Nuance for the role of rifaximin

🚫treats overt HE
✅prevents overt HE

Anand V Kulkarni

picture this scenario: middle aged 🧍‍♂️ admitted for 🍺 pancreatitis. BUT: ultrasound : 🪨 in gallbladder. Cholecystectomy?👉🏻Gallstones as a cause in presumed acute alcoholic pancreatitis. ⁦DutchPancreatitisSG⁩ ⁦Marc Besselink⁩ ⁦Enrique de-Madaria⁩ pubmed.ncbi.nlm.nih.gov/38713609/

Important study, ongoing and difficult discussion in the 🇳🇱. 👉🏻Assessing the impact of center volume on the cost-effectiveness of centralizing ERCP - Gastrointestinal Endoscopy giejournal.org/article/S0016-…

Evening walk. What is not to like? To focus at work, unwind when at home!

Good job!! Very welcome guidance. Mind you: low levels of evidence… call 📞 to action for all of us! 👉🏻International Consensus Recommendations for Safe Use of LAMS. journals.lww.com/ajg/abstract/2… Douglas G. Adler MD, FASGE, FACG, AGAF

What is your practice after EUS guided drainage of pancreatic necrosis with plastic 🐖 tail? Remove after resolution or leave in long term?? Check this out 👉🏻 We looked at 330 patients what worked best. Long term indwelling stent seems optimal. eref.thieme.de/ejournals/1438…

things are not over after discharge from necrotizing pancreatitis! ⚠️ long term follow up. 👉🏻Long-term follow-up study of necrotising pancreatitis: interventions, complications and quality of life ⁦⁦DutchPancreatitisSG⁩ ⁦Marc Besselink⁩ gut.bmj.com/content/73/5/7…

Didn’t see this one coming! Preventing pancreatitis by enzymes? 👉🏻Pancreatic Enzyme Use Reduces Pancreatitis Frequency in children with recurrent or chronic pancreatitis journals.lww.com/ajg/abstract/9… Matthias Löhr what do you think?

Extremely relevant: 👉🏻Pancreatic quantitative sensory testing to predict treatment response of endoscopic therapy or surgery for painful chronic pancreatitis with pancreatic duct obstruction: study protocol for an observational clinical trial bmjopen.bmj.com/content/14/3/e…

Increasing momentum for EUS guided biliary drainage. But ⚠️ : centers in this review were not ‘novice’. Make sure you are trained properly! 👉🏻 EUS-Guided Vs. ERCP-Guided Biliary Drainage as Primary Approach to Malignant Distal Biliary Obstruction. journals.lww.com/ajg/abstract/9…

This is so interesting! Less idiopathic pancreatitis than we previously thought? Opportunity for prevention of recurrence? 👉🏻PHOSPHATIDYLETHANOL DETECTS OCCULT HEAVY ALCOHOL USE IN PATIENTS WITH ACUTE AND CHRONIC PANCREATITIS sciencedirect.com/science/articl…

First time I get to present on #pancreatitis in … a former chapel!💒 DutchPancreatitisSG NVGIC

Yes, guidelines support direct ERCP with suspect cholangitis, high risk criteria etc. BUT:many ➖ ERCP with no 🪨.👉🏻Low Detection Rates of Bile Duct Stones During Endoscopic Treatment for Highly Suspected Bile Duct Stones with No Imaging Evidence of Stones link.springer.com/article/10.100…

22%splanchnic vein thrombosis in necrotizing pancreatitis 😬. Benefit of anticoagulation unknown 🤨👉🏻 Splanchnic vein thrombosis in necrotizing pancreatitis: a post-hoc analysis of a nationwide prospective cohort - HPB hpbonline.org/article/S1365-… DutchPancreatitisSG Marc Besselink

🆕Article in press❕

Randomized-controlled trial of anakinra plus zinc vs. prednisone for severe alcohol-associated hepatitis

Full text here👉journal-of-hepatology.eu/article/S0168-…

#LiverTwitter

Expanding safe treatment of liver metastasis: Lung Mean Dose Prediction in Transarterial Radioembolization (TARE): Superiority of [166Ho]-Scout Over [99mTc]MAA in a Prospective Cohort Study |CardioVascular and Interventional Radiology ⁦Cancer Research UMC Utrecht⁩ link.springer.com/article/10.100…

Ready in 20 minutes for our multidisciplinary webinar on pain 😞 in chronic pancreatitis! DutchPancreatitisSG

Treating chronic pancreatitis? Aim to improve quality of life. Ask about fatigue! 🛌 Treat EPI, stop 🚬 and multidisciplinary team!👉🏻Prevalence and risk factors of fatigue and its association with quality of life among patients with chronic pancreatitis. sciencedirect.com/science/articl…

Does symptomatic gall 🪨 = 🔪 ?? Now sit down and read this 👉🏻Effectiveness of conservative management versus laparoscopic cholecystectomy in the prevention of recurrent symptoms and complications in adults with uncomplicated symptomatic gallstone disease. bmj.com/content/383/bm…

In patients with necrotizing pancreatitis think long term ⏰ ! And consider the LOCATION of necrosis! 👉🏻Long-term follow-up study of necrotising pancreatitis: interventions, complications and quality of life ⁦DutchPancreatitisSG⁩ ⁦Marc Besselink⁩ gut.bmj.com/content/early/…