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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

9,118 subscribers

35,366 次观看 • 1 年前 •via X (Twitter)

健康养生科学技术教育 #GITwitter

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11 条评论

Nikki Duong, M.D. 的头像

Nikki Duong, M.D.1 年前

I always worry about what is underneath!

Avery Walker, MD, FACS, FASCRS 的头像

Avery Walker, MD, FACS, FASCRS1 年前

Why would you remove an adherent clot that’s doing its job??? All I hear in my head is the song “danger zone“

Andy Tau, MD 的头像

Andy Tau, MD1 年前

In order to treat it more durably endoscopically. The rebleeding rate is fairly high 25-30% if left alone. Guidelines leave it ambivalent whether to do this or not.

Yuval Patel 的头像

Yuval Patel1 年前

That’s a stress test for the endoscopist right there 😳

David Diehl 的头像

David Diehl1 年前

Beautiful demonstration of this technique!

GastroDoc 的头像

GastroDoc1 年前

You go with a cap right from the start for every bleeder?

Andy Tau, MD 的头像

Andy Tau, MD1 年前

Not always, only if I am suspecting DU. No hematemesis Melena , high BuN /Cr +NSAIDS

Harry Nguyen, DO 的头像

Harry Nguyen, DO1 年前

@EndoCollabcom 😳😳 Given how the guidelines are vague, is it your practice to always remove an adherent clot and be prepared to treat what is underneath or does it really situational?

Andy Tau, MD 的头像

Andy Tau, MD1 年前

@EndoCollabcom I almost always remove the clot and treat as I am prepared if I upgrade it to active GIB and have back up (Hemospray/IR)

Matthew E. Tick, DO 的头像

Matthew E. Tick, DO1 年前

.@DrBloodandGuts what cap are you using in this video?

Andy Tau, MD 的头像

Andy Tau, MD1 年前

Olympus

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