13/ Rec 3: In individuals undergoing IGB therapy, AGA recommends prophylaxis with proton pump inhibitors. 💊(Strong recommendation, moderate certainty)

14/ Rec 4: In individuals undergoing 🎈 therapy, AGA suggests using the intraoperative anesthetic regimens associated with the lowest incidence of nausea along with perioperative antiemetics. AGA suggests scheduled antiemetic regimen for 2 weeks after 🎈 placement. Low certainty

15/ Rec 4, Implementation remark: Evidence is insufficient to recommend a specific antiemetic regimen. The choice of regimen is based on institutional policy, clinical context, and availability.

16/ Rec 5: In individuals undergoing IGB therapy, AGA suggests against ❌ perioperative laboratory screening 💉🧪 for nutritional deficiencies. (Conditional recommendation, low certainty)

17/ Rec 6: AGA suggests daily supplementation with 1–2 adult dose multivitamins 💊 after IGB placement. (Conditional recommendation, very low certainty)

18/ Rec 7: After IGB removal, AGA suggests subsequent weight loss or maintenance interventions that include dietary interventions🍎🥗, pharmacotherapy💊, repeat IGB🎈🎈 or bariatric surgery🥼🪡. Continued tweet👇...

19/ Rec 7 continued: The choice of weight loss or maintenance method after IGB is determined based on patient’s context and comorbidities following a shared decision-making approach. (Conditional recommendation, low certainty)

20/ Check out the Intragastric Balloons in the Management of Obesity Clinical Decision Support Tool👇 gastrojournal.org/article/S0016-…

21/ Check out the final manuscripts 🔥🔥🔥🔥🔥🔥🔥🔥🔥🔥🔥🔥 Technical review: gastrojournal.org/article/S0016-… Guideline: gastrojournal.org/article/S0016-… Spotlight: gastrojournal.org/article/S0016-… Thank you to American Gastroenterological Association (AGA) Gastroenterology 👏🙏💪🎉😎🔥🎈 #Gastro Citations for this tweetorial 👆

22/ Great to work with the entire team & American Gastroenterological Association (AGA) Gastroenterology Guideline: Thiru Muniraj, MD, PhD, FACG, FRCP #LukejohnWDay #LeviMTeigen #EdithYHo Shahnaz Sultan Peri Davitkov Raj Shah #MHassanMurad Technical Review: Raj Shah Peri Davitkov Barham Abu Dayyeh MD MPH FASGE FAGA FAFS Monica Saumoy MD #MHassanMurad

23/ end THANK YOU for following this tweetorial on the topic of American Gastroenterological Association (AGA) Clinical Practice Guidelines on Intragastric Balloons 🎈 in the Management of #Obesity

Awesome to work on this! Check out this great tweetorial!! 🎈🎈😀

Meet the faculitators of the US GRADE Network Workhop Shahnaz Sultan Peri Davitkov Reem Mustafa Rebecca L. Morgan Philipp Dahm LIVE NOW #GRADE GRADE Working Group @EBCPMcMaster Holger Schünemann gradeconf.org

Reem Mustafa kicks off day #2 of USA GRADE Network virtual workshop. Forget p-values; consider fragility. Use confidence intervals! GRADE Working Group Philipp Dahm Rebecca L. Morgan Yngve Falck-Ytter Shahnaz Sultan Peri Davitkov

Future GI trainees 📣📢 With the application cycle upon us, let us give you an inside look at the Case Western/University Hospital Gastroenterology and Hepatology ACGME training program Check out our program with this video: youtube.com/watch?v=lksbqB…

Bassam Estfan Mark Yarchoan Pashtoon Kasi MD, MS American Gastroenterological Association (AGA) Check out the clinical decision tool and other important documents: Appreciate everyone’s thoughts Vinay Prasad MD MPH Elliot Tapper Guadalupe GarciaTsao @AtoosaRabiee @daulathsingh Sashi Manthravadi American Gastroenterological Association (AGA) U.S. GRADE Network gastro.org/wp-content/upl… See important documents gastro.org/news/guideline…

AASLD The Liver Meeting 2022 #TLM22 excited for our VA Northeast Ohio Healthcare System and University Hospitals Hepatology representation at this year’s conference #liverlover Adrian Seth Lindsey Peri Davitkov and Drs. Marty Cohen, Yngve Falck-Ytter, Pierre Gholam, Seth Sclair

Peri Davitkov provides introduction to PICO; without clear question - no clear answer/recommendation

Great #GRADE networking session last night Reem Mustafa Yngve Falck-Ytter Philipp Dahm @GiuliaILane Onuralp Ergun Rebecca L. Morgan maria ximena rojas

Incredibly grateful for the opportunity to train at and have the mentors & friends Brigham and Women's GI. An awesome last few days with Chris Thompson, MD. Can’t ask for a better Endo Family #Thompson #Lee #Ryou #Jajoo Hiroyuki Aihara, MD, PhD Pichamol Jirapinyo, MD, MPH