GiT Updates and More

Hemodynamic Status as a Determinant Factor of Optimal Endoscopy Timing in Upper Gastrointestinal Bleeding.

AGA, October 2025

Effects of the different pharmacological T2D treatments on MASLD progression

🛑 Multiple Biliary Hamartomas (MBH) — also called Von Meyenburg Complexes 🔷️ Benign malformations of small intrahepatic bile ducts. 🔷️ Appear as multiple tiny cystic lesions giving a “starry sky” liver on MRI. 🔷️ Usually asymptomatic and found incidentally. 🔷️ Associated with Polycystic Liver/Kidney Disease and Caroli’s disease. 🔷️ Caused by ductal plate malformation during embryogenesis. 🔷️ No treatment required — just radiologic follow-up. 🔷️ Rarely may mimic liver metastases, so correct diagnosis is important.

🎯Pregnancy considerations in IBD ✅2025 New Updates ✅Risks of pregnancy in IBD & Optimize outcome for mother and baby ✅Manage IBD🔥

🔥 EUS-RFA for Pancreatic NETs — ! ✅ When to use: 1️⃣ Size 1–2 cm 2️⃣ <1 cm — patient choice 🧍‍♀️ 3️⃣ Functioning lesions — treat 💥 4️⃣ Non-functioning — based on size & preference 🚫 >2 cm → Surgery

Pancreatic cysts — always a diagnostic puzzle! 1-When to FNA? 🤔 2-What are the high-risk features? 3-What to test — Glucose, CEA, DNA 4-When to exit surveillance?

🎯 Successful ESD = Safe, Efficient & En-bloc! 1️⃣ Marking – ✏️ 2️⃣ Injection – 💉 3️⃣ Incision – 🔪 4️⃣ Dissection – tunneling, pocketing, traction & gravity to your advantage. More Information 👇

🔵 EMR still an excellent choice for >2cm polyps! ✨Tech tips: 1️⃣ Hot EMR 🔥 2️⃣ Underwater EMR 🌊 3️⃣ Mark the margins 🫤 4️⃣ Ablate the edges ⚡️ 5️⃣ Viscous > Saline lift 💧 Minimizing bleeding: 👉 Clipping post-procedure 👉 Cold EMR ❄️ 👉 Endocut Q – Effect 2

Upper esophageal stricture with dilated proximal esophagus

Upper esophageal stricture with dilated proximal esophagus