🚨 New @AmJGastro ACG Guideline 🚨
Pre-op risk assessment in chronic liver disease
▪️Assess for CSPH
▪️Use MELD & VOCALPenn for surgical risk
▪️Screen for HCC & EV
▪️>15% 90d mortality → consider LT eval
▪️TIPS in select high-risk cases
🔗 https://t.co/p5JViI35vt
✨ My 1️⃣st year of GI fellowship was littered with pearls of wisdom. Here are a few of them:
🕕 Ideally get it to 6 o’clock
🏋️♀️ Prioritise health and fitness
💦 Water over air
🕳️ Look before inserting the colonoscope
🪢 Reduce, reduce, reduce
📚 Give yourself a little homework each day
🤗 Be the fellow everybody loves
🩸 Confidence is key
😖 Ask for pressure early
⚙️ Know the specific tools you want and why
💭 Anticipate problems before they happen
🧍♂️Optimise ergonomics
👑 Be a mentor to the GI applicants
👀 Explore! You’re in a brand new city!
📝 90% of diagnosis is made through history and physical. Tests only confirm or refute
🗣️ Difficult people and ridiculous consults are commonplace. Dealing with both is an art
🔄 Create your workflow and operate the same way each time; deviations then become easier
💰 Even though scoping pays more than talking…it’s important to know when to NOT scope
🔦 Do something FOR the patient, not TO them
#GITwitter #MedTwitter #GIFellowship
Thrilled to welcome our new fellows to the Stanford GI family!
Your journey in gastroenterology starts with us, and we can't wait to see the incredible contributions you'll make!
@ElsieEnnin@C_M_McIntosh Joshua, Rishi and Helen!
#MatchDay#Match2025#gitwitter#livertwitter