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As expected, a tour-de-force presentation from Lin Chang ANMS #ANMS2024 on constipation. This should be required of every primary care/family medicine clinician.

Stellar lecture by Dr. Fletcher #ANMS2024 on crucial role of dynamic MRI in characterizing defecatory d/o: ▶️ Excessive perineal descent can give a false + BET ▶️ Clinically significant rectoceles usually >4cm ▶️ Evacuation of rectal gel may be difficult in supine position

Dr. Bharucha highlights utility of anorectal manometry, pitfalls & the 🛣️ ahead: ▶️ ARM can vary day-to-day in the same pt ▶️ How can we improve our evaluation - seated ARM? Fluid filled BET? Incorporating different approaches to analysis (looking at the rectoanal gradient)?

Always learning from @drlauriekeefer on brain-gut therapies beyond IBS #ANM2024: ▶️ Think about specific targets for symptom generation to tailor techniques ▶️ Techniques can be personalized for specific GI symptoms ▶️ Nurse delivered interventions can help scale BGBTs

Excited to share some of what we’ve been working on over the last year at #ACG2024! Join me in Philadelphia for our research on appetite related factors, urogynecologic symptoms, provider screening for endometriosis, and IVIG treatment in gastroparesis.

William Chey: MC stabilizers may be helpful; H1 antagonists also reduce symptoms. TCA’s also exhibit anti-histaminic properties (ATLANTIS study Alexander Ford) #foodthemaincourse

Gastroparesis is more common in women

In collaboration with Xiao Jing (Iris) Wang, M.D. Yuying Luo, we studied screening practices for endometriosis among GI providers. Most are not currently screening- ask your pts about: -painful periods -heavy periods 🩸 -painful sex -painful urination -frequent UTIs #ACG2024 Cleveland Clinic

🆕🔥Using the novel #SmartToiletSystem supports the #feasibility & #accuracy of #long-term, non-invasive #automated #StoolForm monitoring⏩Eliminating the burden on patients to track their #Bowel forms‼️ 👉onlinelibrary.wiley.com/doi/10.1111/nm… ANMS ESNM.eu #GITwitter #MedTwitter

Incredibly excited and grateful for this amazing grant from CDF and NASPGHAN! I’ll be continuing some of the work I started as a fellow on heavy metals in GFD for children with celiac disease.

#GUTImage from the paper by Wilkinson-Smith et al entitled "Combined MRI, high-resolution manometry and a randomised trial of bisacodyl versus hyoscine show the significance of an enlarged colon in constipation: the RECLAIM study" via bit.ly/40xsEOU Lukasz Wiklendt

Introducing the Early Career Leadership Program #ECLP 2025 cohort! These GI physicians will complete training in leadership and policy skills and convene with other #ACGInstitute programs at #LeadershipYOU in June 2025. 🎉Congratulations! #ACGfamily #FutureofGI Neena S Abraham MD MACG FASGE AGAF

Great discussion and Q&A session today with Morgan Sendzischew Shane, MD Olga C. Aroniadis, MD, MSc & others on #constipation beyond guidelines as part one of Rome Partner's educational webinar series! Join Rome Partners (free!): bit.ly/4gwsVWR

#ACGAdvocacyDay2025 is underway! The ACG Governors and Early Career Leadership Program #ECLP are off to meet with Members of Congress. A top priority: addressing burdensome prior authorization requests that lead to delays in care.

Truly an honor advocating for our patients and colleagues at the Capitol Hill as part of the New York Governors and young leaders!! #ACGAdvocacyDay2025 ACG

Congrats to Yuying Luo representing Mount Sinai Health System at @ACG Early Career Leadership Prorgram. The future is indeed bright!

I always get asked whether it’s ok to use TCAs in patients with IBS-C (yes, as long as stool burden is controlled!) - great to see this data. ⭐️ Amitriptyline did not worsen bowel symptoms, and was well-tolerated, irrespective of #IBS subtype. #IBSAwarenessMonth

Seeing more ED visits for #constipation lately? Better outpatient management (by PCPs and GIs) needed! 👏 work led by MSM-MSW Internal Medicine Residency Research PGY3 Swati Patel (presented at #ACG2024) highlighted by Gastroenterology & Endoscopy News

The International Foundation for Gastrointestinal Disorders (IFFGD) along with the American Neurogastroenterology and Motility Society (ANMS) are launching a letter-writing campaign to the members of Congress asking them to urge the FDA to find a resolution for patients to

Implications of the Updated Lyon Consensus 2.0 in Clinical Practice 📕Read Here: journals.sagepub.com/doi/abs/10.117… Mako Koseki Emily Seltzer, DO, MS Kimberly Cavaliere, MD Yuying Luo D. Jodorkovsky M.D. Mount Sinai Division of Gastroenterology Mount Sinai DOM at Morningside and West Mount Sinai Health System The American Foregut Society #SurgTwitter #MedX #GIX #SurgX #endoscopy