Register for ACG’s IBD School & Eastern Regional Postgrad Course, featuring Dr. Baharak Moshiree—Update in Drug Therapy in Functional Disease: What Do I Do When the Endoscopy is Normal?

June 7-9
Washington, DC
➡️ gi.org/acg-2024-easte…

Baha Moshiree MD, MSci, FACG, AGAF Atoosa Rabiee Manish Singla

Thank you ACG for this honor 🙏🙏🙏
#GItwitter #livertwitter
Love a fancy pin 😊

Statewide survey of PCPs & GI/hep providers on HCC surveillance practices in Digestive Diseases and Sciences

• Large gaps in HCC surveillance knowledge
• High interest in risk-stratification and patient navigation tools

link.springer.com/article/10.100…

Thanks to UNC Lineberger for the support!

#LiverTwitter

❓
Do know that #Ultrasound is able to quantify #LiverFat ?

Read the #WFUMB Guidance on Liver Multiparametric Ultrasound. Part 2 @Ultrasound in Medicine and Biology

📘sciencedirect.com/science/articl…

🔸Non Invasive prediction of EVs in Obese MASLD Cirrhosis
🔸Looking beyond TE
🔸We looked and compared MRE and ARFI
🔸MRE with Platelets 💪
🔸Still needs better models
❎Absence of HVPG ❎TE LSM
🔸Looking ⏩ TE vs ARFI vs MRE with HVPG
link.springer.com/article/10.100…
Apollo Multispeciality Hospitals, Kolkata

What is the risk of cirrhosis and HCC across steatotic liver disease subtypes?

New article in AJG - The American Journal of Gastroenterology from Taiwan reports that risk of cirrhosis and HCC were highest for:
(1) ALD
(2) MetALD
(3) MASLD
(4) Non-SLD (i.e., no cardiometabolic risk factors)

journals.lww.com/ajg/fulltext/9…

This week, April 22-29, join the DC VAMC team in recognizing #TransplantNursesWeek . Thank you for providing safe, quality care to Veterans who are donating or receiving an organ or tissue transplant.

Important study in #HCC detection
🟢Biannual US -> suboptimal performance for early-stage
🔵Annual NC-AMRI ⬆️ diagnostic yield without⬆️ false referral
🔴Alternating biannual US & NC-AMRI⬆️ sensitivity>> biannual US
#livertwitter
Journal of Hepatology
journal-of-hepatology.eu/article/S0168-…

Pre-transplant Use of Immune Checkpoint Inhibitors for HCC
American Journal of Transplantation
doi.org/10.1016/j.ajt.…
🔎 RWD🇨🇳, 83 pts
👉27.7% developed allograft rejection, mortality: 6/83
👉≥ 30 days before TX protective
🤔feasible, but relevant risk
ESMO - Eur. Oncology ILCA EASLnews #livertwitter

#HEP_highlights : Refractory Hepatic Hydrothorax: An Ominous Sign of End-Stage Liver Disease
Chin A et al. Refractory HH is associated with increased mortality with death occurring at lower MELD-Na compared to cirrhosis and refractory ascites
#LiverTwitter
tinyurl.com/4jfs4ce7

When repeat LSM drop below 10kPa (🌟'Resolved-cACLD):

✅No decompensation/liver-related☠️
‼️HCC risk remained -> surveillance needed
✅~30% of cACLD
👀Who: Caucasian, non-DM, lower prior LSM, >LSM reduction

New Pub👉shorturl.at/tENU8

#Livertwitter #Gitwitter Elliot Tapper

Early terli pilot trial

doi.org/10.1007/s10620…

If one can be certain of the diagnosis of hepatorenal syndrome at 12 hours, one should start vasoconstrictors earlier

If.

#livertwitter

Have to test for it!
We implemented a 'reflex testing' so that every HBsAg+ automatically gets HDV Ab (TSH-T4 style).
Highly recommend

AFRI-SWE for cACLD setting:

✅SWE has prognostic value, but ‼️ cutoff is DIFFERENT from VCTE

👉youtu.be/yqlfhEXoQSQ

#Livertwitter Thomas Reiberger Annalisa Berzigotti Juan G Abraldes Elliot Tapper

'Once the current LSM is known, previous LSM values do not add to the prediction of LREs in cACLD patients'

#Livertwitter #GItwitter AASLD The Baveno Cooperation: an EASL Consortium EASLnews APASL News
👉shorturl.at/tENU8

Register now! ACG's IBD School & Eastern Regional Postgrad Course in Washington, DC, June 7-9

Presentations, breakout sessions, case presentations + Q&A:
⭐Upper & Lower GI
⭐GI Bleeding
⭐IBD
⭐Obesity
⭐Liver

➡️gi.org/acg-2024-easte…
Sara Horst MD, MPH, FACG Arun Swaminath MD & Isabel Roitman NP Atoosa Rabiee

Congratulations Rakhi Maiwall for leading the APASL News AARC_APASL guidelines on AKI. Beautifully crafted!
Global Aki Salvatore Piano Kavish Patidar Grace Wong Juan Pablo (JP) Arab, MD  Atoosa Rabiee Akshata Moghe MD, PhD Deepika Devuni MD #livertwitter

Spoiled: back-to-back NEJM studies on colorectal cancer screening❗️

Although comparing across studies, my summary below suggests:
➡️Next Gen STOOL DNA has much higher sensitivity for CRC and advanced adenomas than cell-free DNA BLOOD TEST at same specificity.…

📣A practical review by Maja Thiele et al on NIT for Alcohol associated liver disease

#livertwitter HEPATOLOGY Journal

journals.lww.com/hep/abstract/9…

In the last few years we have seen actual data supporting safety and effectiveness of naltrexone in cirrhosis

Largely thanks to Anahita Rabiee

Even guidelines are starting to endorse it

Gone are the days of reflexively saying “contraindicated”

This started on #livertwitter