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Douglas G. Adler MD, FASGE, FACG, AGAF

@DouglasAdlerMD • 17,436 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

1,617,447 просмотров

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

1,980,639 просмотров

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 просмотров

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 просмотров

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

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

1,236,568 просмотров

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 просмотров

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 просмотров

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 просмотров

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 просмотров

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 просмотров

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

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 просмотров

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

27,468 просмотров

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 просмотров

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 просмотров

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

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

17,650 просмотров

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 просмотров

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 просмотров

Immediately after deploying an Axios stent into 20x16cm walled off pancreatic necrosis. Now THAT is drainage! #gitwitter #surgery #medx #medtwitter Boston Scientific Endoscopy

Immediately after deploying an Axios stent into 20x16cm walled off pancreatic necrosis. Now THAT is drainage! #gitwitter #surgery #medx #medtwitter Boston Scientific Endoscopy

15,305 просмотров

Another Dragonfly cholangioscopy case. What do you all think about the image quality? #gitwitter Scot Michael Lewey Prof John Leeds

Another Dragonfly cholangioscopy case. What do you all think about the image quality? #gitwitter Scot Michael Lewey Prof John Leeds

13,470 просмотров

Where does endoscopy end & surgery begin? I think it is not so clear anymore. Endoscopy is going places that only surgery went in the past. Video from a recent EPOEM for achalasia. Does this look like endoscopy to you? Thoughts? #gitwitter #surgery #medicine #medtwitter

Where does endoscopy end & surgery begin? I think it is not so clear anymore. Endoscopy is going places that only surgery went in the past. Video from a recent EPOEM for achalasia. Does this look like endoscopy to you? Thoughts? #gitwitter #surgery #medicine #medtwitter

29,815 просмотров

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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

2,220,805 просмотров • 2 месяцев назад

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

310,359 просмотров • 2 месяцев назад

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 просмотров • 2 месяцев назад

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 просмотров • 4 месяцев назад

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 просмотров • 3 месяцев назад

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 просмотров • 5 месяцев назад

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 просмотров • 4 месяцев назад

Saturday morning sphincterotomy. #gitwitter #surgery #ERCP

Saturday morning sphincterotomy. #gitwitter #surgery #ERCP

Douglas G. Adler MD, FASGE, FACG, AGAF

23,629 просмотров • 5 месяцев назад

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

23,491 просмотров • 6 месяцев назад

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 просмотров • 3 месяцев назад

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

16,977 просмотров • 6 месяцев назад

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 просмотров • 1 год назад

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

14,748 просмотров • 1 год назад

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 просмотров • 2 лет назад

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