Rodrigo Torres-Quevedo MD MSc PhD

Jefe cirugia hepática, pancreática y biliar. Hospital Gmo Grant Benavente Concepción - Chile

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

Evaluación del riesgo perioperatorio de pacientes con cirrosis
Fuente: https://t.co/K9I9WaNyN2

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

Prevención de la pancreatitis post-CPRE - nueva revisión en
@AGA_Gastro 🆕💡

📸: https://t.co/xglsfRqCVf

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

Guía Internacional 2025 para la Pancreatitis Aguda

https://t.co/huGFRDkRwY

[Rodrigo Torres-Quevedo MD MSc PhD @RTorresQuevedo]

Mechanisms and management of graft inflow and outflow in liver transplantation - Journal of Hepatology https://t.co/L2FUDa2wKu

[Annals of Surgical Oncology @AnnSurgOncol]

December Issue: Central Hepatectomy as an Alternative: A Comparative Study with Conventional Major #Hepatectomy for #PerihilarCholangiocarcinoma

https://t.co/JzVZ0xxZL4

@BotelhoDra
@SyedAAhmad5
@SocSurgOnc

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

Guía Internacional 2025 para la Pancreatitis Aguda vía @sciencedirect

https://t.co/huGFRDkRwY

[JAMA Surgery @JAMASurgery]

Global reference values reveal total pancreatectomy carries higher complication and mortality risks than pancreatoduodenectomy, especially for cases involving vascular resection. https://t.co/gouCXeDg4p

[Syed A. Ahmad @SyedAAhmad5]

Liver Transplant for Upfront Unresectable Colorectal Metastases ⁦@JAMASurgery⁩ https://t.co/iNXHsxlnkc

[Annals of Surgical Oncology @AnnSurgOncol]

Featured: Comparison between Neoadjuvant Chemoradiotherapy and Chemotherapy for Patients with Resectable #PancreaticCancer @ItaruEndo

https://t.co/egJ9j21lSg

@jhatjhmi1
@SyedAAhmad5
@SocSurgOnc

[Scholarship for PhD @ScholarshipfPhd]

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

Viaje al páncreas #Salud 👇 La función del páncreas es vital y tan importante como la del corazón o los pulmones. #Infografía @sepdigestiva @saludigestivo

[Rosana Ferrero 📈📊🙌 @RosanaFerrero]

El p-valor debe interpretarse con cuidado: no nos dice si la hipótesis es verdadera; evalúa la evidencia contra la hipótesis nula; úsalo junto con el tamaño del efecto (e.g. MCID), los intervalos de confianza y el contexto del estudio.

#stats
#pvalor
#pvalue
#DataScience

[ShAmAn'S | مُلهِم 🇸🇦✨ @Shaman___S]

Liver segments under Ultrasound

[CardiovascularCorner @TrackYourHeart]

Classification of Portal hypertension according to the site of vascular obstruction

[Memodi @MemodiApp]

Los quistes del colédoco son malformaciones congénitas raras, que consisten en la dilatación quística del árbol biliar tanto intrahepático como extrahepático.

PEDIATR. 2 0 1 6;4 9(2):64–67

[Les Flores @lesssflo]

Hola🤠 Cuando tu variable depende de una respuesta binaria (sí/no, 0/1), la #regresiónLogística en #R te permite estimar probabilidades 📊

🚩Te dejo este ejemplo paso a paso y con código reproducible:

🔗https://t.co/cfpV75awmr

#CódigoDeTodxs

[Sonographer Mazen Abdo A @mznljrdy47597]

Liver segments scanning in Ultrasound

#ultrasound #sonologist

[Oscar Arias @OACerebro]

¿Está interesado en escribir un artículo científico?

Manual de redacción científica le mostrará paso por paso cómo lograrlo #Ciencia

https://t.co/rYboR9H6z7

[CME INDIA @CMEINDIA1]

Noninvasive Assessment of Liver Fibrosis (NEJM 2025)

🔍 Key Concepts

The extent and progression of liver fibrosis define the prognosis in chronic liver disease.

Early detection of fibrosis before cirrhosis develops changes outcomes and enables prevention strategies.

⚙️ Revolution in Hepatology

Noninvasive fibrosis tests have replaced liver biopsy in most cases.

They help diagnose, stage, and risk-stratify patients with chronic liver disease.

Also useful for predicting cirrhosis-related complications.

🧠 Main Tools in Practice

FIB-4 Index – Simple, inexpensive; ideal for primary care and diabetes clinics.

Enhanced Liver Fibrosis (ELF) Score – Specialized serum test with high accuracy.

Transient Elastography (VCTE / FibroScan®) – Measures liver stiffness through vibration-controlled technology.

Magnetic Resonance Elastography (MRE) – Most accurate, but costly and limited to tertiary centers.

📊 Practical Clinical Pathway

Begin with FIB-4 using age, AST, ALT, and platelet count.

If FIB-4 < 1.3, advanced fibrosis is unlikely—manage risk factors and recheck periodically.

If FIB-4 ≥ 1.3, perform VCTE or ELF.

If noninvasive tests show high stiffness or score, refer to a hepatology clinic for confirmation or management.

⚠️ Important Confounders

FIB-4 may give false positives in older adults (>65 years).

ELF can rise due to inflammation unrelated to liver disease.

VCTE accuracy is reduced in obesity, recent meals, or high ALT levels.

FibroTest can be misleading in hemolysis or Gilbert’s syndrome.

💰 Cost and Context

FIB-4 – Cheapest, universally applicable.

ELF – Moderately expensive, more specialized.

VCTE – Intermediate cost, widely available in liver clinics.

MRE – High cost, limited availability but top precision.

💡 Key Clinical Insights

Use noninvasive fibrosis testing routinely in patients with diabetes, obesity, metabolic syndrome, or unexplained elevated liver enzymes.

Sequential testing (FIB-4 → VCTE/ELF) avoids unnecessary liver biopsy.

Helps detect silent MASLD/MASH early in primary care and diabetology settings.

Raising awareness among non-hepatologists is critical for early screening and prevention.

🧩 CME INDIA Take-Home Message

“Use FIB-4 in primary care, FibroScan in specialty care — a biopsy-free pathway to detect silent liver fibrosis before it’s too late.”
https://t.co/SlInerlZkI

[Elliot Tapper @ebtapper]

Liver biopsy 2.0 -
@AASLDPresident &amp; I highlight the progress/pitfalls in noninvasive liver evaluation.

https://t.co/vcoBFTwlnx