i need to unwind for at least 8 hours each day

The Only Way To Spray: The Most Optimized Way to Deliver Hemospray

No bonewax needed, uses CO2 in scope and catheter, no clogging, allows suctioning, and improves “white out”. Costs <10$. Most of the set up is done before Hemospray kit is ever opened.

#GITwitter

NEWS

Bronx medical school, the Albert Einstein College of Medicine, is now tuition-free thanks to a $1 billion gift from Dr. Ruth Gottesman, a former professor.

Gottesman, whose late husband was an early investor with Warren Buffett, has made it a condition of the gift that…

Such fun project to do with my sister!
Thanks ClinicalLiverDisease for the invitation!

Keep beta blocking and carry on!
Juan Turnes Juan G Abraldes Brett E Fortune MD AASLD
#livertwitter

journals.lww.com/cld/fulltext/2…

Indications for “prophylactic” cholecystectomy

x.com/carlkaymd/stat…

tfw u have an australian boyfriend + live in ny lol

Endoscopic Tissue Sampling

▪️Esophagus
▪️Stomach
▪️Small intestine
▪️Colon
▪️Miscellaneous

Here’s another version I compiled.

Note: overall low quality of evidence for each recommendation, but this can be nice guidance for early endoscopists.

#GITwitter

this algorithm on restarting anti-TB meds in patients with presumed drug-induced hepatitis (from the NYC Bureau of TB Control) is phenomenal and pragmatic! nychealthy

✅our #podcast with Vijay Shah re #alcohol liver disease based on ACG guidelines
👁️⤵️
journals.lww.com/ajg/fulltext/2…
👂⤵️
webfiles.gi.org/podcasts/ajg/l…
🔑⬇️stigma
🔑 transplant controversies
🔑 eliciting #alcohol history
🔑 Alcohol-related #hepatitis
🔑integrated #AUD Rx

DGBI ➡️ Suggested Neuromodulator

▪️CAPS
▪️Chronic N/V syndrome
▪️Functional bloating
▪️Functional chest pain
▪️Functional constipation
▪️Functional diarrhea
▪️FD-PDS subtype
▪️Globus
▪️IBS-C or D
▪️Insomnia

💊TCA
💊SSRI
💊SNRI
💊Prokinetic
💊Bupropion

🔗theromefoundation.org

Vintage Quick Tips on esophageal variceal bleeding 🩸by Adam Winters Lizzie Aby, MD

✨From risk factors and outcomes to medical and endoscopic management, it'a all here (with carvedilol now the preferred B-blocker!

aasld.org/liver-fellow-n…

Hemostatic Powders & Gels

▪️TC-325 (Hemospray)
▪️EndClot
▪️Ankaferd Blood Stopper
▪️CEGP-003
▪️UI-EWD (NexPowder)
▪️PuraStat

🔹Composition
🔹Manufacturer
🔹Mechanism of action
🔹Initial hemostasis & rebleeding rates
🔹RCT for GIB?
🔹Pros & Cons

🔗 pubmed.ncbi.nlm.nih.gov/37864554/

Sydney ! 🇦🇺 2 . 0 . 2 . 4 🥂🎇

playing new jeans while doing a colonoscopy = immaculate vibes

My 2023 year-in-review:

This week's most viewed article:

AGA Clinical Practice Update on the Management of Refractory Helicobacter pylori Infection: ow.ly/Loo550QgWo8

By authors from VUMC Department of Medicine, Mayo Clinic, and The Warren Alpert Medical School

#Hpylori #PPI #antibiotics

🔥🔥 Emoroid Digest 🔥🔥

When to use linaclotide? Prucalopride? As it is constipation awareness month, be sure to check out Dr. Veeramachaneni’s (Hima V) visual summary on the American Gastroenterological Association (AGA) & ACG practice guideline on CIC with an easy to use reference table!

If you didn’t match into GI, you may want to consider ⬇️

🧵 1/

1️⃣-Yr Nutrition/Obesity Fellowship

⭐️ uclahealth.org/medical-servic…

⭐️ columbiamedicine.org/divisions/prev…

⭐️ my.clevelandclinic.org/departments/di…

⭐️ mskcc.org/hcp-education-…

⭐️ bumc.bu.edu/endo/education…

Great review on LIVER TRANSPLANTATION in the NEJM by Lucey, Furuya & Foley:

🔸Indications
🔸Assessment
🔸Current trends & challenges

#livertwitter #MedTwitter AASLD EASL Education
shorturl.at/pMPQ1

Great results from the first clinical trial testing NALTREXONE vs placebo in alcohol-related cirrhosis, today at #TLM23 :

🔸Naltrexone is well tolerated
🔸It favors abstinence
🔸It reduces by 50% new onset decompensation

AASLD #livertwitter #MedTwitter ILBS_University