ATJ

New on the blog: "Postprocedural cholecystitis following covered self-expandable metal stent placement in patients with distal malignant biliary obstruction" by Chawin Lopimpisuth and Sean Bhalla endoscopedia.com/2026/02/27/lop… @seanbhalla @atjaved @SunilAminMD

Dr Chawin Lopimpisuth discusses his article, “Postprocedural cholecystitis following covered self-expandable metal stent placement in patients with distal malignant biliary obstruction." youtu.be/-xeGnIZKa5g @atjaved @KumarShria @SunilAminMD @seanbhalla

Editor's Choice: Lopimpisuth et al present "Postprocedural cholecystitis following covered self-expandable metal stent placement in patients with distal malignant biliary obstruction." giejournal.org/article/S0016-… @atjaved @KumarShria @SunilAminMD @seanbhalla @yaransarkis

If you do enough POEM, you will eventually come across a case of #achalasia that just doesn’t seem right. This case fooled me, and it wasn’t until I hit a wall of tumor “fibrosis” in the tunnel that it clicked 💡 Biopsy ➡️ Infiltrative breast CA 👏👏 @atjaved

Abid Javed et al describe "Metastatic lobular breast cancer masquerading as achalasia." videogie.org/article/S2468-… #GITwitter @atjaved @SunilAminMD

And we’re off ☀️ Kicking off the morning at the #MiamiGastroCongress 🌴 with high-yield discussions on GLP-1s and liver disease—featuring our newest faculty member, Dr. Lauren Gilbert. Great start to a big day. @umiamimedicine @UMiamiHealth @JodieBarkinMD

Listening to @EndoscopyOthman talk about trans-cecal appendectomy just never gets old…‼️ #miamigastrocongress @UMiamiHealth @umiamimedicine @JodieBarkinMD

🔴Nice teaching case for the advanced therapeutic fellow ERCP Teaching Pearl 🧠 | Hock-Pull Technique in Supine Position 🛌 Supine patient = altered orientation → technique matters 🔹 Papilla orientation: In supine ERCP, the papilla often appears more inferior/posterior and less en face, with a tendency for the catheter to fall into the pancreatic duct due to gravity and scope torque. 🔹 Why Hock-Pull helps: • Hockey bow redirects the tip upward toward the biliary axis despite gravity. • Gentle pull-back everts and opens the papillary orifice, counteracting the “downward fall” seen in supine cases. • Improves coaxial alignment (~11 o’clock) without pushing. 🔹 Manoeuvrability advantage: • Pulling back stabilizes the papilla against respiratory motion. • Small rotations become effective—micro-adjustments instead of force. • Reduces repeated pancreatic duct entry and papillary trauma. 💡 Pearl: > “In supine ERCP, gravity favors the pancreas—hock-pull brings you back to bile.” #ERCP #SupineERCP #Endoscopy #GI #TeachingPearls #PatientSafety

In Articles in Press: "Postprocedural cholecystitis following covered self-expandable metal stent placement in patients with distal malignant biliary obstruction" by Chawin Lopimpisuth et al. giejournal.org/article/S0016-… #GITwitter @atjaved @KumarShria @SunilAminMD @seanbhalla

As a future Member of Congress, my oath will be to the Constitution, not to hate or division. Freedom of religion is a pillar of our nation. As a proud American Muslim, I will defend, respect, and serve all Texans, of all faiths and backgrounds. Your hate has no place in Congress, @ValentinaForUSA.

EUS-GE vs Surgical GJ? RT in @GUTJournal_BMJ showing EUS-GE with: faster to solid 🥘, shorter 🏥 stay, less reinterventions, ⬆️ QoL, ⬇️ 💰 gut.bmj.com/content/gutjnl…

@BilalMohammadMD @CUGastroHep @JChristieMD @vineet_chopra @CUAnschutz @CUDeptMedicine @FrankIScottMD @BenClickMD @liverazzi @AvashKalra Really excited to be a part of this amazing group @CUGastroHep

Welcome again @seanbhalla⭐️⭐️⭐️⭐️⭐️! This team gets stronger and stronger every single day!!💪🏾🔥😎

The @CUGastroHep & #InterventionalEndoscopy section is growing 🙌 Thrilled to have the amazing ⭐️ @seanbhalla join our team 🔥🔥 New #Director of #InterventionalEUS 👇 for the amazing talents he brings to our team !

EMCrit 408 - Behind the Scenes of an Infuriating Medical Malpractice Trial. I am joined by @medmalreviewer to discuss the case and then in a true surprise-the Jury Foreperson weighs in. @embouncebacks @GitaPensaMD [#FOAMed for Now] emcrit.org/408

Difficult EUS-BD with transpap ante FCSEMS placement. Hardest part was getting a wire across the the stricture - required large balloon to redirect a hydrophilic wire through a super tight stricture (#4). 8mmx6cm FCSEMS placed. T-EUS rocks @methodistdallas @TexasGastros

@arifjvd no likes zone ✅

when a brasilian doesn’t get invited to dinner w friends …. fomo de chão

Our latest UKI collaborative. Can leave GB LAMS in for a very long time with no discernible adverse events.

😬 Chronic Gastrocutaneous fistula with failed endoscopic closure x3 💡Full thickness suturing with angiocatheter assistance and SpyBite Forceps @bostonsci after internal closure with @OvescoEndoscopy 12/6 gc clip @GIPapachristou @som_krishna @OSUWexMed

🧵A very challenging ESD, requiring patience and planning — a villous adenoma on the IC valve extending into the terminal ileum 🔹 Access & stability: DiLumen EZ Glide overtube 🔹 Strategy: Freed the terminal ileum portion first, then completed resection in retroflexion 🔹 Technique: Saline immersion + gravity - minimized the need for traction 🔹 Time: 2 hours for en bloc resection 🔹 Closure: X-tack suturing + clips, ensuring IC valve patency @GeisingerGi