Wai Liam Lam

Not all villous atrophy is coeliac disease. 🌾🚫🔬 This practical review in @FrontGastro_BMJ guides the general gastroenterologist through seronegative and non-coeliac enteropathies — from differential diagnosis to management and follow-up. 🧭🩺 Essential reading for anyone faced with negative coeliac serology but persistent clinical or histological concern. Read more: fg.bmj.com/content/early/… #CoeliacDisease #Enteropathy #VillousAtrophy #SmallBowel #FrontlineGastro #GItwitter #Gastroenterology #ClinicalPractice #MedEd @BritSocGastro @my_UEG @AmCollegeGastro @DDWMeeting @ESGE_news @PhilSmithIsBack @OTavabie @dr_aditi_kumar @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman

EUS Liver segments: Images

Resource for trainees - Animated educational video review on Endoscopic Ultrasound-Guided Gastroenterostomy (EUS-GJ) @AmCollegeGastro Education universe! Gastric outlet obstruction ❌a candidate for duodenal stent 🔗bit.ly/EUSGJ @ChahalPrabhleen @CCF_GIFellows @JPAchkarMD @Ari_G_MD

What happens after an endoscopic complication? This review dives into the human cost, system strain, and medicolegal pressures — and how to handle the non-clinical aftermath. With thanks to Dr Wai Liam Lam and co-authors for this important and insightful review paper! @PhilSmithIsBack @OTavabie @dr_aditi_kumar @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman @drkeithsiau @DrOmerAhmad @Dunnepdj @shraddha_gulati @CardiffGastro @DrBuHayee @poodocnisha @Sharm_Sub #Endoscopy #GIEndoscopy #EndoscopyComplications #PatientSafety #QualityInEndoscopy #EndoscopicAssessment #ClinicalRisk #PatientCare #MedEd #GICommunity

🪧 📢 We are delighted to announce that the findings of the PuraStat study have just been published in FG! 🔥 👨‍👨‍👧‍👧 Multi-centre prospective study 🏥 448 high-risk tissue resections (HRTR) - including EMR and ESD in the upper and lower GI tract, with all patients receiving prophylactic PuraStat to prevent delayed bleeding ⏰ The rate of delayed bleeding across the full cohort was 1.34% 🩸 Of 195 patients with intra-procedural bleeding, haemostatic efficacy was 91.43% Congratulations to Dr Hein Myat Thu Htet and co-authors! @Hein_Gastro @Sharm_Sub @AParraBlanco @NorikoSuzuki3 @HajiAmyn @massi_dipietro @MariettaIacucci @iosifbeintaris @ayjas @TheRealFergusTP @SebastianZeki @gi_jasondunn @gastro3570 fg.bmj.com/content/early/… @drkeithsiau @DrOmerAhmad @Dunnepdj @shraddha_gulati @CardiffGastro @DrBuHayee @poodocnisha @Sharm_Sub @PhilSmithIsBack @OTavabie @dr_aditi_kumar @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman #Endoscopy #GIEndoscopy #DigestiveHealth #Gastroenterology #EndoscopyLife #EndoscopyEducation #EndoscopyTraining #ThirdSpaceEndoscopy #AdvancedEndoscopy #InterventionalEndoscopy #POEM #ESD #STER #EndoscopicInnovation #SubmucosalEndoscopy #GIBleeding #UpperGIBleed #LowerGIBleed #AcuteGIBleed #EndoscopicHemostasis #GIHemorrhage #BleedingControl

Demystifying biliary drains and cholecystostomy tubes 🧪 Where and when should each be placed? Watch @olumide_olulade as he breaks it down in this episode, made possible by a great team @COREIMpodcast @MarissaLocastro @ShreyaTrivediMD Grateful to contribute to the visuals!

What happens when you can’t find the pancreatic duct after ampullectomy? Here is an ingenious method from Michael Bourke shown at #UEGWeek

Complications of Pancreatitis by Dr. Matthew Ho Modified based on PMID: 30776347

Here are the updated BSG 2025 IBD guidelines unveiled at #BSGLive25 🆕👏 🔗: gut.bmj.com/content/74/Sup…

❌ Myth: Choledochal cysts are always symptomatic and easy to diagnose. ✅ Fact: Many choledochal cysts (esp. Types II–V) can be asymptomatic or subtle, requiring MRCP or CT for detection. Don’t miss them in atypical cases! endocollab.substack.com/p/todanic-clas…

Post-Polypectomy Recommendations (AGA, Gupta et al. 2020)

✨ What is the preferred technique recommended by the ESGE for ✂️ precutting with 😥 a difficult case of biliary cannulation❓ ✅ Answer: Needle 🔪 knife fistulotomy ➡️ 👀 See video ⬇️ by Lam et al. on how to perform this technique, and check out their 📰 retrospective study w/ findings on patient outcomes with early use of this technique 🔗 bit.ly/4mkPpxR @PhilSmithIsBack @OTavabie @dr_aditi_kumar @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman @BSGTrainees @WorldGastroOrg @ulstergastro @theendoscopist @SEED #GITwitter #gastroenterology #Endoscopy #MedEd

🆕 @ESGE_news guidelines on #DiagnosticEUS & tissue acquisition 🔹 EUS-FNB >> FNA (3️⃣rd G 🪡 ) 🔹 2️⃣passes, fanning + wet suction/slow-pull 💧🔛 🔹 Cyst fluid assessment for PCL +/- TTNB/nCLE 🧾Here’s the summary! Greatwork by @AntonioFaccior6 &team! #AdvancedEndoscopy #GIFellow

Original Article detailed on the blog: "Duodenoscopy-assisted diagnosis and management of a duodenal varix" by Kar Wai Lau endoscopedia.com/2025/04/22/lau/

Calling all ERCP endoscopists! Check out this paper on the use of Needle knife fistulotomy (NKF) in the setting of difficult cannulation, published in the journal. ✅ NKF is an effective method for achieving biliary cannulation in difficult cases on initial attempt (88.5%) and repeat attempt (92.7%), with low risks of pancreatitis (2.4%), bleeding (0.3%) and perforation (0.3%). 📈 Factors associated with higher success and lower complications included ERCP performed for stone disease and Haraldsson type 3 papillae. ⚠️ NKF should be considered early in ERCP where there is difficulty in achieving biliary cannulation, especially where there are favourable characteristics. fg.bmj.com/content/early/… With thanks to the authors: Wai Liam Lam (@bluewailiam), Michael Ding, Chia Chuin Yau, Roderik Prawiradiradja and Srisha Hebbar (@Srisha_Hebbar). @PhilSmithIsBack @OTavabie @dr_aditi_kumar @DrJMKennedy @DunnePdj @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman @drkeithsiau @DrOmerAhmad @Dunnepdj @shraddha_gulati @CardiffGastro @DrBuHayee @poodocnisha @Sharm_Sub #ERCP #BiliaryEndoscopy #Pancreatobiliary #HPB #BileDuct #Sphincterotomy #TherapeuticEndoscopy #AdvancedEndoscopy #GIEndoscopy #EndoTwitter

Today is the launch of @ESGE_news academy video journal. We, the co-editors under the leadership of @djtate have created 4 videos of deconstructing basic concepts in endoscopy. A lot of thought has gone into it. Log into ESGE academy. @UHNMEndoscopyTC @BSGTrainees #GITwitter

🔥🆕 Publication: esge.com/endoscopic-ult… Our latest technical review describes the technical aspects of EUS-guided sampling in gastroenterology, inc. the available types of needle, sampling strategies, new devices, & specimen handling and processing. 🧵⬇️

#EUS guided Transgastric Shunt Obliteration- a novel technique to block shunts for difficult to treat Hepatic Encephalopathy Supplementary data out now, contains: 👉Video of the technique 👉Case details 👉EEG data Video link:cdn-links.lww.com/permalink/ajg/… #Endohepatology #GITwitter

😳😳 60% of patients with SOD show improvement after ERCP?!? 🔥 👉🏻Sphincterotomy for biliary sphincter of Oddi disorder and idiopathic acute recurrent pancreatitis: the RESPOnD longitudinal cohort | Gut gut.bmj.com/content/early/…

🌟 Hepatitis C - Treatment summary