Quick tips for small #polypectomy
Smaller the polyp, longer the drama! But why?
Here are my 10 tips, share yours! 1. Ask: is this necessary? 2. Take it when you see it, may never find it again! 3. Position at 6 O' clock 4. Don't move around while waiting for snare, don't lose!
5. Keep your eye on the polyp, don't even blink 6. Clear the fluid above and below 7. Choose a small cold snare, don't open it too much 8. If struggling with position, try cold biopsy forceps instead 9. If snare is slipping, deflate the colon. Don't lift! 10. Check if trap is on!
Sep 8, 2020 • 4 tweets • 5 min read
Here is the amazing summary of the many gems in the quick tips for #colonoscopy thread.
Thanks @enrrikke for this beautiful work!
Here is the link to the original thread.
My Friday evenings are for cooking. Step 1 is here. This will be a thread! #gicooking#TGIF
Step 2
Aug 16, 2020 • 5 tweets • 7 min read
One of the reasons we fuss so much about the accuracy of melaena description is that we use it to arbitrarily divide the GI bleed 🩸 as upper or lower although there are many caveats. Sometimes the distinction UGIB or LGIB is necessary because of who takes the patient! #turf
Melaena (assuming correctly described) can still be from right colonic or small bowel bleed and bright red blood can also be from a brisk upper GI bleed. Has the time come to see them all as GI bleeds and work on them?
How accurate is the description of melaena over the phone?
Jul 11, 2020 • 5 tweets • 8 min read
Just when I was thinking of giving polyloop another go, I see this horror! Thank you @JGH_latest for sharing this interesting case.
Gastrointestinal: Endoscopic removal of a stuck colonoscope onlinelibrary.wiley.com/doi/10.1111/jg…
Interesting case of using one scope to remove another scope! #scopemanship is situational awareness and decision making when things go wrong. @BilalMohammadMD@DCharabaty@drkeithsiau
Jul 4, 2020 • 4 tweets • 3 min read
GB polyps cause more anxiety than cancer! Lifelong serial scans or cholecystectomy for polyps may not be needed. More questions remain:
Gallbladder Polyp Outcomes and Association With Gallbladder Cancer ja.ma/3ir09df
A 50 F has a 10mm polyp (was 8 mm 10 years ago). No symptoms other than fear of gall bladder cancer.
What would you do?
What are your tips on how to react to microaggressions? These are so subtle, can be based on color, race, region, language, ethnicity, gender and more.
I am just beginning to recognise but still don’t know how to react.
What’s your tip?
Please share your tips: @LiangRhea@DrJackiSmall@VerranDeborah@mindbodymiko@DrMukeshH
Jun 7, 2020 • 4 tweets • 7 min read
Please share your #endoloop horror stories and how you managed them! Thanks
Here is a sad poem by our GI fellow #DaneCook on #COVID19 affecting training. #GItwitter#MedTwitter
A thread...
So covid is here
I’ve been told not to scope
How will I go on?
How will I cope?
Quick tips on #polypectomy 
Here is the link to the original thread. 
