Cyclic Vomiting: Is It Cyclic Vomiting Syndrome or Cannabinoid Hyperemesis Syndrome? | Rosita Frazier, MD MayoClinicHealthSystem ▶️ GES often rapid or normal 🏃‍♂️ ▶️ Sumatriptan given intranasally soon after sx helpful 💊 ▶️ Hot shower behavior not unique to CHS 🚿 🥁 #Williamsburg

Dr. Neeral Shah (UVA GI Hep) introduces UVa, VCU, and Carilion G.I. Fellows’ Presentations Himesh Zaver, MD EBV-Associated Post-Transplant Lymphoproliferative Disorder

Dr. Joseph Spataro (VCU Health) introduces 3rd year GI fellow Dr. Nikita Chadha, D.O. to discuss occult GI bleeding, gastric polyps, GAVE syndrome — treated with band ligation and cryotherapy 🥁 #Williamsburg

Second-year Carilion Clinic fellow Dr. William Able discusses the EDDE procedure (EUS-directed transduodenal ERCP) for gastric outlet obstruction

Faculty at the 2025 ACG/VGS/MASGNA meeting enjoy dinner at the Williamsburg Lodge 🍽️ 🥁 #Williamsburg

Dr. Neeral Shah UVA GI Hep delivers the 2025 VGS Presidential Address at ACG/VGS/MASGNA Course

Pancreatic Cysts: Leave It Alone, Surveillance, Or Drain? | Ross Buerlein, MD UVA GI Hep ▶️ IPMN most common ⚪️ ▶️ High risk: 3 cm, growth 2.5 mm/yr, PD dilation ≥ 5 mm, solid component, symptoms 📏 ▶️ Surveillance 18 mo. IF < 2 cm 🗓️ ▶️ EUS-guided chemo💉 🥁 #Williamsburg

Lumps and Bumps: When Does It Matter? | Dr. Girish Mishra Wake Forest Baptist ▶️ Only lesion that should NOT be bx’d is varix 🛑 ▶️ Subepithelial, not submucosal 🛌 ▶️ Only hyperechoic lesion in submucosa is a lipoma ☀️ ▶️ ‘Popcorn’ EUS in pancreatic rest 🍿 🥁 #Williamsburg

It’s Not IBD! | Dr. Richard Bloomfeld Wake Forest Baptist ▶️ Microscopic colitis, drug-induced, SCAD — might be as common as IBD 🔬 ▶️ Mycophenolate-induced colitis most common in transplant patients 💊 ▶️ Steroid dependence is a problem 📿 🥁 #Williamsburg

Peri-procedural Management of Anticoagulation | Dr. John Saltzman Brigham and Women's Hospital ▶️ In GIB, DON’T stop ASA 🛑 ▶️ Cold snare on warfarin produces LESS acute/delayed bleeding for polyps < 1 cm ⏬ ▶️ “(This) is one of the best meetings in the country” 🥇 🥁 #Williamsburg

Polypectomy Techniques for the 16-mm Polyp | Dr. Andrew Copland UVA GI Hep ▶️ Serrated polyps don’t require hot snare 🥶 ▶️ Underwater EMR valuable for 10-20 mm polyp 🤿 ▶️ Lifting does not benefit polyps 10- 20 mm, but “I believe in lifts” to visualize 👠 🥁 #Williamsburg