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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 görüntüleme • 2 yıl önce •via X (Twitter)

Sağlık & İyilik Bilim & Teknoloji Eğitim #GITwitter

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11 Yorum

Nikki Duong, M.D. profil fotoğrafı

Nikki Duong, M.D.2 yıl önce

I always worry about what is underneath!

Avery Walker, MD, FACS, FASCRS profil fotoğrafı

Avery Walker, MD, FACS, FASCRS2 yıl önce

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 profil fotoğrafı

Andy Tau, MD2 yıl önce

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 profil fotoğrafı

Yuval Patel2 yıl önce

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

David Diehl profil fotoğrafı

David Diehl2 yıl önce

Beautiful demonstration of this technique!

GastroDoc profil fotoğrafı

GastroDoc2 yıl önce

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

Andy Tau, MD profil fotoğrafı

Andy Tau, MD2 yıl önce

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

Harry Nguyen, DO profil fotoğrafı

Harry Nguyen, DO2 yıl önce

@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 profil fotoğrafı

Andy Tau, MD2 yıl önce

@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 profil fotoğrafı

Matthew E. Tick, DO2 yıl önce

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

Andy Tau, MD profil fotoğrafı

Andy Tau, MD2 yıl önce

Olympus

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