vinay dhir

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vinay dhir

vinay dhir

@docdhir

Gastroenterologist, Interventional endoscopist, Clinical researcher, Innovator

mumbai Katılım Temmuz 2009
526 Takip Edilen2.2K Takipçiler
Dr Gustavo Zenteno
Dr Gustavo Zenteno@drgzenteno·
@docdhir En esta imagen no se ve trombosis de la vena porta izquierda. Se aprecia un defecto de llenado en el hepático izquierdo..
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vinay dhir
vinay dhir@docdhir·
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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vinay dhir
vinay dhir@docdhir·
@KailashKolhe Bilirubin Reduced today morning. Had planned cholangioscopy but postponed due to clinical improvement
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vinay dhir
vinay dhir@docdhir·
@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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vinay dhir
vinay dhir@docdhir·
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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Prof John Leeds
Prof John Leeds@NEndoscopy·
@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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vinay dhir
vinay dhir@docdhir·
@_vbalaban Agree. The surgery would be Whipples in this case.
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Vasile Daniel Balaban
Vasile Daniel Balaban@_vbalaban·
@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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vinay dhir
vinay dhir@docdhir·
@nawrashatif1 Looks extraduodenal cystic lesion. Biopsy and fluid aspiration should give diagnosis
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nawras hatif
nawras hatif@nawrashatif1·
@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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nawras hatif
nawras hatif@nawrashatif1·
Please Sir Your 1st impression regarding this incidentally discovered subepithelial mass in 3rd part of duodenum ( distal to the papilla ) . The patient is 70 years old and the mass was seen on abdominal CT for the evaluation of prior urological problem .
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vinay dhir
vinay dhir@docdhir·
@nawrashatif1 Looks like a submucosal lesion. Will need EUS to further characterize it
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nawras hatif
nawras hatif@nawrashatif1·
I didn't recognise the layer of origin or whether the lesion is truly intramural or extrinsic compression ....@docdhir
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Dr G V Rao
Dr G V Rao@gvraoaig·
It's nostalgic recapping NOTES with peers from around the globes at the India EUS Summit, Mumbai.The NOTES Story Board reads like a Hollywood script: harsh criticisms turned to appreciation, then standing ovations. Proud to be part of the pioneering NOTES clinician group
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vinay dhir
vinay dhir@docdhir·
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…
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vinay dhir
vinay dhir@docdhir·
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…
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