vinay dhir
1.5K posts

vinay dhir
@docdhir
Gastroenterologist, Interventional endoscopist, Clinical researcher, Innovator
mumbai Katılım Temmuz 2009
526 Takip Edilen2.2K Takipçiler

This year @DDWMeeting 2026
Won @ASGEendoscopy award for top reviewer for @GIE_Journal.
Second year in a row
#GITwitter
#MedTwitter
#EndoSoMe
Thanks @BabuPMohan2 for the photo

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@docdhir En esta imagen no se ve trombosis de la vena porta izquierda. Se aprecia un defecto de llenado en el hepático izquierdo..
Español

56/M. Severe abdominal pain followed by fever and diarrhea 2weeks back. Now Cholestatic Jaundice. Bil 6. Alk phos 280. CT shows left portal vein thrombosis
MRCP as below. What do you see? What next?
#GITwitter

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@docdhir Can we get the cect video ??
How r enzymes ??
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@KailashKolhe Bilirubin Reduced today morning. Had planned cholangioscopy but postponed due to clinical improvement
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@KailashKolhe Great questions. There is a hypercoagulable state caused by infection. Pet CT showed multiple small liver abscesses and also inflamed pancreas. Blood culture showed e coli. Improving with high antibiotics
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28/F with 2.4 cm cyst in head of pancreas. EUS shows a nodule within cyst which takes up contrast. Biopsy shows abundant mucin and columnar epithelium. MPD is not dilated. Surgery or observe?
#GITwitter



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@docdhir @Mister_trip The size of the nodule takes great importance here, to make a decision
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@docdhir @Mister_trip Enhancing nodules are concerning to me. Would certainly be something to see a surgeon about. Plus at the age of 28 they’ve got a looooong time to be surveyed. If they were 78 it might be a little different…
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@docdhir The enhancing mural nodule is a significant high-risk feature, considering also the young age of the patient, surgery is advised by guidelines. But sometimes the surgeon is hard to convince in such cases.
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@nawrashatif1 Looks extraduodenal cystic lesion. Biopsy and fluid aspiration should give diagnosis
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@docdhir Sir
Videos of EUS ( Scanning from the descending duodenum ) are available in the comments . I'm so primitive in EUS and did my best to get the best view and vascular relations of the mass
So grateful for any comment
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@nawrashatif1 Looks like a submucosal lesion. Will need EUS to further characterize it
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I didn't recognise the layer of origin or whether the lesion is truly intramural or extrinsic compression ....@docdhir
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vinay dhir retweetledi

EUS-guided transpapillary vs transluminal biliary stenting: randomized comparison of long-term stent patency
Find the article at: doi.org/10.1055/a-2721…
Vinay Dhir et al.@ESGE_news
@docdhir

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Zoom link for day 2 of India EUS Summit 2026
Gurunandan Masurkar is inviting you to a scheduled Zoom meeting.
Topic: INDIA EUS SUMMIT 2026 Day 2
Time: Apr 5, 2026 08:15 AM India
Join Zoom Meeting
us06web.zoom.us/j/86917606726?…
Meeting ID: 869 1760 6726
Passcode: 820353
---
One tap mobile
+13462487799,,86917606726#,,,,*820353# US (Houston)
+13602095623,,86917606726#,,,,*820353# US
Join instructions
us06web.zoom.us/meetings/86917…
English

Gurunandan Masurkar is inviting you to a scheduled Zoom meeting.
Topic: INDIA EUS SUMMIT 2026 Day 2
Time: Apr 5, 2026 08:15 AM India
Join Zoom Meeting
us06web.zoom.us/j/86917606726?…
Meeting ID: 869 1760 6726
Passcode: 820353
---
One tap mobile
+13462487799,,86917606726#,,,,*820353# US (Houston)
+13602095623,,86917606726#,,,,*820353# US
Join instructions
us06web.zoom.us/meetings/86917…
English

Zoom link for India EUS Summit for those who cant attend physically:
us06web.zoom.us/j/87135069354?…
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