Prashant Kedia MD, FACG, FASGE

Large duodenal adenoma EMR—scope selection matters!

💡 Teaching pearls:
🔹 Alternate between forward-viewing and side-viewing scopes to optimize positioning
🔹 Clip closure of the EMR defect is key to reducing delayed bleeding.

@TexasGastros @ScopingSundays @ASGEendoscopy

Challenging minor papilla cannulation in chronic pancreatitis!

A hooded minor papilla made access difficult. 💡 Trick: Olympus Retentia clips can be deployed through a side-viewing scope to lift obstructing folds!

✅ Cannulation
✅ Stone extraction
✅ PD stent
@TexasGastros

Honored to share that we've completed 500 POEM procedures at MDMC.

This milestone belongs to our incredible multidisciplinary team and the trust of our patients and referring physicians. Grateful to everyone who has been part of this journey. @methodistdallas @TexasGastros

We had an amazing turnout for the first ever TSGE North Texas Regional Chapter event. Great food, wine and lecture from Dr. Ben Elsbernd at Sixty Vines! We hope to see you at the next regional event ! @TexasGastros @methodistdallas

The FUJI 840TP ("poem scope") is a nice option for CPOEM due to narrow diameter and large working channel - allows for a smaller mucosotomy and easier closure. @TexasGastros @methodistdallas @ASGEendoscopy @FujifilmX_US