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Douglas G. Adler MD, FASGE, FACG, AGAF

@DouglasAdlerMD • 17,716 subscribers

Editor-in-Chief Gastrointestinal Endoscopy (GIE), Professor of Medicine, Director: Center for Advanced Therapeutic Endoscopy, Advent Porter Hospital, PEAK GI

Shorts

Patient with metastatic colon cancer and malignant large bowel obstruction. Surgery consulted for colostomy but we performed colonic stent placement instead to good effect, saving the patient surgery. #gitwitter #surgery

Patient with metastatic colon cancer and malignant large bowel obstruction. Surgery consulted for colostomy but we performed colonic stent placement instead to good effect, saving the patient surgery. #gitwitter #surgery

1,624,577 次观看

Duodenal peptic stricture with PINHOLE lumen. Patient miserable. 20x60mm Resilience stent placed to good effect! #gitwitter #surgery Endotek

Duodenal peptic stricture with PINHOLE lumen. Patient miserable. 20x60mm Resilience stent placed to good effect! #gitwitter #surgery Endotek

1,980,968 次观看

Pancreatic cancer patient on chemo with ascending cholangitis. Treated with a Viabil stent to good effect during ERCP. #gitwitter #sugery #oncology

Pancreatic cancer patient on chemo with ascending cholangitis. Treated with a Viabil stent to good effect during ERCP. #gitwitter #sugery #oncology

39,588 次观看

Chronic severe pyloric stenosis. Scarred and fibrotic. Failed dilations. Treated with a Resilience stent to good effect! #gitwitter Endotek #surgery

Chronic severe pyloric stenosis. Scarred and fibrotic. Failed dilations. Treated with a Resilience stent to good effect! #gitwitter Endotek #surgery

1,110,101 次观看

Draining massive pancreatic psuedocysts be like... #gitwitter #pancreas #surgery

Draining massive pancreatic psuedocysts be like... #gitwitter #pancreas #surgery

1,236,568 次观看

Surgical injury to the pylorus resulted in severe stenosis and gastric outlet obstruction. Failed prior treatments. Treated with a Resilience stent to good effect. #gitwitter #surgery Endotek zeke eller

Surgical injury to the pylorus resulted in severe stenosis and gastric outlet obstruction. Failed prior treatments. Treated with a Resilience stent to good effect. #gitwitter #surgery Endotek zeke eller

545,366 次观看

Amazing "fly through" video of an EndoMaxx stent. Pt had near total dysphagia from esophageal cancer, now fully open. #gitwitter #surgery #esophagus Endotek

Amazing "fly through" video of an EndoMaxx stent. Pt had near total dysphagia from esophageal cancer, now fully open. #gitwitter #surgery #esophagus Endotek

187,769 次观看

Early gastric cancer found in antrum. Potentially a candidate for ESD! What do you all think? #gitwitter #esd

Early gastric cancer found in antrum. Potentially a candidate for ESD! What do you all think? #gitwitter #esd

44,590 次观看

So. Many. Gallbladders. Elderly patient. Not a surgical candidate. Axios placed into GB via EUS in 5 minutes to provide definitive gallbladder drainage and decompression. The world has changed. #gitwitter #surgery Douglas Pleskow Boston Scientific Endoscopy Tamta Chkhikvadze Praneeth Kudaravalli

So. Many. Gallbladders. Elderly patient. Not a surgical candidate. Axios placed into GB via EUS in 5 minutes to provide definitive gallbladder drainage and decompression. The world has changed. #gitwitter #surgery Douglas Pleskow Boston Scientific Endoscopy Tamta Chkhikvadze Praneeth Kudaravalli

106,563 次观看

Large and deep duodenal bulb ulcer found incidentally on the way to the 2nd duodenum for an ERCP. Low level bleeding as well. Pt with no symptoms, came as an outpt for ERCP. #gitwitter #surgery

Large and deep duodenal bulb ulcer found incidentally on the way to the 2nd duodenum for an ERCP. Low level bleeding as well. Pt with no symptoms, came as an outpt for ERCP. #gitwitter #surgery

12,976 次观看

Specifically, what surgery did this patient undergo? Do not just say, "fundoplication." This is a rare operation. #gitwitter #surgery

Specifically, what surgery did this patient undergo? Do not just say, "fundoplication." This is a rare operation. #gitwitter #surgery

15,067 次观看

Esophagus in a patient with advanced scleroderma. How many changes can you spot? #gitwitter #esophagus #scleroderma #crest #medx #medtwitter

Esophagus in a patient with advanced scleroderma. How many changes can you spot? #gitwitter #esophagus #scleroderma #crest #medx #medtwitter

42,262 次观看

Name 3 things that could cause an esophageal ulcer like this! #gitwitter #medx #medtwitter #surgery #esophagus

Name 3 things that could cause an esophageal ulcer like this! #gitwitter #medx #medtwitter #surgery #esophagus

34,808 次观看

$1/2 Severe, fibrotic, chronic intractable refractory benign esophageal stricture. Treated with a Resilience stent to good effect! #giwitter #surgery #esophagus #dysphagia #medx Endotek zeke eller$

1/2 Severe, fibrotic, chronic intractable refractory benign esophageal stricture. Treated with a Resilience stent to good effect! #giwitter #surgery #esophagus #dysphagia #medx Endotek zeke eller

29,948 次观看

What do you think of this large gastric ulcer? Benign or malignant? #gitwitter #medx #medtwitter

What do you think of this large gastric ulcer? Benign or malignant? #gitwitter #medx #medtwitter

27,590 次观看

Working my way through a thick cricopharyngeal muscle bar during a recent Zenker's diverticulotomy/ZPOEM. #gitwitter #surgery #dysphagia

Working my way through a thick cricopharyngeal muscle bar during a recent Zenker's diverticulotomy/ZPOEM. #gitwitter #surgery #dysphagia

18,425 次观看

$Refractory pouch-to-jejunum stricture following Roux-en-Y gastric bypass. Pt cannot eat at all. Treated to good effect with a Resilience stent. Pinhole lumen to wide open! #gitwitter #bariatrics #surgery Endotek zeke eller$

Refractory pouch-to-jejunum stricture following Roux-en-Y gastric bypass. Pt cannot eat at all. Treated to good effect with a Resilience stent. Pinhole lumen to wide open! #gitwitter #bariatrics #surgery Endotek zeke eller

18,302 次观看

What amazes me about EUS-guided gallbladder drainages is how they have gone from *nonexistent* to widespread in 10 yrs. When I started doing these a decade ago I got tremendous pushback from surgery/IR/etc and now they are essentially routine. #gitwitter #surgery #medicine #medx

What amazes me about EUS-guided gallbladder drainages is how they have gone from nonexistent to widespread in 10 yrs. When I started doing these a decade ago I got tremendous pushback from surgery/IR/etc and now they are essentially routine. #gitwitter #surgery #medicine #medx

27,578 次观看

Great video clip from a recent Anti-Reflux Mucosal Ablation (ARMA) case. We are not quite done with the ablation here but getting close. #gitwitter #surgery #gerd

Great video clip from a recent Anti-Reflux Mucosal Ablation (ARMA) case. We are not quite done with the ablation here but getting close. #gitwitter #surgery #gerd

12,531 次观看

Colon stent used to relieve malignant large bowel obstruction. Always very effective! #gitwitter #surgery #colorectal #medtwitter

Colon stent used to relieve malignant large bowel obstruction. Always very effective! #gitwitter #surgery #colorectal #medtwitter

31,771 次观看

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Beautiful biliary sphincterotomy to remove a large impacted bile duct stone during ERCP! #gitwitter #surgery

Beautiful biliary sphincterotomy to remove a large impacted bile duct stone during ERCP! #gitwitter #surgery

Douglas G. Adler MD, FASGE, FACG, AGAF

2,221,173 次观看 • 2 个月前

Applying PuraStat to a sphincterotomy bleed after hemostatis was achieved with a Gold Probe to reduce the risk of rebleeding. Very effective in my experience! #gitwitter

Applying PuraStat to a sphincterotomy bleed after hemostatis was achieved with a Gold Probe to reduce the risk of rebleeding. Very effective in my experience! #gitwitter

Douglas G. Adler MD, FASGE, FACG, AGAF

310,485 次观看 • 2 个月前

Sphincterotomy with impacted bile duct stone removal during ERCP. So satisfying for the doctor and the patient! #gitwitter #surgery #medx

Sphincterotomy with impacted bile duct stone removal during ERCP. So satisfying for the doctor and the patient! #gitwitter #surgery #medx

Douglas G. Adler MD, FASGE, FACG, AGAF

147,309 次观看 • 2 个月前

Working my way through the muscular bar in a patient with a HUGE Zenker's diverticulum using the SB Knife. So effective for the patient! #gitwitter #dysphagia #surgery

Working my way through the muscular bar in a patient with a HUGE Zenker's diverticulum using the SB Knife. So effective for the patient! #gitwitter #dysphagia #surgery

Douglas G. Adler MD, FASGE, FACG, AGAF

28,572 次观看 • 4 个月前

I have been doing Anti Reflux Mucosal Ablation (ARMA) for GERD for a while now and I have to say the results have been impressive! Are you doing this in your practice? #arma #gitwitter #gerd #esophagus #surgery

I have been doing Anti Reflux Mucosal Ablation (ARMA) for GERD for a while now and I have to say the results have been impressive! Are you doing this in your practice? #arma #gitwitter #gerd #esophagus #surgery

Douglas G. Adler MD, FASGE, FACG, AGAF

19,618 次观看 • 4 个月前

Zenker's diverticulotomy with an SB knife for dysphagia. These procedures are literally life changing for these patients. They go from choking and sputtering to eating normally again. Are you doing this in your practice? #gitwitter #surgery #dysphagia #esophagus

Zenker's diverticulotomy with an SB knife for dysphagia. These procedures are literally life changing for these patients. They go from choking and sputtering to eating normally again. Are you doing this in your practice? #gitwitter #surgery #dysphagia #esophagus

Douglas G. Adler MD, FASGE, FACG, AGAF

22,877 次观看 • 5 个月前

Saturday morning sphincterotomy. #gitwitter #surgery #ERCP

Saturday morning sphincterotomy. #gitwitter #surgery #ERCP

Douglas G. Adler MD, FASGE, FACG, AGAF

23,629 次观看 • 6 个月前

Beautiful video: Raptor forceps to remove a plastic biliary stent that migrated & perforated the contralateral wall of the 2nd duodenum. Perforation closed w/ clips & pt treated with oral antibiotics to good effect. #gitwitter #surgery Tamta Chkhikvadze Andy Tau, MD Saurabh Chandan, MD Achintya Singh, MD

Beautiful video: Raptor forceps to remove a plastic biliary stent that migrated & perforated the contralateral wall of the 2nd duodenum. Perforation closed w/ clips & pt treated with oral antibiotics to good effect. #gitwitter #surgery Tamta Chkhikvadze Andy Tau, MD Saurabh Chandan, MD Achintya Singh, MD

Douglas G. Adler MD, FASGE, FACG, AGAF

20,100 次观看 • 5 个月前

Many people think colonic stents are only for use on the left colon. This is TOTALLY FALSE! Here is a great video of a 22x90 mm colonic stent being deployed across the IC valve in a pt with obstructing cecal cancer. #gitwitter #surgery #medx #medtwitter

Many people think colonic stents are only for use on the left colon. This is TOTALLY FALSE! Here is a great video of a 22x90 mm colonic stent being deployed across the IC valve in a pt with obstructing cecal cancer. #gitwitter #surgery #medx #medtwitter

Douglas G. Adler MD, FASGE, FACG, AGAF

23,521 次观看 • 6 个月前

If a patient with cirrhosis and varices also has Barrett's esophagus, you can BAND IT! Treats the varices and the Barrett's at the same time. Only downside is you do not get a specimen for path, but a reasonable tradeoff! #esophagus #gitwitter #barrett #cirrhosis AASLD

If a patient with cirrhosis and varices also has Barrett's esophagus, you can BAND IT! Treats the varices and the Barrett's at the same time. Only downside is you do not get a specimen for path, but a reasonable tradeoff! #esophagus #gitwitter #barrett #cirrhosis AASLD

Douglas G. Adler MD, FASGE, FACG, AGAF

17,007 次观看 • 7 个月前

God Bless the Coag Grasper! #gitwitter #surgery #poem

God Bless the Coag Grasper! #gitwitter #surgery #poem

Douglas G. Adler MD, FASGE, FACG, AGAF

10,786 次观看 • 4 个月前

How many of you use default settings on your endosurgical generator for sphincterotomy during ERCP? How many of you have personalized settings? I always use personalized settings based on my experience and preference. What do you do? Please RT and answer below. #GItwitter

How many of you use default settings on your endosurgical generator for sphincterotomy during ERCP? How many of you have personalized settings? I always use personalized settings based on my experience and preference. What do you do? Please RT and answer below. #GItwitter

Douglas G. Adler MD, FASGE, FACG, AGAF

26,946 次观看 • 1 年前

Can you name the surgery this patient has undergone? #gitwitter #surgery

Can you name the surgery this patient has undergone? #gitwitter #surgery

Douglas G. Adler MD, FASGE, FACG, AGAF

14,750 次观看 • 1 年前

RFA of severe GAVE. I find myself moving away from APC to this technology. Do you agree? #gitwitter #cirrhosis

RFA of severe GAVE. I find myself moving away from APC to this technology. Do you agree? #gitwitter #cirrhosis

Douglas G. Adler MD, FASGE, FACG, AGAF

14,765 次观看 • 2 年前

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