Gastrointestinal complications from alcohol are increasing in adolescents and young adults at rates much higher than in other organ systems. https://t.co/NCuAI9mxJt
Pts w #Hepaticencephalopathy get a raw deal for #Livertransplant priority. Does MELD3.0 help?
🔑 we need to do more!
In @AmJGastro@VAResearch#cirrhosis pts
🔑inpt HE adds >4-5 MELD3.0 points for 90D & 6-7 points for 1Y mortality
🔑HE needs priority!⤵️
https://t.co/P9pIN42fMY
Rates of alcohol-associated hepatitis have increased significantly in adolescents and young adults with the risk of developing cirrhosis almost 50% higher for females compared to males. @Jenn_Flemming
https://t.co/QNY3I9lo1V
At the heart of health care is the patient.
Remember that, and remember they are incredible.
We recently had the privilege of sharing the story of the founder of @LiverAwareness
at Hepatology Update hosted by @UHN Toronto Centre for Liver Disease.
Check this out: 👇🏽
People with cirrhosis are more likely to wind up in the emergency department and die after their ED visit than people with heart failure and lung disease
Important study in @AGA_CGH
Diabetes and glycemic control impact the risk of liver cancer
From two independent cohorts @HepCommJournal
1. UK Biobank: https://t.co/GhzgU4IRXF
2. US veterans: https://t.co/Ffzv6uylD3
Editorial from Chen and @Jenn_Flemming: https://t.co/LoS3s6LokN
#livertwitter
New: Do social factors affect hepatitis C screening in children exposed to the virus in utero? Read the study https://t.co/vmoIQiuNIQ @Jenn_Flemming@queensu@PPE_Journal
According to data 📈 at #TLM23:
Female adolescents, young adults have higher rates of liver-related mortality and a 50% higher risk for cirrhosis and decompensation after surviving their first presentation of alcoholic #hepatitis.
@Jenn_Flemming
https://t.co/t64qyk2oKp
Do PPIs cause harms in cirrhosis?
Observational data say yes.
But causality remains a question.
What about deprescribing?
How about a trial?
We emulated one: https://t.co/mzWZBbkKU3
1⃣Small benefits possible
2⃣Return to PPI common
3⃣Deprescibing is a continual process