
Advanced Endoscopist @SIUHospital @NorthwellHealth
New York, USA
Joined November 2012
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- Following309
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Jean Chalhoub retweeted
Our recent SRMA suggests we overtreat pancreatic cysts
Of all global resections for pancreatic cysts, 24% are IPMNs with LGD, 16% are serous cystadenomas, and 4% other benign cysts
How to reduce this? For now, adding nCLE and molecular analysis to EUS
doi.org/10.1002/ueg2.70145
pubmed.ncbi.nlm.nih.gov/4128…
Our SRMA shows that 1/4 of PCLs are pre-operatively misclassified and ∼44% are surgically resected for benign cysts. Implementation of advanced diagnostic tools might improve pre-operative classification and reduce overtreatment.
@jorgemachicado
Jean Chalhoub retweeted
Grateful to have started my Advanced Endoscopy Fellowship with a wide variety of complex cases and the privilege of learning from the masters, @shandrawes , @Jean_Chalhoub and#Douaihy. Looking forward to a year full of growth, and learning. @NYSGE @ASGEendoscopy @NorthwellHealth
Jean Chalhoub retweeted
🎓 Big congrats to our Advanced Endoscopy Fellow, @Dr_VishnuKumar , on his graduation! Your dedication, skill & growth this year were truly impressive. We’re proud of all you’ve achieved & can’t wait to see what’s next. 👏 #FellowshipGraduation #AdvancedEndoscopy
@NorthwellHealth
@SIUHOSPITAL
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Jean Chalhoub retweeted
Grateful to the adv endo team @SIUHOSPITAL (#eldouiahy, #almoussawi, @Jean_Chalhoub) lead by @shandrawes for teaching us different mucosal resection techniques
Patient was found to have cecal 5cm LST removed via under water EMR and AC 4 cm LST removed via conventional EMR
@NYSGE
Jean Chalhoub retweeted
Stories like the Israeli commander breaking the bones of a 4 year old Palestinian child with bare hands, are a confirmation that not only the Israeli army is ROTTEN to the core, but so are all governments that allow these sickening crimes to be normalized.
"The encounter with such dangerous attitudes, which has become more normal in our society, was traumatic for me ... I discharged myself from reserve duty with a psychiatrist's help," said a female reservist who served at the Sde Teiman detention facility
haaretz.com/opinion/2024-12-…
Jean Chalhoub retweeted
What should we do if ERCP fails? Let’s look into the role of EUS in management of biliary tract disorders!! @GIE_Journal @EndoTx @wasabidoc @Jean_Chalhoub @NayantaraCoelho @jorgemachicado @iGUT_Houston @Bashar_Qumseya
Pawa et al present the "ASGE guideline on the role of therapeutic EUS in the management of biliary tract disorders." giejournal.org/article/S0016…
@EndoTx @wasabidoc @Jean_Chalhoub @NayantaraCoelho @jorgemachicado @iGUT_Houston @Bashar_Qumseya
@yaransarkis
Jean Chalhoub retweeted
Pawa et al present the "ASGE guideline on the role of therapeutic EUS in the management of biliary tract disorders." giejournal.org/article/S0016…
@EndoTx @wasabidoc @Jean_Chalhoub @NayantaraCoelho @jorgemachicado @iGUT_Houston @Bashar_Qumseya
@yaransarkis
Jean Chalhoub retweeted
Drs Bashar Qumseya, Swati Pawa, Nikhil Thiruvengadam, and Neil Marya discuss “ASGE guideline on the role of therapeutic EUS in management of biliary tract disorders." youtu.be/ddDuQM-f0gU
@wasabidoc @Jean_Chalhoub @NayantaraCoelho @jorgemachicado @iGUT_Houston @Bashar_Qumseya
Jean Chalhoub retweeted
New @ASGEendoscopy guidelines on pancreas mass
☝️EUS sampling: FNB > FNA; 22G > other; Franseen or Forktip > other designs
✋No need for routine ROSE
👉Biliary stent: metal > plastic; fully covered > uncovered
👇Celiac neurolysis: adjunct to analgesics if pain is refractory
Replying to @ASGEendoscopy
@ASGEendoscopy Guideline role of endoscopy in the diagnosis and management of solid pancreatic masses- 2024
Reference: @jorgemachicado et al - @GIE_Journal 2024
DOI: 10.1016/j.gie.2024.06.003
📺youtu.be/BEehpXtCwr4
@EndoCollabcom @ESGE_news @DHgua @EndoscopiaH @KMonkemuller
Jean Chalhoub retweeted
Drs Jean M. Chalhoub and Jorge D. Machicado discuss their article, “Effect of the number of passes on diagnostic performance of EUS fine-needle biopsy of solid pancreatic masses." youtu.be/n3zxfhjxhz8
#GITwitter #GIEJournal
@jorgemachicado @Jean_Chalhoub
Jean Chalhoub retweeted
In Articles in Press: "ASGE guideline on the role of therapeutic EUS in the management of biliary tract disorders" by Swati Pawa et al. giejournal.org/article/S0016…
@EndoTx @wasabidoc @Jean_Chalhoub @NayantaraCoelho @jorgemachicado @iGUT_Houston @Bashar_Qumseya
Jean Chalhoub retweeted
Chalhoub et al describe the "Effect of the number of passes on diagnostic performance of EUS fine-needle biopsy of solid pancreatic masses: a systematic review and meta-analysis." giejournal.org/article/S0016…
#GITwitter #GIEJournal
@jorgemachicado @Jean_Chalhoub
@Stentingwoman
Jean Chalhoub retweeted
Thanks for highlighting our study
Global Prevalence of Pancreatic Cysts in the General Population is 13-18% using MRI
9% at 50-59y
18% at 60-69y
26% at 70-79y
38% after 80y
No difference by gender
Cysts ≤ 10mm 15%, 11-20mm 2%, >20mm rare
cghjournal.org/article/S1542…
Approximately 13% to 18% of the general population have pancreatic cystic lesions, and the risk increases with age. Study in @AGA_CGH. @AnaR55 @jorgemachicado @JiaqiShi @som_krishna @Jean_Chalhoub #GItwitter #gastroenterology
brnw.ch/21wIE8E
Jean Chalhoub retweeted
Situation at al-Shifa hospital is worse than what most people are capable of imagining... there are patients who have severe wounds that are infected, teenagers who are amputees with maggots crawling around in their open flesh... no food, water, and increasingly limited medical personnel (if any are available at all).
I've seen images that I'll never be able to remove from my mind. Had direct verbal reports that keep replaying in my mind.
People are being slaughtered by the Israeli military. They are being forced to stay in crowded rooms and buildings. It is a literal hell that we can scarcely comprehend.
This is an entirely man-made reality and it is compounded by the fact that its likely, as usual, that nobody will face justice for inflicting these horrors upon the Palestinians at al-Shifa hospital and throughout the rest of Gaza.
Where is our humanity? Where are our so-called leaders? All of this could be stopped if the international community actually did something.
Activists around the world are right to be furious. We are right to call out and hold our elected politicians accountable. There is nothing that justifies the callous cruelty and sheer inhumanity on display in Gaza.
The world must take action to save these people NOW!
Jean Chalhoub retweeted
Check out our recent SRMA on long-term indwelling stents (LTIS) after complete endoscopic drainage of pancreatic fluid collections
☝️ LTIS reduced recurrences and re-interventions
✌️Mostly beneficial for WON with or without DPPS and with ≥2 LTIS
👉AEs 8%, technical success 93%
Jean Chalhoub retweeted
Replying to @ASGEendoscopy
@ASGEendoscopy guideline EMR vs ESD 👆GI lesions
📢Early esophageal SCC
➕ 15mm ESD>EMR
➖ 15mm EMR=ESD
🚫 surgery
👉 Early EAC or BE w dysplasia
➕ 20mm ESD>EMR
➖ 20mm EMR=ESD
✍️ Early gastric cancer
Poorly differentiated? yes: surgery; no:➕20mm ESD>EMR or➖20mm EMR=ESD
In GIE, ASGE releases the first North American guideline for endoscopic submucosal dissection (ESD). Using GRADE as their methodological review tool, experts identified EMR and ESD recommendations. asge.org/home/about-asge/new…
Jean Chalhoub retweeted
Do visit our poster today !@DDWMeeting @AmerGastroAssn @SriPatlolla @Jean_Chalhoub #MedEd #GITwitter
Jean Chalhoub retweeted
Cross-sectional imaging often reveals unexpected pancreatic cystic lesions, it is a frequent clinical problem, Should we observe or remove it? What's the diagnosis? Is our patient in danger of malignancy?
Don’t miss this @aegastro @my_ueg #EducAEG #UEGambassador twitter thread



































