1/ Why automated quality metrics may be the key to unlocking adoption of new polyp detection technologies for #colorectalcancer screening, a brief 🧵 2/ A common refrain is that cost barriers have been the central reason for slow uptake of evidence-based polyp detection technologies (mucosal exposure caps, wide angle colo, & perhaps #AI).

1/ Great question and thx for highlighting this @TheLancet RCT re: #ERCP for gallstone pancreatitis @JBortinger! A few reactions below, and I hope that others on #GItwitter will add their thoughts as well..

https://twitter.com/JBortinger/status/1283920386648924160

2/ Historically, urgent ERCP for gallstone pancreatitis has been recommended in only 2 subgroups of patients:
➡️ pts w/ cholangitis (💯) or
➡️ w/ 'predicted severe pancreatitis' (🤔)

1/9 Quick synopsis of our recent double-blind randomized study on computer-aided polyp detection in @LancetGastroHep, which can be found here: thelancet.com/journals/langa… 2/9 Previous work by our team and others have shown that #AI polyp detection can improve ADR. A major question has been whether use of on-screen computer-aided detection merely increases the vigilance of the endoscopist (vs. specifically helping find more polyps).

1/4: Why is a thin nasal feeding tube often called a ‘Dobhoff’? The original thin-caliber, weighted feeding tube was invented in 1975 by Dr. Robert Dobbie and Dr. James Hoffmeister. They joined their names for ‘Dobhoff’ (and also used the spelling ‘Dobbhoff’ interchangeably). 2/4: Dobbie was a surgical attending @utmedicalcenter focused on nutrition for lung & esophageal CA pts & Hoffmeister was a surgical resident. Until the Dobhoff tube, typical feeding tubes were 18 French (or larger) red rubber tubes, that usually only reached the stomach.