Gemma Espín

Aparell Digestiu - Hospital General de Granollers

[Dr. Mateo Avila @drteoa]

🧵 Menos reglas automáticas, más selección del paciente

La colectomía electiva ya no depende de la edad ni del número de episodios: se decide por síntomas, recurrencias y calidad de vida. En peritonitis, pacientes bien seleccionados pueden beneficiarse de anastomosis primaria con derivación, evitando un Hartmann definitivo.

Resumen y artículo completo en español

https://t.co/vR3lBdoTT0

[Sociedad Española de Patología Digestiva (SEPD) @sepdigestiva]

🔍🩸 La colitis isquémica suele afectar a las zonas “watershed” del colon. En la endoscopia, el “single stripe sign” es patognomónico y corresponde al borde antimesentérico, donde el aporte sanguíneo es menor.
#4kmeded #gitwitter

[Eric Topol @EricTopol]

The mechanism by which low dose aspirin can help prevent cancer metastasis @NEJM
With particular reference to colon cancer and individuals with specific mutations or CHIP
https://t.co/jn0pGhjb0P

[Frontline Gastro @FrontGastro_BMJ]

The #FG team is delighted to share this special endoscopy edition, featuring expert insights from world-leading leaders in endoscopy.

🚀 BSG EndoBridge Series (1/15): Diathermy Demystified

Most endoscopists can select a generator setting, but how many truly understand why it works?

📢 The first article in our 15-part BSG EndoBridge Special Issue explores the principles of diathermy that underpin everyday and advanced endoscopy.

🔗 https://t.co/ZGORnAKUfa

⚡ Why identical settings can produce different tissue effects
⚡ Cut vs coagulation: what's really happening?
⚡ The importance of voltage, impedance & current density
⚡ How saline immersion changes electrosurgical behaviour
⚡ Practical lessons for EMR, ESD, ERCP & third-space endoscopy

Whether you're performing a polypectomy or an ESD, understanding the physics behind electrosurgery can improve precision and reduce complications.

📖 All EndoBridge articles are fully Open Access.

@PhilSmithIsBack @OTavabie @dr_aditi_kumar @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman @BASLedu @BSGtrainees @WorldGastroOrg @ulstergastro @SEEDendoscopia @EASLedu @AmCollegeGastro @Aegastro @SAGES_updates @WAGE_media @my_UEG @amergastroassn @NASPGHAN @UHSEndoscopy @ESGE_news @amergastroassn @BritSocGastro @ASGEendoscopy @EndoCollabcom @JAG_Endoscopy @SimonMEverett @gastro3570 @drkeithsiau @DrOmerAhmad @Dunnepdj @shraddha_gulati @CardiffGastro @DrBuHayee @poodocnisha @Sharm_Sub

#BSGEndoBridge #FrontlineGastroenterology #Endoscopy #EMR #ESD #ERCP #MedEd

[Keith Siau @drkeithsiau]

Gastroparesis - summary of the new JAMA review (July 2026):

1️⃣ Pathophysiology
2️⃣ Risk Factors and Epidemiology
3️⃣ Diagnostic Tests
4️⃣ Management

📸: https://t.co/LsCcKvntc0

[ESGE @ESGE_news]

🔥🆕Publication: Sedation for gastrointestinal endoscopy - ESGE and @ESGENAnurses Guideline
📷https://t.co/SIYriQvbIz
⏰Published today online in @endoscopyjrnl
🔖Bookmark the graphic abstract for future reference

Congratulations to all authors!

[EndoCollab™ | GI Endoscopy Community @EndoCollabcom]

Barrett's esophagus detection has a problem.

Expert endoscopists identify visible dysplastic lesions in 87% of cases.
Community hospitals? 60%.

That 27% gap represents real patients with missed early cancers.

The difference isn't technology. It's systematic technique.

Our approach starts with one anatomical landmark most training programs overlook: the palisade veins.

These vessels exist only in the esophagus. When you see them under columnar epithelium, you're looking at Barrett's—definitively.

The full methodology is now available inside EndoCollab.

[Mohamed Shiha @Mo_Shiha]

🚨 The new @BritSocGastro guidelines on coeliac disease are out in @Gut_BMJ ! 🇬🇧🇮🇹🇸🇪🇦🇺

📄https://t.co/ptFxcZXXCV

✅ No-biopsy diagnosis in selected adults
✅ Clearer pathways for potential & seronegative disease
✅ Updated biopsy standards
✅ Follow-up and refractory cases

[EndoCollab™ | GI Endoscopy Community @EndoCollabcom]

Colon polyp study:

14% of ≤20mm polyps & 20% of 10-20mm polyps are incompletely resected during colonoscopy.

[Frontline Gastro @FrontGastro_BMJ]

🔬 Barrett’s neoplasia: management update

This practical review highlights the evolving role of endoscopic management:

👀 Careful HD inspection + enhanced imaging
🎯 Targeted assessment of visible lesions
✂️ EMR for small, low-risk lesions
🔪 ESD for larger, scarred or suspected submucosal lesions
🔥 Resection + ablation remains standard for early Barrett’s neoplasia
📅 Structured surveillance is essential after eradication therapy

A clear update on detection, resection, ablation and follow-up in Barrett’s neoplasia.

🔗 https://t.co/LG31NSZFXf

#FrontlineGastroenterology #Endoscopy #BarrettsOesophagus #OesophagealCancer #Gastroenterology

@PhilSmithIsBack @OTavabie @dr_aditi_kumar @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @BSGtrainees @WorldGastroOrg @SEEDendoscopia @AmCollegeGastro @Aegastro @SAGES_updates @WAGE_media @my_UEG @amergastroassn @NASPGHAN @UHSEndoscopy @ESGE_news @amergastroassn @BritSocGastro @ASGEendoscopy

[Sociedad Española de Patología Digestiva (SEPD) @sepdigestiva]

🔝 Revisión sobre cáncer gástrico

Fuente: https://t.co/4ETXqbTj9k

[Keith Siau @drkeithsiau]

Diagnosis and management of gastric
premalignant conditions - summary of ACG 2025 guidelines 📍

[SEED @SEEDendoscopia]

💪🏻¡Gran representación española en los #ESGEDays2026! 🇪🇸
Un placer compartir estos días en Milán con compañeros y profesionales tan comprometidos con la innovación, la formación y el avance de la endoscopia digestiva.

Gracias a todos los asistentes por las conversaciones, el aprendizaje compartido y el gran ambiente dentro y fuera del congreso. Seguimos creciendo juntos como comunidad.

¡Nos vemos en la próxima edición! 👏
#endoscopia #endoscopy @ESGE_news

[Keith Siau @drkeithsiau]

Management of peptic ulcer bleeding - updated ESGE guidelines unveiled at #ESGEDays2026 🩸🆕

📸: https://t.co/snEb1bOO9z

[Hepatology Communications @HepCommJournal]

📑 Screening and management of portal hypertension and varices in #cirrhosis: Expert perspectives‼️
#OpenAccess #LiverX

https://t.co/wXAXo6uFYb

[Andy Tau, MD @DrBloodandGuts]

As new fellows arrive soon I think this deserves a report!

[Frontline Gastro @FrontGastro_BMJ]

Tranexamic acid in GI bleeding: useful tool, or time to rethink? 🩸💊🤔

BSG & ACPGBI position statement in @FrontGastro_BMJ sets out guidance on tranexamic acid in upper and lower gastrointestinal bleeding — a key topic for acute GI, surgical and emergency care teams. 🚑🔎

Essential reading for anyone managing GI haemorrhage.

Read more: https://t.co/7c935lrF00

#GIBleeding #TranexamicAcid #UpperGI #LowerGI #EmergencyMedicine #FrontlineGastro #GItwitter #Gastroenterology #Surgery #ClinicalGuidance @BritSocGastro @ACPGBI @my_UEG @AmCollegeGastro @DDWMeeting @ESGE_news @drkeithsiau @DrOmerAhmad @Dunnepdj @shraddha_gulati @CardiffGastro @DrBuHayee @poodocnisha @Sharm_Sub @PhilSmithIsBack @OTavabie @dr_aditi_kumar @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman

[Keith Siau @drkeithsiau]

This BSG guidance document is like a textbook for upper GI endoscopy and is a must read for endoscopists and trainees 💡🆕

[Adriana Zucchiatti @zucchiatti_]

ACG Clinical Guideline: Diagnosis and Management of Gastric Premalignant Conditions
https://t.co/nXERoUfNLJ
#GIpath

[Daniel Calle Rodas @drdanielcaller]

Las enfermedades gastrointestinales eosinofílicas están en aumento global

➡️ La EoE es crónica y progresiva
➡️ Alta asociación con alergias
➡️Retraso diagnóstico de hasta 10 años
➡️Nuevo: corticoides tópicos y dupilumab

#GITwitter #MedTwitter #MedEd #EoE