Dr John O'Donohue Can we be greener here? Same segment diminutive polyps all in one pot?? #radical 🤔 Centre for Sustainable Healthcare Feline_stockholm_syndrome Sarah Marshall St Marks BCSC NHS England

Nutritional complications after bariatric surgery: an excellent 🆕 review in The Lancet Gastroenterology & Hepatology #GITwitter #MedEd 💡 1️⃣ Common types of surgery ✂️ 2️⃣ Metabolic effects ⚙️ 3️⃣ Nutritional complications ⚠️ 4️⃣ Screening and follow-up 🔎 thelancet.com/journals/langa…

✅ My treatment in compensated cirrhosis: 1️⃣ Treat cause of CLD +healthy life style + no ETOH 2️⃣ CSPH present?(TE+platelets+spleen size; collaterals on CT/US,...) 3️⃣ If CSPH, start Carvedilol. - -No strict need of endosc - US + blood tests 6-monthly 4️⃣ Statin in 80% #livertwitter

Buried bumper ! Interventional Endsocopy Called by trauma and Gen Gi - poor surgical candidate. No free air on cT scan. Tenderness with palpating. No frank peritoneal signs. Tube flushes. What to do? ASGE GI Endoscopy American Gastroenterological Association (AGA) ACG Steven Bollipo Keith Siau

Principles of clinical nutrition #15 The NG feed probably isn’t causing the diarrhoea

An important landmark point in the care of patients with Eosinophilic Oesophagitis. Orodispersible Budesonide is now approved for routine use in inducing remission of EoE. All Trusts need to adopt this. BSG EOS Network Eosinophilic Diseases Charity #EoEGDG👇

1/ WHY are steroids used for alcoholic hepatitis? SHOULD we? WHAT is the deal with prednisolone vs prednisone? WHERE did the discriminant function come from? ARE you ready for a #tweetorial #livertwitter #medtwitter #meded #cirrhosis

I’ve been a researcher for over 20 years and a professor for over 10 years, and I still frequently answer questions with “I’m not sure, but I can look into that.” It’s okay to not have all of the answers. Nobody has all of the answers.

PIANO is a landmark study teaching us the importance of remission in women with #IBD who are pregnant, and the safety of our medications during this important time both at the time of delivery AND with follow-up of the kids. Uma Mahadevan Gastroenterology doi.org/10.1053/j.gast…

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What is the impact of immunosuppression on COVID? Follow along; I will describe: • serological response to infection • vaccines: antibody and T cell responses • durability of response to vaccine Data from the 7000 person CLARITY IBD study • infliximab vs vedolizumab in IBD

Time to stop using G-CSF for patients with ACLF. @ATANGO_H2020 Eur. Fdn. for the Study of Chronic Liver Failure EASLnews Journal of Hepatology #aclf ❌No difference in mortality ❌New ACLF about 2x in those treated with G-CSF ❌7 serious adverse reactions 🔴🔴🔴

🚨 Portal Hypertension (mmHg) 🚨 #vAPDW2021 #LiverTwitter >1⃣0⃣ onset of varices, ascites, portal hypertensive gastropathy, SBP, HRS >1⃣2⃣ bleeding 🩸 >1⃣6⃣ higher mortality >2⃣0⃣ treatment failure 83% 🏁 Goal: ⬇️ HVPG <12mmHg or >20% baseline 👉 ⬇️ ascites, SBP, death

Effectiveness of PPI treatment in eosinophilic oesophagitis 📌High-dose PPI treatment is effective in ~50% of EoE patients 📌Follow-up: strictures <5% in responders <10% in non-responders @uegjournal United European Gastroenterology ESNM.eu Wael El-Nachef NeuroGastro (DGNM) onlinelibrary.wiley.com/doi/10.1002/ue…

Summarizing today's very useful ACG Virtual Grand Rounds on feeding tube management!🧶 #medtwitter #medicine #GITwitter #GI #nutrition

Don't judge a doctor by their Twitter or publications. Including me. Empathy, clinical acumen, judgment, word of mouth.

Sometimes pancreatitis involves the duodenum, let´s talk about paraduodenal/groove pancreatitis Don't miss this #GItwitter thread based on my talk for Harvard Medical School Harvard Med Postgraduate and Continuing Education #HarvardMINT2022 course Thanks, Charu Paranjape Kumar Krishnan for one of my best experiences ever!

Achievement unlocked: Just had a paper rejected from the journal where I am editor-in-chief

If I ever need a naso-jejunal tube please send me to Radiology not Endoscopy #PersonalNutritionPreference