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Andy Tau, MD

@DrBloodandGuts • 9,117 subscribers

Gastroenterology Hospitalist @AustinGastro. Trained @BCMhouston, @Harvard

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“DU Your Best: Duodenal Ulcer Hemostasis Tutorial” I will go step by step through my thoughts [#] and struggle. This pt was transferred for IR embolization after re-bleeding after initial EGD (epi+clip) [#1 - Guidelines recommend repeat EGD after 1st rebleed, not IR]

“DU Your Best: Duodenal Ulcer Hemostasis Tutorial” I will go step by step through my thoughts [#] and struggle. This pt was transferred for IR embolization after re-bleeding after initial EGD (epi+clip) [#1 - Guidelines recommend repeat EGD after 1st rebleed, not IR]

38,496 görüntüleme

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Hot biopsy forceps 3 ways— closed on vessel, open on vessel, clot removal and simultaneous cautery.
0:28
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Hot biopsy forceps 3 ways— closed on vessel, open on vessel, clot removal and simultaneous cautery.

Andy Tau, MD

14,697 görüntüleme • 1 ay önce

Behold the “Megacap” ie Ovesco Endoscopy RemOVE FBR Kit. Remove food bolus en bloc by suctioning rather than pushing blindly inward. The large soft cap allows large volumetric capture and folds to allow for passage down the oropharynx easily. The long cap prevents the bolus from jamming the suction channel (as it would short caps). When you see “food out, during suctioning, start to wiggle out and reveal your prize!
0:23
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Behold the “Megacap” ie Ovesco Endoscopy RemOVE FBR Kit. Remove food bolus en bloc by suctioning rather than pushing blindly inward. The large soft cap allows large volumetric capture and folds to allow for passage down the oropharynx easily. The long cap prevents the bolus from jamming the suction channel (as it would short caps). When you see “food out, during suctioning, start to wiggle out and reveal your prize!

Andy Tau, MD

10,524 görüntüleme • 27 gün önce

Hemospray has been showed to be a game changer when it comes to malignant GI bleeding. There is great value in a temporizing measure for massive tumors like this one in esophagus.
0:45
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Hemospray has been showed to be a game changer when it comes to malignant GI bleeding. There is great value in a temporizing measure for massive tumors like this one in esophagus.

Andy Tau, MD

78,391 görüntüleme • 1 yıl önce

Big clots are still a big problem in modern endoscopy. Here is a method to turn a flexible/rigidizing overtube into a large suction attachment to evacuate clots rapidly from the stomach. #GITwitter Douglas G. Adler MD, FASGE, FACG, AGAF Rashmi Advani, MD, ABOM Tarun Rustagi Neil Sharma, M.D. FASGE, FACG, AGAF SAGES is in Vegas in 2027!
0:52
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Big clots are still a big problem in modern endoscopy. Here is a method to turn a flexible/rigidizing overtube into a large suction attachment to evacuate clots rapidly from the stomach. #GITwitter Douglas G. Adler MD, FASGE, FACG, AGAF Rashmi Advani, MD, ABOM Tarun Rustagi Neil Sharma, M.D. FASGE, FACG, AGAF SAGES is in Vegas in 2027!

Andy Tau, MD

64,241 görüntüleme • 2 yıl önce

When banding internal hemorrhoids in retroflexion, wherever you think you should suction, move another 1cm away from anus to avoid banding the transition zone which is partly sensate. The cap always volumetrically captures a lot more tissue distally than expected. #GITwitter
0:49
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When banding internal hemorrhoids in retroflexion, wherever you think you should suction, move another 1cm away from anus to avoid banding the transition zone which is partly sensate. The cap always volumetrically captures a lot more tissue distally than expected. #GITwitter

Andy Tau, MD

40,700 görüntüleme • 1 yıl önce

The ultimate “clot buster” has arrived. Finally in stock at my hospitals ! Excited to start clearing clots in seconds :) #GITwitter
0:45
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The ultimate “clot buster” has arrived. Finally in stock at my hospitals ! Excited to start clearing clots in seconds :) #GITwitter

Andy Tau, MD

34,157 görüntüleme • 1 yıl önce

Snaring an adherent clot should use the same strategy as snaring a polyp. Make sure you get max capture on the first grab. #GITwitter
0:26
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Snaring an adherent clot should use the same strategy as snaring a polyp. Make sure you get max capture on the first grab. #GITwitter

Andy Tau, MD

35,366 görüntüleme • 1 yıl önce

I am proud to be able to show this now! The Pathfinder CR coverts the existing flexible overtube into an unmatched suction device. The clots pass around the scope and within the tube. This is under direct visualization. I presented this innovation at DDW Shark Tank. #GITwitter
1:06
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I am proud to be able to show this now! The Pathfinder CR coverts the existing flexible overtube into an unmatched suction device. The clots pass around the scope and within the tube. This is under direct visualization. I presented this innovation at DDW Shark Tank. #GITwitter

Andy Tau, MD

32,131 görüntüleme • 2 yıl önce

A patient develops pain when bolus feeding their PEG tube (20d old). You suspect buried bumper syndrome, but how do you proceed if the bumper out of the stomach? #GITwitter
0:57
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A patient develops pain when bolus feeding their PEG tube (20d old). You suspect buried bumper syndrome, but how do you proceed if the bumper out of the stomach? #GITwitter

Andy Tau, MD

35,714 görüntüleme • 2 yıl önce

A patient with hemorrhagic shock has a duodenal ulcer with a visible vessel larger than the 10Fr bipolar probe. What do you do next ? #GITwitter
0:28
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A patient with hemorrhagic shock has a duodenal ulcer with a visible vessel larger than the 10Fr bipolar probe. What do you do next ? #GITwitter

Andy Tau, MD

23,050 görüntüleme • 2 yıl önce

‘‘Twas the night before Christmas and all through the house, not a creature was stirring except … a food bolus through the esophagus and into the chest.” This is why food impaction are emergencies. #GITwitter
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‘‘Twas the night before Christmas and all through the house, not a creature was stirring except … a food bolus through the esophagus and into the chest.” This is why food impaction are emergencies. #GITwitter

Andy Tau, MD

28,398 görüntüleme • 3 yıl önce

Just got my hands on this NEW fully rotatable sphincterotome! The rotation is silky smooth & adds the final degree of freedom missing in tip control so badly needed in: intra-dochal (hilar, cystic), altered anatomy ERCP and papilla in duodenal diverticulum! #GITwitter
0:42
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Just got my hands on this NEW fully rotatable sphincterotome! The rotation is silky smooth & adds the final degree of freedom missing in tip control so badly needed in: intra-dochal (hilar, cystic), altered anatomy ERCP and papilla in duodenal diverticulum! #GITwitter

Andy Tau, MD

20,222 görüntüleme • 2 yıl önce

At TSGE, my favorite toy of all: Neptune Pathfinder CR (Clot removal), which is an adapter that coverts the existing Pathfinder overtube into an unmatched suction hose. Disclosure: I helped developed this (very proud!) The CR adapter is about the cost of a clip! #GITwitter
0:58
DrBloodandGuts's profile picture

At TSGE, my favorite toy of all: Neptune Pathfinder CR (Clot removal), which is an adapter that coverts the existing Pathfinder overtube into an unmatched suction hose. Disclosure: I helped developed this (very proud!) The CR adapter is about the cost of a clip! #GITwitter

Andy Tau, MD

14,837 görüntüleme • 1 yıl önce

Jump Scare! Duodenal EMR’s are notorious for post-resection bleeding (despite suturing!). Here I demonstrate bipolar coaptive cautery of a vessel. Combo therapy with thermal and mechanical is most durable IMO. #GITwitter
0:56
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Jump Scare! Duodenal EMR’s are notorious for post-resection bleeding (despite suturing!). Here I demonstrate bipolar coaptive cautery of a vessel. Combo therapy with thermal and mechanical is most durable IMO. #GITwitter

Andy Tau, MD

13,634 görüntüleme • 1 yıl önce

The combination of Erosive Esophagitis and varices is a bad one. Here is is a case of Grade C Esophagitis and EV resulting in an obvious high risk stigmata. #GITwitter
1:25
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The combination of Erosive Esophagitis and varices is a bad one. Here is is a case of Grade C Esophagitis and EV resulting in an obvious high risk stigmata. #GITwitter

Andy Tau, MD

16,064 görüntüleme • 2 yıl önce

To all general GI fellows: This is a through-the-scope fully covered self expanding esophageal metal stent (TTS FCSEMS). Learn to deploy this. It needs no fluoroscopy, but does need a therapeutic gastroscope. It’s as easy as leaving a guidewire behind. #GITwitter
0:47
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To all general GI fellows: This is a through-the-scope fully covered self expanding esophageal metal stent (TTS FCSEMS). Learn to deploy this. It needs no fluoroscopy, but does need a therapeutic gastroscope. It’s as easy as leaving a guidewire behind. #GITwitter

Andy Tau, MD

13,895 görüntüleme • 2 yıl önce

A trauma patient develops melena, shock, AST/ALT 1000’s and obstructive LFTs. The pt has chest tubes and is intubated. You encounter bleeding in D2. No prior ERCP (ever). What is this and possible causes? What do you do? How do you stop bleeding? #GITwitter
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A trauma patient develops melena, shock, AST/ALT 1000’s and obstructive LFTs. The pt has chest tubes and is intubated. You encounter bleeding in D2. No prior ERCP (ever). What is this and possible causes? What do you do? How do you stop bleeding? #GITwitter

Andy Tau, MD

12,786 görüntüleme • 2 yıl önce

Post Sphincterotomy bleeding is a bit stressful. Here are a variety of tools for hemostasis. My algorithm is usually: 1. Soft coagg w/ tome 2. Balloon Tamponade 3. Epi injection 4. Clip (11mm Conmed Duraclip) 5. Cautery (bipolar or monopolar forceps) 6. FCSEMS 7. Hemospray
0:45

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DrBloodandGuts's profile picture

Post Sphincterotomy bleeding is a bit stressful. Here are a variety of tools for hemostasis. My algorithm is usually: 1. Soft coagg w/ tome 2. Balloon Tamponade 3. Epi injection 4. Clip (11mm Conmed Duraclip) 5. Cautery (bipolar or monopolar forceps) 6. FCSEMS 7. Hemospray

Andy Tau, MD

11,882 görüntüleme • 3 yıl önce

The fully covered esophageal stent should be considered to be part of the repertoire of the general GI, in my opinion, for an emergent perforation or refractory esoph variceal bleed bc it can be deployed through the scope without fluoro. What do you think? #GITwitter
0:56

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The fully covered esophageal stent should be considered to be part of the repertoire of the general GI, in my opinion, for an emergent perforation or refractory esoph variceal bleed bc it can be deployed through the scope without fluoro. What do you think? #GITwitter

Andy Tau, MD

11,005 görüntüleme • 3 yıl önce

Daha fazla içerik yok.