Would you discontinue 50 mg/d Spironolactone in a fully re-compensated cirrhotic person with portal hypertension after alcohol abstinence?

Think that Spironolactone has potential beneficial effects on alcohol use disorder and can lower portal pressure. Thoughts ?

#livertwitter

JUST OUT in Alimentary Pharm & Therap
onlinelibrary.wiley.com/doi/10.1111/ap…. Socio-economic association of alcohol use disorder and cardiovascular and alcohol-associated liver disease from 2010 to 2019. Led by Pojsakorn Dan Danpanichkul, MD. Mazen Noureddin, MD, MHSc Luis Antonio Díaz, MD Juan Pablo (JP) Arab, MD  roypounder.apt #LiverTwitter

⭐️Check out our article in roypounder.apt
Lower socioeconomic countries are increasingly contributing to the global burden of alcohol use disorders, liver, cardiac complications🍺📈
Karn Wijarnpreecha Suthat Liangpunsakul Juan Pablo (JP) Arab, MD  Mazen Noureddin, MD, MHSc Luis Antonio Díaz, MD Jeffrey V. Lazarus
shorturl.at/c70kc

This large study including >76k patients with alcohol-associated liver disease from the USA shows:
🔸Hispanic people have increased susceptibility.
🔸African-american people are protected.

Genetic predisposition plays a key role in ALD.

Hepatology Communications #livertwitter

Our article 'Impact of rifaximin use in infections and mortality in patients with decompensated cirrhosis and hepatic encephalopathy' is now online at Therapeutic Advances in Gastroenterology by Francisco Idalsoaga MD et al.
#LiverTwitter Luis Antonio Díaz, MD Marco Arrese, MD
journals.sagepub.com/doi/epub/10.11…

Un honor participar en el congreso de la Asociacion Peruana de Hepatologia. Compartir con colegas y amigos es lo mejor de la academia!

Everybody talks about using the biomarker PEth to detect alcohol intake. But it's costly: $100-300.

Instead, start doing a good motivational interviewing with the patient following the RULE method. It takes time and empathy, but it's much cheaper.

#livertwitter #medX

Very grateful to my colleagues and friends of the Polish Association for the Study of the Liver for the invitation to their annual meeting. Great learning and discussions. Happy to have the opportunity to share, learn and visit this beautiful country. #LiverTwitter

This was my best Digestive Disease Week yet! So amazing to see old friends and meet #GITwitter friends IRL who already feel like old friends! Learned A LOT and am so excited for the future of GI and #livertwitter ! See you next time!

#AGAGastroSquad AASLD Foundation Liver Fellow Network

So happy to have the opportunity to present about alcohol-associated liver disease at #DDW2024 Postgraduate Course American Gastroenterological Association (AGA) AASLD
Summary: #ALD burden is increasing, especially in young and women. We need to screen for AUD and provide support and treatment.

Congratulations Hailemichael Desalegn MD,PhD a true Hepatology ⭐️! #LiverTwitter

Pathogenesis of infections and CAID in cirrhosis & ACLF.🔥 doi.org/10.1016/S2468-… #livertwitter Dr Nipun Verma Ajay Duseja Journal of Clinical and Experimental Hepatology Arka De Juan Pablo (JP) Arab, MD  Steven Bollipo Dr Ashish Kumar Keith Siau Rohit Mehtani Elliot Tapper

ALD landscape is changing… Rising burden in Young women #LiverTwitter

From Shadows to Spotlight: Exploring the Escalating Burden of Alcohol-Associated Liver Disease and Alcohol Use Disorder in Young Women
Danpanichkul, et al.

👉 bit.ly/4dVtERk
Pojsakorn Dan Danpanichkul, MD Cheng Han Ng Mark Muthiah Dr. Panda - Nuttada Panpradist (She) Daniel Huang Juan Pablo (JP) Arab, MD  Mazen Noureddin, MD, MHSc

Nice talk, as usual, of Juan Pablo (JP) Arab, MD  at #DDW2024 ! ALEH Very useful key points in ALD 👏🏻👏🏻👍

#ddw2024 @gitwitter @livertwitter! New Drugs in MASH/NASH at the DDW meeting. Join us

Love learning from ⁦Juan Pablo (JP) Arab, MD ⁩ about alcohol use and ALD, always with a global perspective ⁦American Gastroenterological Association (AGA)⁩ #AGAGastroSquad #livertwitter

Scott Naugler starting the Liver session at the DDW PG Course… Hepatology Year in Review! #DDW2024 #DDW24 AASLD American Gastroenterological Association (AGA)

8th REAL LATAM Actividad conjunta entre ALEH y ILTS para abordar diferentes temas en común. Hoy 'Trasplante Hepático con DVR'
Quién mejor que Martin Dib para contarnos su experiencia en 🇨🇱
Conclusión: firme decisión del equipo de tx y de la institución. Lleva tiempo

About to start! Don't miss it! ILTS ALEH Martin Dib