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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

9,158 subscribers

35,371 Aufrufe • vor 2 Jahren •via X (Twitter)

Gesundheit & Wellness Wissenschaft & Technologie Bildung #GITwitter

Anya Rossi• Live Now

Private livecam show

11 Kommentare

Profilbild von Nikki Duong, M.D.

Nikki Duong, M.D.vor 2 Jahren

I always worry about what is underneath!

Profilbild von Avery Walker, MD, FACS, FASCRS

Avery Walker, MD, FACS, FASCRSvor 2 Jahren

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

Profilbild von Andy Tau, MD

Andy Tau, MDvor 2 Jahren

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.

Profilbild von Yuval Patel

Yuval Patelvor 2 Jahren

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

Profilbild von David Diehl

David Diehlvor 2 Jahren

Beautiful demonstration of this technique!

Profilbild von GastroDoc

GastroDocvor 2 Jahren

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

Profilbild von Andy Tau, MD

Andy Tau, MDvor 2 Jahren

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

Profilbild von Harry Nguyen, DO

Harry Nguyen, DOvor 2 Jahren

@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?

Profilbild von Andy Tau, MD

Andy Tau, MDvor 2 Jahren

@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)

Profilbild von Matthew E. Tick, DO

Matthew E. Tick, DOvor 2 Jahren

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

Profilbild von Andy Tau, MD

Andy Tau, MDvor 2 Jahren

Olympus

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