Andy Tau, MD
Andy Tau, MD

@DrBloodandGuts

3 تغريدة 21 قراءة Dec 26, 2021
The GI Fanny Pack
I have been wearing one since 2009 on surgery rotation as a student to the chagrin of nearly everyone associated with me. It’s no longer fashion faux pa at least in hipster Austin.
This is what I keep it in it and why.
#GITwitter
#Endohacks
#GiHacks
1/
Bonewax and Stopcock
- optimize Hemospray deployment
videogie.org
#endohacks
2/ Clear cap
- save from banding kits and sterilize/reprocess or just buy them from Olympus
giejournal.org
videogie.org
3a/ Mayo curved scissors + 20cc syringe
- cut through anything
- convert a syringe into a bite block or luer lock into slip tip
3b/ 10-20 cc syringe
Cut into a bite block
-The cut edge can be compressed and then expands (esp 20cc)
-If scoping in R lateral position it is useful to place and angle to far left to improve ergonomics
4/ Pinc tape (zinx oxide tape)
- water impermeable
- good for affixing anything onto scope (clear cap, scope hood made from finger of glove) or tubes (Endovac) and making seal 
5/ Lube
No explanation.
6/ Lidocaine Jelly
When someone has anal fissure or concern for long case/ sore throat.
7/ Nitrobid
- compound your own nitropaste for anal fissure (1 part nitro 2%, 4 parts Vaseline jelly)
8/ Peppermint Oil
-Place the smallest drop of your mask to cover up funky smells
- Recently proven to be as useful as placebo for functional pain
journals.lww.com
9/ Lopez valve
- replace aging adapter for PEG
10/ Scope brush
- to clean clogged G and PEGJ tubes
11/ Time out marker and included ruler
- to mark PEG tube window (won’t wash off)
- ruler for ERCP stent measurement
12/ 2-0 silk suture and needle
- affixing loops to tubes , clip - line assisted techniques
- just the right thickness and strength to be able to break with a forceful Guillotine pull against scope
13/ Surgicel
Absorbable hemostatic cloth
- for bleeding peg tubes (cut a slit to make a “ drain sponge” shape
-Anorectal Tamponade
14/ Badge with your units scope specs
- never wonder will this fit through this scope or is this long enough ?
15/ Business card holder
- for the inpatient follow ups
For doing things like this with suture loops and clips
videogie.org
Struts for troublesome PEGJ tubes that like to coil
For externally bleeding PEGs.
Cut to the surgicel this shape. Make a little funnel shape if possible and nuzzle the pointed aspect into the G tube incision site that’s bleeding.
Cinch the external bumper to tamponade. Hemospray also works (so off label)
These are particularly useful for the Boston Scientific 12Fr J tube Endovive Extensions for PEGJ
The caps get very loose with short usage.
16/ Small Light
17 / Crystal Light
To improve bowel prep taste and tolerance
18/ Scissor Ms and Hemostats
- save from PEG tube kits and reprocess them
19 / Large gauge blunt tip needle (16-18g)
- passing thin guidewires through biopsy port
- connect to syringe to flush channel if biopsy port occupied by a banding kit or OTSC spool.
Herschel Seventeen Waist Pack amazon.com #Amazon
They have a few colors. I am not a paid spokesman for Herschel lol.

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