MD, PhD, MSc, MBA at @FnMotol | Interests in #IBD, #Endoscopy, #LiverDiseases, #BariatricEndo, #AI, #3DPrinting - 3NDO.eu, #ESGE SoMe WG
Joined September 2010
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1,273 Photos and videos
⚡Electrosurgery is not “just a setting” in therapeutic endoscopy 🩺
New AGA CPU reviews ESU principles, current density, safety & tissue effect 🔬
📚 tinyurl.com/56w2vc9b
⚠️Essential reading for EMR/ESD/ERCP practice.
#GITwitter #MedEd @AGA_CGH @AmerGastroAssn
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🔑 advice:
✅cut vs coag current for colorectal polyp resection shows no clear difference in serious AEs, complete resection or recurrence 🧪
✅Margin thermal ablation after piecemeal EMR reduces recurrence <5% 🔥
✅Soft coag can still injure deep🩺
#GITwitter #Endoscopy
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🎯 Take-home:
✅optimize tissue effect by understanding current density, device design, tissue resistance & technique—not just watts ⚡ ✅Build ESU timeout, closed-loop activation and pad safety into every case
#GITwitter #Endoscopy #MedEd
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🚨 Don’t forget to to register!
Join us live for #EndoscopyOnAir discussing ESG, GLP-1 therapies, MDT obesity care, and long-term weight management.
📝 Register: lnkd.in/egNjyesN
#Obesity #GiTwitter #BariatricEndoscopy #MedEd @my_ueg @ESGE_news @IfsoSecretariat
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Jan Král retweeted
Jun 10
Just published: ESGE Days 2026, Endoscopy Journal Supplement!
🔗 esge.com/esge-days-2026-abst…
As part of our mission in Milan to Reimagine endoscopy: Smarter, together, and for the future — we invite you to browse the research showcased in this publication
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Jan Král retweeted
Jun 7
💥Common uses included:
✅️ education (59.2%)
✅️ clinical decision support (58.2%)❗️❗️
✅️ scientific writing (39.1%)
💥Among academic users in scientific writing:
➡️ summarisation (80.1%) and grammar refinement (74.4%) were most frequent
#ai #arteficialinteligence
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👏 Great teamwork from everyone involved in the EuroGI-AI project!
Exciting to see how AI is shaping gastroenterology across Europe.
🙏🏻Thanks to all collaborators and participants who made this possible. 🚀🤖
#GITwitter #AI #Gastroenterology #MedEd
Jun 7
📢🔥AI meets #gastroenterology practice:
➡️ mapping large language model use across #Europe – EuroGI-AI project
✒️ @KralJan ✒️ 👏
📘 @FrontGastro_BMJ 🔵
👉tinyurl.com/msxt9hv4
🟢 @my_ueg 🟢
#GITwitter #MedEd
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Jan Král retweeted
There is still time to take part in the survey HOL-IBD !
It takes 5 min - grab a ☕️ and 📱 and answer to some questions!
@LumirKunovsky
@KralJan
@BlanariuGilca
@PaulaCRFSousa
@AntheaPisani
@Bealoquebea
@DignassAxel
@my_ueg
‼️It takes only 5minutes! Take part in the survey
surveymonkey.com/r/DY3KD6Y
@LumirKunovsky
@KralJan
@drRobinDud
@Bealoquebea
@ign76
@BlanariuGilca
@AntheaPisani
@AxelDignass
@my_ueg
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🧪 Liver Function Tests are a misnomer:
ALT/AST = injury 🩸, ALP = cholestasis 🟡, while bilirubin/PT/albumin reflect function ⚖️.
A pragmatic workup review 🔍
📚tinyurl.com/awbns84a
#GITwitter #MedEd #Liver @AmerGastroAssn @AGA_Gastro @my_ueg @LiverFellow
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📊 Pattern matters:
✅ALT/AST ↑ suggests hepatocellular injury 🧬
✅ALP ↑ points to cholestasis 🟡
✅Urgency rises with jaundice 🟨, high bilirubin or prolonged INR ⚠️.
Ask about drugs, HDS & alcohol 🧾
#GITwitter #Hepatology #MedEd
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🩺 Workup starts with history, exam & repeat tests 🔁, then US/elastography 🖥️ to assess steatosis, obstruction & fibrosis.
✅FIB-4/APRI guide risk 📈; biopsy is now selective 🔬
#GITwitter #MedEd
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Incomplete colorectal polyp resection 🩺 can fuel recurrence 🔁 & post-colonoscopy CRC 🚨.
This scoping review 🔬 maps how to assess “complete” resection:
📚tinyurl.com/7er2khm8
#GITwitter #Endoscopy #MedTwitterek
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Across 45 studies 📊, methods varied widely:
✅image enhancement 🔍, AI 🤖, biopsy sampling 🧫 & extended margin resection ✂️.
Incomplete resection rate: 0–24.2% with biopsies vs 0–61.1% with extended resection.
#GITwitter #Endoscopy #MedTwitter
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Take-home 🧠:
⚠️“looks complete” is not enough 🧐.
✅Clean the defect 💧
✅inspect margins 🔍
✅consider VCE 🟦 & standardize protocols 📋 so IRR becomes a quality metric - not guesswork.
#GITwitter #Endoscopy #MedEd
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Paediatric #MASLD is no longer rare 🧒
⚠️global prevalence reaches ~7.5% 📊, rising with obesity 🩺 and early-life risk 🧬.
This update sets the scene❗️
📚tinyurl.com/bddfwkkr
#GITwitter #MedEd #MedTwitter @my_ueg @EASLnews @AASLDtweets @LiverFellow
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Key signals:
✅paediatric MASLD links to mortality
✅youth-onset T2D 🩸 and adverse liver outcomes
✅PNPLA3 rs738409 is the top genetic hit ✅portal-dominant injury may drive progression
#GITwitter #Hepatology #MedEd
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Clinical take-home:
✅exclude mimics in young/lean children ✅use NITs for risk stratification 📈
✅target fructose/SSB 🥤
✅build multidisciplinary lifestyle care 🥗.
Paediatric trials are overdue 🧪
#GITwitter #MedTwitter
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Interesting case 🖤: coffee-ground emesis 🩸 dysphagia after dehydration/ketosis 🧪 & high-proof alcohol 🥃.
Endoscopy 🔬 showed black mucosa with abrupt GEJ cutoff → AEN. IV PPI 💊 bowel rest.
tinyurl.com/ym5asxzw
#GITwitter #MedEd #MedTwitter @NEJMGroup
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Jan Král retweeted
May 26
Calling all ESGE members w/ special interest in Biliary stricture management
The Guideline Committee invites comments on the upcoming publication
Biliary stricture management: ESGE Guideline by @LemmersArnaud et al
Provide input in your member dashboard: esge.com/your-member-benefit…
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Jan Král retweeted
May 21
🎧 Just dropped! Latest episode of #EndosopyUnplugged : Acute Upper GI bleeding: What to do BEFORE endoscopy!
🔗 esge.com/endoscopy-unplugged…
Host @iangralnek talks with Stig Borbjerg Laursen. Listen wherever you get your podcasts!
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