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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

20,262 просмотров • 2 лет назад •via X (Twitter)

Комментарии: 10

Фото профиля Andy Tau, MD
Andy Tau, MD2 лет назад

My favorite analogy to understand the myriad movements of ERCP — BOXING! Left jab for PD. Right upper cut for CBD. #GITwitter

Фото профиля Andy Tau, MD
Andy Tau, MD2 лет назад

Bow= bend at elbow Elevator= raise at shoulder Big wheel up/down = step forward+stand / step back+crouch Push/pull scope = crouch/stand Small wheel R/L= R/L shoulder forward Torque scope R/L= R/L leg forward Push tome/wire = punch Now: ROTATE TOME= rotate at shoulder !

Фото профиля Andy Tau, MD
Andy Tau, MD2 лет назад

While it’s not quite the articulating tool that our surgical brothers enjoy, we can see we’re getting closer!

Фото профиля Andy Tau, MD
Andy Tau, MD2 лет назад

I think this may be a game changer in the intraductal work!

Фото профиля Andy Tau, MD
Andy Tau, MD2 лет назад

Maybe achieving this will no longer take me eating 15 minutes of fluoro?!

Фото профиля Sahaj Rathi MD, DM, MRCP
Sahaj Rathi MD, DM, MRCP2 лет назад

Definitely agree. Does make cystic calculations easier

Фото профиля Andy Tau, MD
Andy Tau, MD2 лет назад

Really great video. Thank you for sharing this concept! I really struggle with this cystic duct cannulation especially when it is by definition obstructed (cholecystitis). I sometimes think I’m a cardiologist opening blockage with PCI!

Фото профиля Andy Tau, MD
Andy Tau, MD2 лет назад

@BilalMohammadMD @AdvaniRashmiMD @TomTielleman @KM_Pawlak @drkeithsiau @EndoscopyOthman @neilRsharmaMD @KMonkemuller @ericpaulimd @SAGES_Updates @AnotherPatelMD @MetabolicEndo @ChahalPrabhleen @AustinChiangMD @DrMohdZein @DrLakhtakia @VKumbhari @GI_Guy @TrieuMD

Фото профиля Andy Tau, MD
Andy Tau, MD2 лет назад

@ZSobaniMD @MendozaLadd @NickMcDonaldMD @podimuwa @stevenbollipo @EndoCollabcom @DavidDiehlMD @flaubert_sena @helpatologist @RobertoSimonsMD @mikewallacemd @AgnihotriGI @TarunRustaGI_MD @Bjorn_Rembacken @GBrennanMD @HPanagiotakis @MarijoRojasMD @EndoTx @alan_barkun

Фото профиля Benjamin Clement, MD
Benjamin Clement, MD2 лет назад

I’m just waiting to see what innovative thing you do with it for GI bleeding 😂

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