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⭐Patients with intestinal methanogen overgrowth #IMO exhibit several GI symptoms, including higher rates and severity of constipation and lower rates of diarrhea compared to controls, indicating a distinct GI symptom profile 📖 ow.ly/9YXh50W19gm #microbiome

#CGH4ALL CGH 📣 Identifying patient-specific single-nucleotide polymorphisms could help develop tailor-made post-ERCP pancreatitis prophylactic management! Reported by Zaid Ansari 🔗 cghjournal.org/article/S1542-… Douglas G. Adler MD, FASGE, FACG, AGAF Todd H Baron MD, MASGE Tolga Erim, DO Joost PH Drenth Sherif Andrawes MD

A diagnostic algorithm combining LSM and CAP within indeterminate VCTE identifies significant fibrosis and re-classifies patients into low-risk and high-risk AGA categories. The therapeutic window for MASLD opens with a CAP>280 dB/m + LSM>10.3 kPa ▶️ ow.ly/82U250W1VQl

I believe there's an opportunity to re-evaluate our approach to patients after #IPAA for #UC. #HansHerfarth and I discuss moving from a reactive ➡️ proactive approach in CGH UNC Gastroenterology cghjournal.org/article/S1542-…

📖 Global Prevalence of Advanced Liver ##Fibrosis and #Cirrhosis in the General Population: A Systematic Review and Meta-analysis: ow.ly/PLhC50W4msV

Our new clinical practice update in CGH by authors Amit Patel, MD, AGAF, FACG, Douglas K. Rex, MD, and alessandro repici offers expert tips on choosing the right one based on resection method, histology, expertise, and cost. Read more here: ow.ly/7C2y50W4ulr #GItwitter

Early initiation of biological therapy within 12 months of diagnosis significantly increases transmural healing rates, leading to improved long-term outcomes in patients with #CD ➡️ Learn more: ow.ly/Wbm350W4mKn

📖 Epidemiology of Elderly Onset IBD: A Nationwide Population-Based Cohort Study 📖 Read the article here: ow.ly/ZFVc50W4mUx

#CGH4ALL CGH 📣 There is a🌎🔼 prevalence of older adults w/ IBD Geriatric syndromes negatively impact outcomes 📉 Important to systemically analyze and use a multidisciplinary approach 👫 🔗 doi.org/10.1016/j.cgh.… Reported by: Raghav Bassi, MD Margalida Calafat Sard

📊 Fascinating look at the GI symptom profile in intestinal methanogen overgrowth! ⬆️ Constipation, ⬇️ diarrhea — important implications for microbiome research. A must-read 👉🏼 CGH #CGH4ALL

#CGH4ALL CGH 📣 In an overburdened system, how do you prioritize patients for an early colonoscopy after a + FIT? Check out this validated model which can provide insights! Reported by Zaid Ansari 🔗 cghjournal.org/article/S1542-… @AasmaShaukathMD Fasiha Kanwal

Genetic variation in human CAZymes, the enzymes responsible for carbohydrate digestion, may affect the efficacy of carbohydrtae-restricted diets in #IBS: ow.ly/hrXE50W4n3s Mauro D’Amato Andreea Zamfir Taranu

#CGH4ALL 📣 67-yo female on dialysis for ESRD, sent for jejunal AVM 🩸 Surprise finding in the esophagus 👀White pseudomembranes ➕ oxalate crystals 🧊🔬 What’s the link? What happened next? Find out in CGH 👇 🖇️ doi.org/10.1016/j.cgh.… Reported by Ariana Pereira Dr. David Gutman

⭐ Two-sample FIT could effectively identify high-risk populations, and colonoscopy compliance is associated with a lower risk of CRC incidence and mortality. This strategy might facilitate CRC screening practice in countries with large populations: ow.ly/gJU150W4neL

🔥This month's Clinical Practice Update CGH reviews different lifting agents and their use. 🎯Multiple submucosal injection solutions available ❌ ideal solution currently does not exist 📚more below 👇🏼 doi.org/10.1016/j.cgh.… #GITwitter #MedTwitter

#CGH4ALL CGH 📣 Despite achieving Endoscopic healing: ‼️75% of CD pt present with luminal stenoses on MRE ‼️32% with increased BWT Recent studies 📚 have advocated transmural healing as a possible new target for CD 📚Read more: 🔗 doi.org/10.1016/j.cgh.… Reported by

A Predictive Model Based on Quantitative Fecal Immunochemical Test Can Stratify the Risk of Colorectal Cancer in an Organized Screening Program ➡️ ow.ly/HIks50W4nn4

#CGH4ALL CGH 📣 🥚Nutrition isn’t just supportive care — it’s frontline therapy! 🍗High-protein, high-calorie diet 🍽️ improved survival, frailty & hospital stays in ALD-ACLF 🏥🫀 Find out more at 👇 🔗 doi.org/10.1016/j.cgh.… #Gitwitter #ALD #ACLF Reported by

Outpatient Intensive Nutrition Therapy Improves Survival and Frailty in Males With Alcohol-related ACLF - Randomized Controlled Trial ▶️ ow.ly/h04c50W4nsY