Interventional Endoscopist | Director of Endoscopy @KernMedical @AdventistHealth | Alum @MayoClinicGIHep @YaleDigestive @UConnIM @HarvardResearch @MAMC_NewDelhi
California🇺🇸/ 🇮🇳
Joined October 2020
- Tweets1.6K
- Following84
- Followers3.2K
- Likes5.4K
Pinned Tweet
89M p/w jaundice h/o distal gastrectomy with RY, now with large pancreatoduodenal recurrent mass causing distal CBD obstruction.
✅Enteroscopy via RY limb showed large duodenal mass- failed ERCP
✅EUS-guided antegrade biliary stenting via left hepatogastrostomy access
1/2
Complete uSEMS occlusion (tumor ingrowth)- unable to pass any wire/catheter
Options other than EUS-BD?
@MISIRG1 @EndoTx @ChahalPrabhleen @docdhir @NEndoscopy @DouglasAdlerMD @Taalamri @helpatologist @GIscope_updates @jeanvemer @SunilAminMD @DrLakhtakia @japariciot2 @amolbapaye
ESD for large 6.5x5.5 cm friable bulky rectal mass
Tips to retrieve❓
@MISIRG1 @RobertBechara @SunilAminMD @EndoscopyOthman @BilalMohammadMD @drKumarGI @MoamenGabrMD @ENDOS96 @DrSaeeeed @amolbapaye @drsridhars @SultanMahmoodMD @NorikoSuzuki3 @shaimaa_elkholy @ASCRS_1 @GI_Guy
EUS-GUIDED JEJUNOJEJUNOSTOMY via EUS-GUIDED GASTROJEJUNOSTOMY
1/3
(single-session DUAL BYPASS using LAMS for malignant gastric and jejunal obstructions)
@SAGES_Updates @MISIRG1 @ChahalPrabhleen @KM_Pawlak @DharJahnvi @Taalamri @drkeithsiau @BilalMohammadMD @helpatologist @my_ueg
EUS-guided colocolostomy using LAMS for malignant sigmoid colon obstruction @GIE_Journal 👇
pubmed.ncbi.nlm.nih.gov/3384…
Pushing the limits of interventional EUS!
@ASGEendoscopy @SAGES_Updates @MISIRG1 @teoh_anthony @ChahalPrabhleen @ENDOS96 @EndoTx @AmCollSurgeons @my_ueg @GiJournal
2/3
✅Freehand EUS-GJ c 20mm LAMS➡️dilated to 18mm➡️anchored c TTS clips
@DrLakhtakia @japariciot2 @NEndoscopy @jeanvemer @SahajRathi @ShimaghavimiMD @allie_schulman @AustinChiangMD @SunilAminMD @DavidDiehlMD @AhmadBazarbashi @GI_Pearls @RashidLui @PopovVioleta @TrieuMD @EndoTx
3/3
✅EUS scope passed through EUS-GJ to access jejunum distal to high-grade jejunal obstruction c freehand EUS-JJ
@AmCollSurgeons @tberzin @AgnihotriGI @SyedGerdezi @shailsingh @SighPichamol @amolbapaye @stevenbollipo @Srisha_Hebbar @docdhir @SultanMahmoodMD @sminaev2015 @IHPBA
COLONIC VARIX with a NIPPLE SIGN
p/w massive lower GI bleeding c hemorrhagic shock ▶️TIPS+coil embolization
@my_ueg @stevenbollipo @KM_Pawlak @KMonkemuller @almagoch @MdAntonieta @RashidLui @jeanvemer @DharJahnvi @DrHarryThomas @drdalbir @Samir_Grover @GI_Pearls @drkeithsiau
This quoted post is unavailable.
Tarun Rustagi retweeted
Congratulations @Davy_NT for seeing this project through. Enhanced suction works really well for small to medium sized food impactions.
Credit to @TarunRustaGI_MD @ZSobaniMD @swathipaleti for the first description of this technique for blood clots
@PittGILiverNutr @BIDMC_GI – at Franklin Park, PA
Grateful for the opportunity to work with @SultanMahmoodMD and the amazing @BIDMC_GI advance endoscopy team on this case.
sciencedirect.com/science/ar…
#BerensonScholar @tberzin @AkwiAsombangMD @Boston_Endo @SamIgbinedion @EHolzwanger @MoamenGabrMD @MSawhneyMD
I do (almost) all EDGE as Single-session but hasn't had a more urgent indication than Acute Cholangitis on low-dose Levophed!
@my_ueg @MISIRG1 @KM_Pawlak @drkeithsiau @helpatologist @ChahalPrabhleen @japariciot2 @teoh_anthony @DharJahnvi @IHPBA @Taalamri @EAHPBA @SAGES_Updates
Here's another NIPPLE SIGN in variceal bleeding
(probably the largest I've seen)
@AmCollegeGastro @drkeithsiau @DouglasAdlerMD @AdvaniRashmiMD @RashidLui @stevenbollipo @Samir_Grover @almagoch @Taalamri @my_ueg @ShimaghavimiMD @DrBloodandGuts @BilalMohammadMD @ASGEendoscopy
NIPPLE SIGN in variceal bleeding
@ASGEendoscopy @AmCollegeGastro @my_ueg @KM_Pawlak @drkeithsiau @GI_Pearls @KMonkemuller @stevenbollipo @Samir_Grover @ebtapper @GI_Guy @ginorthshore @KapuriaMd @SultanMahmoodMD @ESGE_news @drmoutaz @jeanvemer @BilalMohammadMD @IHPBA @aegastro
Tarun Rustagi retweeted
And then a complementary video-based session Monday at 4p-'Safety Not Guaranteed: Unforeseen Events During Interventional EUS (Video Session)'. Another all-star crew -- Arain, Chen, Chahal, & Law - taking us through cases when they don't go according to plan w/ expert moderators.
Tarun Rustagi retweeted
Our multicenter comparative study
EUS GJ+BD vs Surgical GJ+HJ online @GIE_Journal
✅ 5 acad 🏥
✅ similar TS, CS rates
✅ 🔽ADE (11.3% vs 34.7%)
✅ 🔽median TOI n 🔽 hosp stay
🤝👍😇 @MBronswijkMD @GVanell5 @Jayanta_sam @MarcBesselink @PepiDellAnna
Randomly found🎥 Radioactive scrolling @netflix
Couldn't be a more befitting day to watch such a movie #IWD2023 @womensday
However, post-movie @Wikipedia search was shocking: <5% of Science @NobelPrize have been awarded to women.
Hopefully, this will get better in future!!
Happy #InternationalWomensDay There's much to celebrate ✨ about women's achievements, yet we all know there's more to do. Worldwide🌎 let's #EmbraceEquity & build a better world for women everywhere. Collectively we can all forge positive change #IWD2023👉🏽bit.ly/IWD2023
#Halloween #EUS #PancreaticCancer- malignant transformation of mucinous cyst?
@ChahalPrabhleen @KM_Pawlak @AdvaniRashmiMD @BilalMohammadMD @japariciot2 @drkeithsiau @ShimaghavimiMD @SunilAminMD @DouglasAdlerMD @DeMadaria @jeanvemer @GI_Pearls @RashidLui @drdalbir @AustinChiangMD
#MakingItEasy EUS-GBS for small GB
Acute on chronic cholecystitis▶️ Distending GB with 19G FNI before free-hand CE-LAMS (similar to EDGE)
@my_ueg @japariciot2 @ChahalPrabhleen @KM_Pawlak @ShimaghavimiMD @sminaev2015 @CelestinoGutirr @SyedGerdezi @RodriguezParra_ @drkeithsiau
…and the MRI/MRCP showed no evidence of acute cholecystitis
#EUSGBS
@my_ueg @MISIRG1 @KM_Pawlak @ChahalPrabhleen @japariciot2 @drsethinyc @helpatologist @DrMalSimons @IHPBA @SAGES_Updates @hpb_so @GIscope_updates @BritSocGastro @AmCollSurgeons @AmCollegeGastro @ASGEendoscopy
Rare to catch faculty mentors from 2 alma maters in one frame! - at NASCAR hall of fame
@bret_petersen @MayoClinicGIHep @HarryAslanian @YaleDigestive
#ACG2022 @AmCollegeGastro
Tarun Rustagi retweeted
Amazing EUS course organized by #bostonsci. @TarunRustaGI_MD and his two golden LAMS deployment rules were the highlight of the day.
Tarun Rustagi retweeted
A masterly talk with some brilliant practical tips on EUSBD by 🌟@TarunRustaGI_MD
#stokeERCPEUS22
@Srisha_Hebbar @drnataliegastro @GWebster_endo @NEndoscopy @drkeithsiau @SyedGerdezi @rizsaleem @prmphotog
Snippets 👇
Tarun Rustagi retweeted
@TarunRustaGI_MD spreading his pearls of wisdom on EUS guided biliary drainage.
#StokeEUSERCP.
Tarun Rustagi retweeted
EUS guided biliary drainage techniques - fantastic overview from the legendary @TarunRustaGI_MD #GITwitter #StokeERCPEUS22
