rectum, Ovesco clips outshine standard TTS clips! 🌟 With superior hemostasis, precision placement, and stronger retention, they’re a game changer! @OvescoEndoscopy #GItwitter

Let’s talk thiopurines in AIH! Thiopurine metabolism: 6MP/Azathioprine are metabolized into: 🔷 6-TGN (therapeutic metabolite) 🔸 Via hypoxanthine phosphoribosyltransferase 🔷 6-MMP (toxic metabolite) 🔸Via thiopurine S-methyltransferase 🔗 journals.lww.com/hep/fulltext/2…

CPT Scott Edelson at #ACG2024

CPT Ajay Bhola at #ACG2024

Capt Jessica Demes at #ACG2024

Capt Matt Schwartz at #ACG2024

Maj Zach Eagle at #ACG2024

CPT Ryan Santos at #ACG2024

CPT Jess Basso at #ACG2024

Fantastic article by our recent graduate @drgmahesh2 and current fellow @PriyadarshiniMD! ➡️6 RCTs comparing early (< 4hrs) vs late (> 4 hrs) feeding after PEG placement​ ➡️No difference in complication events and mortality rates within 72 hrs​.

Indications for IV & Oral contrast in Abdominopelvic CT IV Contrast ▪️Suspected tumor ▪️Infection/Inflammation ▪️Vascular eval ▪️Trauma ▪️Postop complications Oral Contrast ▪️Bowel obstruction ▪️Perforation ▪️Fistula assessment ▪️Mass localization 🔗 acr.org/-/media/ACR/Fi…

Axon-Clarke Gastropathy ▪️Cause of hematemesis 🤮🩸 ▪️Localized red mucosa near GEJ ▪️Retrograde intussusception of stomach ▪️Occurs during retching/vomiting ▪️Mimics Mallory-Weiss presentation ▪️First described by Axon & Clarke in 1975 🔗 ncbi.nlm.nih.gov/pmc/articles/P… #GITwitter

Prophylactic Antibiotics in Endoscopy ▪️Biliary obstruction + incomplete drain ▪️Mediastinal cyst + EUS-FNA ▪️Pancreatic cyst + EUS-FNA ▪️Percutaneous gastrostomy/jejunostomy ▪️Cirrhosis + acute GI bleed ▪️Peritoneal dialysis + colonoscopy 🔗 asge.org/docs/default-s…