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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,...

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Andy Tau, MD

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64,241 views • 2 years ago •via X (Twitter)

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Andy Tau, MD's profile picture
Andy Tau, MD2 years ago

@ShimaghavimiMD @drkeithsiau @ChahalPrabhleen @DVinsard @GI_Pearls @alan_barkun @NeenaSAbrahamMD @sdesai23 @GIDrDon @ericpaulimd @AnotherPatelMD @KMonkemuller @EndoscopyOthman @DrHarryThomas @TrieuMD @helpatologist @krishnanendo @drKumarGI @DCharabaty @MendozaLadd

Eric Pauli's profile picture
Eric Pauli2 years ago

@DouglasAdlerMD @AdvaniRashmiMD @TarunRustaGI_MD @neilRsharmaMD @SAGES_Updates This also works very well for food bolus impaction/bezoar.

Elliot Servais, MD, FACS's profile picture
Elliot Servais, MD, FACS2 years ago

This is effectively rigid endoscopy. The downside to this technique as compared to true rigid esophagoscopy (at least as it is demonstrated here) is the inability to visualize at the same time as passing the suction tubing. That said, one could possibly use a pediatric gastroscope through the overtube at the same time as suction tubing.

Adam Myer MD's profile picture
Adam Myer MD2 years ago

@DouglasAdlerMD @AdvaniRashmiMD @TarunRustaGI_MD @neilRsharmaMD @SAGES_Updates This man is a genius

Biswa Ranjan Patra MD,DM 🇮🇳's profile picture
Biswa Ranjan Patra MD,DM 🇮🇳2 years ago

@giri_gutnliver @DouglasAdlerMD @AdvaniRashmiMD @TarunRustaGI_MD @neilRsharmaMD @SAGES_Updates Innovative method 👌👌, only concern is blind suction may convert few visible vessels/RCS into active sputer

Andy Tau, MD's profile picture
Andy Tau, MD2 years ago

@giri_gutnliver @DouglasAdlerMD @AdvaniRashmiMD @TarunRustaGI_MD @neilRsharmaMD @SAGES_Updates True.

Bara Kurdi, MD's profile picture
Bara Kurdi, MD2 years ago

@DouglasAdlerMD @AdvaniRashmiMD @TarunRustaGI_MD @neilRsharmaMD @SAGES_Updates I've always wanted to do this. However, I'm terrified of blowing up a juicy gastric varix in the process 🫣 How would you work around that?

Andy Tau, MD's profile picture
Andy Tau, MD2 years ago

@DouglasAdlerMD @AdvaniRashmiMD @TarunRustaGI_MD @neilRsharmaMD @SAGES_Updates An endoscopically guided method is better and I ask you standby

Benjamin Clement, MD's profile picture
Benjamin Clement, MD2 years ago

@DouglasAdlerMD @AdvaniRashmiMD @TarunRustaGI_MD @neilRsharmaMD @SAGES_Updates @inukzand @LiverDoc1 @aofosu123

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Change your password2 years ago

@DouglasAdlerMD @AdvaniRashmiMD @TarunRustaGI_MD @SAGES_Updates Creative technique and great video. Sometimes therapeutic endoscopes and max suction are not enough

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