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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,... show more

Andy Tau, MD

9,300 subscribers

64,381 次观看 • 2 年前 •via X (Twitter)

科学技术健康养生 #GITwitter

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10 条评论

Andy Tau, MD 的头像

Andy Tau, MD2 年前

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

Eric Pauli 的头像

Eric Pauli2 年前

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

Elliot Servais, MD, FACS 的头像

Elliot Servais, MD, FACS2 年前

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 的头像

Adam Myer MD2 年前

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

Biswa Ranjan Patra MD,DM 🇮🇳 的头像

Biswa Ranjan Patra MD,DM 🇮🇳2 年前

@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 的头像

Andy Tau, MD2 年前

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

Bara Kurdi, MD 的头像

Bara Kurdi, MD2 年前

@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 的头像

Andy Tau, MD2 年前

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

Benjamin Clement, MD 的头像

Benjamin Clement, MD2 年前

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

Change your password 的头像

Change your password2 年前

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

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Follow up re Ezra Teitelbaum recent milking stones post. The color of these stones is interesting #routineioc Vahagn C. Nikolian, MD Ron Barbosa MD FACS Caroline Park MD, MPH SAGES is in Vegas in 2027! Maggie Bosley, MD Eleah Porter MD Eric Pauli Douglas G. Adler MD, FASGE, FACG, AGAF

Follow up re Ezra Teitelbaum recent milking stones post. The color of these stones is interesting #routineioc Vahagn C. Nikolian, MD Ron Barbosa MD FACS Caroline Park MD, MPH SAGES is in Vegas in 2027! Maggie Bosley, MD Eleah Porter MD Eric Pauli Douglas G. Adler MD, FASGE, FACG, AGAF

Eric Knauer

10,920 次观看 • 1 年前

What's the tremendous progress with huge enthusiasm of my 🌟 brothers د. ابراهيم الحافظ Ibrahim Alzahrani to adopt third space endoscopy program . We Performed the first case of Peroral endoscopic myotomy ( POEM ) And Rectal ESD that definitely will be added to premium motality program with Dr.Abdulaziz Alruzuk and luminal GI Programs...Great help and support from the nursing team , Anaesthesia team and Hospital Medical Director ماجد العبدلي-Majed Alabdali. Special thanks and gratitude to our 🌟 Dr.Aymen Aymen Almuhaidb, MD with busy schedule to help and launch such special procedures . Great ERBE knife we're used to. In between both patients are doing fine post procedures. 🔴الحمدلله ؛ بفضل الله تم إجرائين طبيين فريدين من نوعهم لأول مره في مستشفى الملك فهد الجامعي بالخبر KFHU مستشفى الملك فهد الجامعي عبر أطباء الجهاز الهضمي و المناظير العلاجيه .الإجراء الأول لمريض يعاني من مرض تعذر الارتخاء ( achalasia )حيث تم إجراء بالمنظار عمل شق صغير لا يتعدى 15 مل ثم الوصول للمنطقه المستهدفة في نهاية المرئ ويتم تقطيع العضله المسببه للمشكله بينما الإجراء الثاني هي إزالة لحمية كامله من جدار الجهاز الهضمي ESD...وكلا المريضين بخير ...كل الشكر للطاقم الطبي والإداري لتسهيل مثل هذي الإجراءات ... Aymen Almuhaidb, MD . #ThirdspaceEndoscopy #Advancedtherapeutic Klaus Mönkemüller, MD, PhD Ahmad.Madkour Akwi Asombang MD MPH Ammar Kheir Antonio Facciorusso Alaa Alali Sundeep Lakhtakia Samir C. Grover, M.D. Clive Miranda, DO, MSc Jahnvi Dhar DR. MIKE FITE - Foundation Tyler Berzin MD, FASGE Justin J. Forde MD, MS, ABOM-D Antonio Mendoza Ladd MD, AGAF, FACG, FASGE J. Tabibian, FACP, FASGE, FACG, AGAF Faisal Moamen Gabr Sultan Mahmood MD FASGE Erik Holzwanger, MD, ABOM-D Prof John Leeds Bobby Jacob, MD Khaled Bamakhrama Zaheer Nabi Natalie Cosgrove MD Dr. Viswanath Reddy D Violeta Popov, MD PhD Mariam Naveed, MD Neil Bhogal, MD Douglas G. Adler MD, FASGE, FACG, AGAF

What's the tremendous progress with huge enthusiasm of my 🌟 brothers د. ابراهيم الحافظ Ibrahim Alzahrani to adopt third space endoscopy program . We Performed the first case of Peroral endoscopic myotomy ( POEM ) And Rectal ESD that definitely will be added to premium motality program with Dr.Abdulaziz Alruzuk and luminal GI Programs...Great help and support from the nursing team , Anaesthesia team and Hospital Medical Director ماجد العبدلي-Majed Alabdali. Special thanks and gratitude to our 🌟 Dr.Aymen Aymen Almuhaidb, MD with busy schedule to help and launch such special procedures . Great ERBE knife we're used to. In between both patients are doing fine post procedures. 🔴الحمدلله ؛ بفضل الله تم إجرائين طبيين فريدين من نوعهم لأول مره في مستشفى الملك فهد الجامعي بالخبر KFHU مستشفى الملك فهد الجامعي عبر أطباء الجهاز الهضمي و المناظير العلاجيه .الإجراء الأول لمريض يعاني من مرض تعذر الارتخاء ( achalasia )حيث تم إجراء بالمنظار عمل شق صغير لا يتعدى 15 مل ثم الوصول للمنطقه المستهدفة في نهاية المرئ ويتم تقطيع العضله المسببه للمشكله بينما الإجراء الثاني هي إزالة لحمية كامله من جدار الجهاز الهضمي ESD...وكلا المريضين بخير ...كل الشكر للطاقم الطبي والإداري لتسهيل مثل هذي الإجراءات ... Aymen Almuhaidb, MD . #ThirdspaceEndoscopy #Advancedtherapeutic Klaus Mönkemüller, MD, PhD Ahmad.Madkour Akwi Asombang MD MPH Ammar Kheir Antonio Facciorusso Alaa Alali Sundeep Lakhtakia Samir C. Grover, M.D. Clive Miranda, DO, MSc Jahnvi Dhar DR. MIKE FITE - Foundation Tyler Berzin MD, FASGE Justin J. Forde MD, MS, ABOM-D Antonio Mendoza Ladd MD, AGAF, FACG, FASGE J. Tabibian, FACP, FASGE, FACG, AGAF Faisal Moamen Gabr Sultan Mahmood MD FASGE Erik Holzwanger, MD, ABOM-D Prof John Leeds Bobby Jacob, MD Khaled Bamakhrama Zaheer Nabi Natalie Cosgrove MD Dr. Viswanath Reddy D Violeta Popov, MD PhD Mariam Naveed, MD Neil Bhogal, MD Douglas G. Adler MD, FASGE, FACG, AGAF

Turki AlAmri |تُرْكي عبدالله الْعَمريَّ MD

12,330 次观看 • 2 年前

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28,420 次观看 • 3 年前

Dr. McCullough: The COVID Vaccines Are Causing the ‘Largest Blood Clots We’ve Ever Seen’ “My experience with these blood clots are they’re enormously resistant to blood thinners,” disclosed Dr. Peter A. McCullough, MD, MPH®. “Wuhan spike protein is inside the blood clots, and it’s folding, forming what’s called amyloid structures.” “They [researchers] found astronomical rates of blood clots in the retinal arteries and retinal veins in those vaccinated compared to the unvaccinated. And that was only with two shots back in 2021,” he detailed. “Two years later ... the risk is there. So, what I’m telling you is these vaccines have a very long effect in the human body. And when we see blood clots in the arteries, small arteries, and veins of the eyes, they’re reflecting what’s going on in the body.”

Dr. McCullough: The COVID Vaccines Are Causing the ‘Largest Blood Clots We’ve Ever Seen’ “My experience with these blood clots are they’re enormously resistant to blood thinners,” disclosed Dr. Peter A. McCullough, MD, MPH®. “Wuhan spike protein is inside the blood clots, and it’s folding, forming what’s called amyloid structures.” “They [researchers] found astronomical rates of blood clots in the retinal arteries and retinal veins in those vaccinated compared to the unvaccinated. And that was only with two shots back in 2021,” he detailed. “Two years later ... the risk is there. So, what I’m telling you is these vaccines have a very long effect in the human body. And when we see blood clots in the arteries, small arteries, and veins of the eyes, they’re reflecting what’s going on in the body.”

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2,032,666 次观看 • 3 年前

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LUMEN STREAMERS — RUBBERY CLOTS — AND THE 'DIED SUDDENLY' PHENOMENON Here Are Six Key Insights into the Now-Infamous 'White, Fibrous Clots' and How They Act as Slow, Stealthy, and Sudden Killers in Those Who've Taken the COVID Jabs (1/7) 1. THE CLOTS FORM OVER TIME (UP TO YEARS) IN PEOPLE'S BLOOD VESSELS Although the now-infamous "white fibrous clots"—sometimes referred to as "rubber band clots" or "rubbery clots"—first brought to light by embalmer Richard Hirschman (via DR JANE RUBY™️) are obviously killing a great many COVID-injected people, it's unclear exactly how they're often able to grow undetected. In this brief thread, however, we have several key insights from physicians and others as to how the clots grow stealthily before they murder their unsuspecting victims. First up, we have radiologist Dr. Phillip Triantos in discussion The Blaze Senior Editor Daniel Horowitz (Daniel Horowitz) showing ultrasound images of what he believes are the white fibrous clots forming inside the blood vessels of (still living) COVID "vaccinated" people. The first trio of ultrasound images Triantos presents shows a man who was "genetically jabbed three times" who developed what Triantos assumes is one of the white, fibrous clots. The radiologist notes the man was injected in 2022, and, by 2024, the clot has "gotten a little bigger...[and] a little longer." He notes the clot has "taken its time" growing in the lumen (the cavity of a blood vessel). Next, Triantos shows another patient who has in one of their blood vessels a "long, string-like clot." Triantos notes that he has seen these types of clots prior to the rollout of the COVID injections, but says they're "typically...chronic clots that people have had for a long time" as opposed to the novel white fibrous clots, which are "presenting acutely." Triantos also shows some of the white fibrous clots that Hirschman pulled out of the veins and arteries of a body, which Triantos says "[look] very similar" to the clots he's seeing in ultrasounds. Finally, in this clip, Triantos notes one specific case where these white fibrous clots acted as a killer, highlighting the death of a 25-year-old man in his area (somewhere in Alabama) who took the Moderna injection for work. "[T]wo years...after his shot he ended up passing away from a huge embolus in chest..." the radiologist says. (An embolus is a blood clot.)

Sense Receptor

18,398 次观看 • 2 年前

This is a real problem. I’ve personally known people who developed blood clots after the COVID vaccination. In this clip Dr. Peter McCullough describes the clots he has seen as unusually large, highly resistant to blood thinners, and containing spike protein that forms amyloid-like structures. He also references higher rates of retinal artery and vein occlusions in vaccinated vs unvaccinated people (data from 2021, two-dose series).

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Dr. Dawn Michael

45,378 次观看 • 12 天前

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11,822 次观看 • 1 年前

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19,068 次观看 • 4 个月前

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223,995 次观看 • 7 个月前

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23,045 次观看 • 3 年前

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18,284 次观看 • 5 个月前

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1,026,755 次观看 • 1 年前

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The Vigilant Fox 🦊

1,544,392 次观看 • 3 年前

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16,095 次观看 • 9 天前

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Chief Nerd

1,623,508 次观看 • 2 年前

🇺🇸 ELON: WE DON’T WANT AMERICA TO TURN INTO A COMMUNIST HELLHOLE Elon spoke bluntly about the political ripple effects of concentrated voting blocs reshaping U.S. politics in ways few are willing to talk about: “Well, let’s look at Ilhan Omar, who was literally voted into Congress by a large group of people from Somalia who are in Minnesota, which is really far from Somalia. Or Mamdani who was voted to be mayor by a majority of people who were not born in America, that’s my understanding, at least. And then California is a big-time situation. So, I don’t know. We just don’t want to turn into a communist hellhole, basically.” Source: Katie Miller Elon Musk

🇺🇸 ELON: WE DON’T WANT AMERICA TO TURN INTO A COMMUNIST HELLHOLE Elon spoke bluntly about the political ripple effects of concentrated voting blocs reshaping U.S. politics in ways few are willing to talk about: “Well, let’s look at Ilhan Omar, who was literally voted into Congress by a large group of people from Somalia who are in Minnesota, which is really far from Somalia. Or Mamdani who was voted to be mayor by a majority of people who were not born in America, that’s my understanding, at least. And then California is a big-time situation. So, I don’t know. We just don’t want to turn into a communist hellhole, basically.” Source: Katie Miller Elon Musk

Mario Nawfal

1,316,890 次观看 • 10 个月前

Robert Malone MD just revealed he was sent a letter “in writing” that his MAHA affiliation has “ended”. From leading on the most important MAHA issue. To being told he's no longer part of it. MALONE: “I’ve been retaliated against now... I no longer have any affiliation with MAHA... [it] ended abruptly.. but in writing..... so that’s the way the game is still being played.” Robert W Malone, MD details in a positive light how the Government is struggling to control messaging in what has become a new decentralised modern media environment. But it’s still crystal clear that “the most radical medical experiment” with messenger RNA tech continues playing out.

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27,267 次观看 • 3 个月前