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Douglas G. Adler MD, FASGE, FACG, AGAF

@DouglasAdlerMD • 17,094 subscribers

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

Shorts

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

1,731,100 Aufrufe

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 Aufrufe

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

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

1,236,568 Aufrufe

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

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

28,953 Aufrufe

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

187,415 Aufrufe

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

34,130 Aufrufe

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

41,881 Aufrufe

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

106,514 Aufrufe

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

13,175 Aufrufe

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

27,549 Aufrufe

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 Aufrufe

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

29,740 Aufrufe

This video shows one of the best moments of GPOEM procedure - when the pyloric musculature first becomes visible. During tunneling & dissection of submucosal tissue, suddenly you can see the pylorus through the remaining tissue to dissect. #gitwitter #surgery #gastroparesis

This video shows one of the best moments of GPOEM procedure - when the pyloric musculature first becomes visible. During tunneling & dissection of submucosal tissue, suddenly you can see the pylorus through the remaining tissue to dissect. #gitwitter #surgery #gastroparesis

19,387 Aufrufe

Pulling a PHAT stone out of the bile duct! Never gets old. #gitwitter #surgery #medtwitter #medx #medschool

Pulling a PHAT stone out of the bile duct! Never gets old. #gitwitter #surgery #medtwitter #medx #medschool

14,514 Aufrufe

Another very satisfying sphincterotomy. This never gets old. N E V E R. #gitwitter Aslak Gottlieb GIE VideoGIE Journal

Another very satisfying sphincterotomy. This never gets old. N E V E R. #gitwitter Aslak Gottlieb GIE VideoGIE Journal

37,744 Aufrufe

Patient came for an ERCP and found to have copious blood in stomach. Duodenum showed the following findings. What would your next move be? #gitwitter

Patient came for an ERCP and found to have copious blood in stomach. Duodenum showed the following findings. What would your next move be? #gitwitter

22,434 Aufrufe

Pt with complete dysphagia. Tumor ingrowth through the uncovered part of a partially covered esophageal stent. Distal uncovered part had hyperplasia. Treated with a new stent inside the tumor ingrown part to good effect. #gitwitter #esophagus #surgery #medx #medtwitter

Pt with complete dysphagia. Tumor ingrowth through the uncovered part of a partially covered esophageal stent. Distal uncovered part had hyperplasia. Treated with a new stent inside the tumor ingrown part to good effect. #gitwitter #esophagus #surgery #medx #medtwitter

14,702 Aufrufe

One of my FAVORITE tools for endoscopic necrosectomy in pts with pancreatic necrosis is a trapezoid basket. Works great and allows you to remove a lot of necrosis in each session. What are your favorite tools? Please reply. #gitwitter #surgery Aslak Gottlieb GIE

One of my FAVORITE tools for endoscopic necrosectomy in pts with pancreatic necrosis is a trapezoid basket. Works great and allows you to remove a lot of necrosis in each session. What are your favorite tools? Please reply. #gitwitter #surgery Aslak Gottlieb GIE

13,585 Aufrufe

Endocuff and related cap-assisted devices potentially allow for better detection of polyps, but come at increased cost and increased exam time. What do you think? Do you use them? #gitwitter #colonoscopy David Schwartz Babu P. Mohan Mohamad El Zein MD, MPH  American Gastroenterological Association (AGA) ASGE GI Endoscopy

Endocuff and related cap-assisted devices potentially allow for better detection of polyps, but come at increased cost and increased exam time. What do you think? Do you use them? #gitwitter #colonoscopy David Schwartz Babu P. Mohan Mohamad El Zein MD, MPH  American Gastroenterological Association (AGA) ASGE GI Endoscopy

10,870 Aufrufe

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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

2,211,698 Aufrufe • vor 22 Tagen

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

309,522 Aufrufe • vor 23 Tagen

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

146,621 Aufrufe • vor 21 Tagen

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

28,497 Aufrufe • vor 2 Monaten

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

19,462 Aufrufe • vor 2 Monaten

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 Aufrufe • vor 2 Monaten

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

22,836 Aufrufe • vor 3 Monaten

Saturday morning sphincterotomy. #gitwitter #surgery #ERCP

Saturday morning sphincterotomy. #gitwitter #surgery #ERCP

Douglas G. Adler MD, FASGE, FACG, AGAF

23,629 Aufrufe • vor 4 Monaten

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

23,421 Aufrufe • vor 4 Monaten

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

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

Douglas G. Adler MD, FASGE, FACG, AGAF

10,716 Aufrufe • vor 1 Monat

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

16,945 Aufrufe • vor 4 Monaten

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 Aufrufe • vor 1 Jahr

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 Aufrufe • vor 1 Jahr

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 Aufrufe • vor 2 Jahren

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