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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,...

64,381 Aufrufe • vor 2 Jahren •via X (Twitter)

10 Kommentare

Profilbild von Andy Tau, MD
Andy Tau, MDvor 2 Jahren

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

Profilbild von Eric Pauli
Eric Paulivor 2 Jahren

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

Profilbild von Elliot Servais, MD, FACS
Elliot Servais, MD, FACSvor 2 Jahren

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.

Profilbild von Adam Myer MD
Adam Myer MDvor 2 Jahren

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

Profilbild von Biswa Ranjan Patra MD,DM 🇮🇳
Biswa Ranjan Patra MD,DM 🇮🇳vor 2 Jahren

@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

Profilbild von Andy Tau, MD
Andy Tau, MDvor 2 Jahren

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

Profilbild von Bara Kurdi, MD
Bara Kurdi, MDvor 2 Jahren

@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?

Profilbild von Andy Tau, MD
Andy Tau, MDvor 2 Jahren

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

Profilbild von Benjamin Clement, MD
Benjamin Clement, MDvor 2 Jahren

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

Profilbild von Change your password
Change your passwordvor 2 Jahren

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

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