Gastroenterologist, Diagnostic and therapeutic endoscopy
Zurich, Switzerland
Joined January 2022
- Tweets162
- Following425
- Followers237
- Likes1.2K
Thomas Balanis retweeted
🧲Magnetic Compression Anastomosis🧲
1️⃣ 57 y/o male, h/o chronic HBV, LDLT
2️⃣ Double anastomosis, double stricture. Can't traverse in to the posterior duct
3️⃣ Magnets to the rescue
#ercp #GITwitter #livertwitter @DouglasAdlerMD @HilarHolzy @MendozaLadd @ThomasBalanis @Stentingwoman @drkeithsiau @SahajRathi @AntonioFaccior6 @DarylRamai @JoanB_Gornals @helpatologist @NEndoscopy @Samanta_JayPGI @Taalamri
Thomas Balanis retweeted
For medical trainees in any interventional or surgical field, I'm not sure there's a more important lesson than this one.
Thomas Balanis retweeted
Yes I think this is the key. For me the levels of advanced EUS has this quite high up:
Level 1 - cysts/wons
Level 2 - gallbladders (positional)
Level 3 - EDGE & GJ
Level 4 - CDD
Level 5 - HGS and AGS
🚨 EUS-CDS failures can be deadly.
New multicenter data (n = 296) → 12% 30-day mortality after failed procedures.
Risk factors: small CBD, duodenal stenosis, wired technique, low operator experience.
Structured training & rescue protocols are needed share.google/CDD6Bb1yrea2cw2…
Thomas Balanis retweeted
Happy to share our latest original article online in Endoscopy @endoscopyjrnl @ESGE_news 😇
"Surgery versus endoscopy with digital single-operator cholangioscopy-guided therapy for Mirizzi syndrome: The SEIZE study"
Led by @MBronswijkMD, Joachim, and Prof Schalk Merwe 🙏
✅ International multicenter study (2005 - 2023)
✅ Mirizzi syndrome (Type II-IV)
✅ dSOC n=176 vs surgery n=114
✅ Primary outcome: Adverse events
Use of dSOC @bostonsci led to (compared to surgery):
⬇️ Overall ADE (10.2% vs 41.2%)
⬇️ severe ADE (1.7% vs 15.8%)
⬇️ lower need of HJ (8.2% vs 25.4%)
⬇️ lower rates of conversion to open surgery (6% vs 22.8%)
Congratulations to all co-authors 👏🙏💪
@Samanta_JayPGI @DrLakhtakia @GVanell5 @MarcusHollenba1 @GWebster_endo and others not on X !!!
Have a nice read !!!🔗👇
thieme-connect.de/products/e…
Afferent limp syndrome after pp-Whipple for dCCA causing cholangitis treated with EUS-GE #GITwitter
Thomas Balanis retweeted
Following a masterful live endoscopy demonstration in #PSG2025, an excellent overview on managing malignant hilar strictures by our HPB endoscopy champ @helpatologist
@abdullahaabbasi @SyedGerdezi @Srisha_Hebbar @jalpa_devi @drnasirjaved1 @KamaniLubna @DrNazishbutt
Thomas Balanis retweeted
@ChahalPrabhleen @Chatterjee_MD @alex_ford12399 @AgnihotriGI @Shubham_Neuro @DushDahiya @lelecapurso @PepiDellAnna @rancatoregab @GVanell5 @alan_barkun @SChandanMD @SaurabhMishraMD @saurabhmukewar @drhrr @AniruddhaGI @GIscope_updates @Endoscopist4 @helpatologist @MitraVikramjit @drmohansai @KM_Pawlak @doctorboletoh @KailashKolhe @docdhir @DrLakhtakia @AchintyaSinghMD @AnkitChhoda @ManikGIMD @drKumarGI @som_krishna @GIPapachristou @rcverdonk @drsuniltaneja @DachaSunil @ajay_duseja @drnaveenm @drkeithsiau @vaibhav_manu @sanjay_HPB @Dr_VishnuKumar @DrPeeyushK @JustSagnik @docdadaanish @_JJ_stent @RohitMehtaniDM @RoyAHep @HilarHolzy @ThomasBalanis ###
Thomas Balanis retweeted
Please check out my Top Tips article in GIE on my best tips and tricks for performing GPOEM. Please retweet. #gastroparesis #gpoem @asge @gie
kwnsfk27.r.eu-west-1.awstrac…
Thomas Balanis retweeted
📢 🔥 Breaking❗️🔥
🦠Organoid-based 🔬 precision medicine 🧫 💉 in #pancreatic #cancer ☄️
💜November is #Pancreaticcancer awarness month💜
📕Only in @UEGJournal🥰
👉tinyurl.com/46ffjpcb
🟢@my_ueg
🟣@WileyHealth
🔵@Innov_Medicine
🟠@EurPancClub
⚪️@OncoAlert
🔴 #GITwitter – at Brno, Czech Republic
Thomas Balanis retweeted
I think, in all fairness, both are right. Work/life balance is important (although I am not good at it), but medicine is not that kind of job. You have to be committed to your patients and that often translates into long hours to get people taken care of. A tough balance.
Thomas Balanis retweeted
EUS-GV 💉🩸 made rediculously simple by Dr. Malay Sharma at #EUSSkyline.
👉At the Gastroesophageal Junction (GEJ), locate the aorta.
👉Turn clockwise to identify varices.
👉Identify the perforators:
👉Add water for better visualization.
1/3
Screening Colonoscopy, En-bloc Resection with Underwater EMR of SSA in the right colon. Procedure Duration: 10 mins. Simple, efficient, effective #GITwitter #coloncancer #prevention
