PANCREATIC CYSTIC LESIONS: A thread 🧵🧵🧵

🩺Novel endoscopic treatment for refractory diabesity now available at apollo hospitals, hyderabad. DM for details.

💊💉Drugs approved for weight loss 👍GLP1RA-Semaglutide (2.4mg SQ wkly) Liraglutide (3mg SQ daily) ☑️Also improved CV 🫀outcomes with Semaglutide 👍Tirzepatide-Dual GLP1 and GIP receptor agonist 👍Naltrexone/Bupropion 👍Orlistat academic.oup.com/eurheartj/adva…

GASTRIC SUBEPITHELIAL LESIONS A thread 🧵🧵🧵 🟣Can arise from any layer (intramural) or outside wall (extramural) 🟡Often found incidentally 🔵Ddx is broad: 🟢Benign lesions 🔴Malignant tumors 🟠Intramural vessels ⚫️Extrinsic compression ⬇️Let’s get into it⬇️

Our Beloved HOD, Prof Anoop saraya, mentor and father figure to many of us!

The new kid on the block for oesophageal dilatations- The Bougie cap. Easy, under endoscopist’s control, minimal nursing assistance needed, and very effective for longer strictures and for Eosinophilic Oesophagitis. BSG Trainees SynMed Ovesco Endoscopy

🌟Ever found yourself doubting about IBD new drugs doses? or forgetting Thiopurine metabolism details? I've been there too So I thought it could help having "IBD Cheat Sheets" and that is what I did: ibd-eii.com/ibdcheatsheet I hope it helps as much as it helps me 1/2 #IBD

Team Apollo Gastro presenting interesting cases at the TG-ISG Academic meet.

⭐️GREAT HEPATOLOGY APP ⭐️ ▪️MELD 3.0 ▪️FAST (Fibroscan™ + AST) Score ▪️CLIF-C ACLF ▪️NACSELD ▪️VOCAL-Penn Score ▪️BE3A Score ▪️SAFE Fibrosis Score Can’t be found MDCalc.com! Download here: apps.apple.com/us/app/hepcalc… Other GI Resources: 📲 bit.ly/3KwqCVG (hyperlinked 📄)

Circumferential ESD done for a concomitant polypoidal and flat lesion with preop bx s/o spindle cells without malignancy & HGD. HPR post ESD s/o sarcomatoid squamous carcinoma, tumor free margins, no LVI/PNI, submucosa free of tumor cells. Very limited literature, how to proceed

1/n Tweetorial on Checklist for advanced therapies for inflammatory bowel disease Here is what I summarized. Credits to Beatriz Gros and Amith as I used some of their tweets for this presentation. I am sure there are areas of uncertainty, please do share your thought

Updated GI Fellow Resources If you have not already downloaded this app from Emory Gastroenterology and Hepatology Fellowship, I highly recommend it! It’s been added to the hyperlinked-PDF below. 📲 bit.ly/3KwqCVG (hyperlinked 📄)

🆕 ASGE GI Endoscopy Guidelines for Diagnosis & Management GERD ▪️Typical symptoms ▪️Alarm features ▪️Acid mgmt (PPI trial) & lifestyle change ▪️EGD (obj signs, hernia, & flap valve) ▪️Acid testing ▪️Refractory GERD ▪️Anti-reflux tx (TIF, cTIF, standard surgery) GIE

Medical Management of Fistulizing Crohn’s Disease (AGA)

Factors associated with increased calprotectin concentration Reference: D'Amico, F., et al. (2021), International consensus on methodological issues in standardization of fecal calprotectin measurement in inflammatory bowel diseases. United European Gastroenterol J, 9: 451-460.

Why are vitamin D and B12 deficiencies common in India, and what can be done about that?

APASL has just released its new guidelines on the management of acute variceal bleeding, led by Prof. Shiv Sarin with Dr. Cosmas Rinaldi Lesmana and Dr. Akash Shukla as the leading authors. I’m grateful to have been included as a co-author along with colleagues from across