True words for a Friday on hepatobiliary consults in the hospital Mayo Clinic Gastroenterology & Hepatology 🌷

“We must not be content only to see things as they are. We must have the vision, faith and hope to see what things can and must become.”

- Sister Generose Gervias
@mayoclinic

#ICYMI ❗❗

In a Healio #GI 🎥 exclusive, ⭐️Megan E. Riehl, PsyD⭐️ & Kate Scarlata, MPH, RDN discuss their new book 📕, 'Mind your Gut,' a ‘holistic toolbox’ of nutritional 🍎, behavioral 🤝🏽 strategies for treating #IBS

Learn more at the 🔗 below 🔽

healio.com/news/gastroent…

Join us in supporting Rochester's IBD Community Day this Sunday, May 5th!

📍 Little Thistle Brewing Co.
🎵 Live Music from The RavensFire Band
🎊 A chance to come together to raise awareness for IBD Crohn's & Colitis Foundation

Did you miss any nutrition-related sessions during #ECCO24 #ECCO2024 or do you want to review the latest research on the role of nutrition in IBD?

We summarized the most relevant nutritional highlights of this leading conference for you

[🧵 inside]

Getting ready for Digestive Disease Week?

Here is our annual sneak peek at our IMIBD programming to help you prepare!

We have focused more than ever on investigator-initiated research as well as novel clinical and basic talks and symposia including:
- 5 state-of-the art basic,…

Incredible to see Jean-Frederic Colombel Mount Sinai IBD Center return to Mayo Clinic highlighting his #IBD research career!

He mentored me on my 1st poster at #ECCO on Vit C🍊def in IBD

Lessons
📦Look outside IBD for ideas
📣Collaborate
⁉️Question the status quo
🏥Research starts w patient

Each year (image from ‘17), incredible IBD dietitian @GIDietitian helps lead a challenge for the GI community & those involved in #IBD care.

🥤 #EENChallenge invites GI community for #WorldIBDDay to try 24hrs of EEN - a diet approach known to promote healing in IBD.
📣Who’s in?🥛

Starting the day off right! ☕️ 📚

Excellent white board case-based teaching at Mayo Clinic Gastroenterology & Hepatology #GI inpatient morning report with ⭐️ 1st year fellow Shuji Mitsuhashi 三橋秀路 & expert opinion by Dr Randall Pearson!

Board relevant teaching for Mayo Clinic Internal Medicine Residency Rochester residents and #GI Fellows 📝

Thank you Evidence-Based GI Doc Linda Ánh Vân Nguyễn MD Aline Charabaty, MD, FACG, AGAF and everyone at #EBMed for an incredible 1st Great #GI Debates!

Reasons you must attend next year!

🤣Laugh so hard you’ll cry
🎤Mic drop worthy debates
🎶Epic music walk-ons
🏖️Bonding beach activities
🫶🏾Mentorship from world experts

Enlightening presentation by Dr. Joshua Novak on ‘Managing Short Bowel Syndrome’

📍Needs vitamins, esp. essential FAs
📍🚫oxalate if ileal resection >100cm
📍🍸ORS✅, avoid ⛔️ water, tea, juice, Gatorade
📍GLP-2 e.g. Teduglutide helpful

#GITwitter

One the most important role as physicians is becoming patient advocates!
About IBD: Amber-Writer, Journalist, Podcast Host Aline Charabaty, MD, FACG, AGAF sharing with us tips about advocating for our patients
#EBMed

Decision-Making Models

▪️Paternalistic
▪️Shared
▪️Patient

Shared decision making relevant when: More than one reasonable option, possible benefits and harms of each option affect patients differently.

#EBMed with About IBD: Amber-Writer, Journalist, Podcast Host + Aline Charabaty, MD, FACG, AGAF

It’s the Samir Show with @Dr. Samir A Shah & Sameer K Berry, MD, MBA leading a case in IBD

#womeninIBD ✨ Maia Kayal MD SandraQuezadaMD Dr. Aja Mccutchen sharing their expertise

EBMed.net

How do these #IBD experts (Dr Dubinsky & Bincy Abraham, MD, MS & Evidence-Based GI Doc) critically evaluate clinical trials? #EBMed

👭Know pt population (🗓️ 🔦 😫🔥)
👠Understand study design
💉Induction dosing
🪞EIMS?
🍑Perianal disease?
🦠Diff MOA of biologics for combo 👑
🔦Strict Endo endpoints

Short Bowel Syndrome Mgmt is complex! Dr Novak Mount Sinai IBD Center expertly guides us

✂️Read op note
3️⃣Types of intestinal failure

Rx
💦 intake & iso-osmol
🍟⬆️SCFA,⬆️protein,⬇️simple CHO
💊<100cm ileal ✂️ bile acid binder
🔥PPI+anti💩
💉TPN+vitamins
💊Teduglutide (GLP-2) helps QoL

Dr Feuerstadt Yale Digestive Diseases on all things C. diff 🦠 #EBMed

💊Ensure❌ lax
🧪2 assays >> than 1 (EIA + GDH/PCR) + Diarrhea
💩Post-infectious IBS? Take a great hx on initial & current sx (👃Smell matters)
💊Fidax > Vanc ⬇️ recurrence
💉Bezlo or FMT if high risk
🚽 Close the lid!

Legendary Dr Satish Rao walks on stage to Disney's Frozen “Let It Go”🧊very fitting for a talk on constipation!

Rx
💊 New FDA drugs (helps 😫 & 💩)
📱Vibrating capsule

Test
👉🏾 DRE
🌈 ARM+BET
🧘 Biofeedback

Pro tip: Carry a Bristol 💩 scale as an 🧊 breaker! Never rush a patient!

The pressure is on ⏰ as things heat up at #EBMEd Great GI Debates 🔥

Dr Gyawali debates Dr Dr. Schnoll Sussman Test or Treat for PPI-resistant non-erosive #GERD ?

“I ❤️ MY PATIENTS” Loved hearing Dr. Schnoll Sussman discuss the real life “costs” of testing & burden especially for women!

Kicking off day 2 of #EBmed Great GI Debates with 2️⃣ incredible women in GI Linda Ánh Vân Nguyễn MD & Aline Charabaty, MD, FACG, AGAF 👠

Love these music walk-ons…we need more music at conferences! 🎶

The quote of #EBMed conference:

Dr. Satish Rao: “Who has not done a digital rectal exam?”

Answer from the crowd: “Today!?” 😂😂

#GITwitter

🔗pubmed.ncbi.nlm.nih.gov/29453382/