Samagra Agarwal

Gastroenterology trainee at AIIMS. Loves biomedical research, indie music and procrastination

[Samagra Agarwal @Sam_ogre]

@KailashKolhe @Sanchit30497977 @randeeprana90 @ashishchauhan__ That’s an extremely difficult situation. We’ve managed some patients with hemospray and glue injection. Depending on liver function, further interventions can be planned

[Samagra Agarwal @Sam_ogre]

@KailashKolhe @Sanchit30497977 @randeeprana90 @ashishchauhan__ Suction usually helps. Don’t recall an esophageal varix which didn’t fit in the band after careful positioning and adequate suction.

[Samagra Agarwal @Sam_ogre]

@Sanchit30497977 @Yujun__Wong @stevenbollipo @RoyAHep @ReibergerThomas @ebtapper Most such patients have much bigger concerns. Need to always keep a big picture view when managing them. Agreed with keeping interventions as low as reasonably possible

[Hereticslave @ashishchauhan__]

Official journal of the American College of Gastroenterology | ACG.
A very relevant work from AIIMS exploring role of statins in cirrhosis. Great work ⁦@Sanchit30497977⁩ ⁦@Sam_ogre⁩ https://t.co/Dn75e4KEhn

[Yujun_Wong @Yujun__Wong]

🔥RCT: Antibiotic prophylaxis in CTP-A #cirrhosis with 🩸

✅Similar 6-week ☠️
✅Numerical higher risk of 🩸 &🦠 (esp SBP)

Most 🦠 occur < 5 days of 🩸

#livertwitter #GITwitter #liverX

Opportunity to reduce 💊 prophylaxis in low-risk non-ascites pts?

[Sanchit @Sanchit30497977]

Systemic inflammation gut barrier dysfunction and endotoxemia in patients with variceal 🩸 . How does it happen and how is it different compared to patients without AD and its impact on outcomes. #livertwitter @Sam_ogre @JCEH_Hepatology @BavenoCoop
https://t.co/HRugQoaW6l

[Samagra Agarwal @Sam_ogre]

@Sanchit30497977 exactly what we were discussing

[Itai Yanai @ItaiYanai]

Doing good science is 90% finding a science buddy to constantly talk to about the project.

[Samagra Agarwal @Sam_ogre]

Thrilling origins of GI endoscopy and the Indian link!

[The Paperclip @Paperclip_In]

Every year, millions rely on a procedure that’s simple, non-invasive, and life-saving: Endoscopy. It's used to diagnose everything from stomach issues to cancer. But did you know its roots trace back to an ancient Indian circus art? Thread.

1/9

[Samagra Agarwal @Sam_ogre]

@PrakashLab Brics was really fun at school in Kanpur. Brought back great memories. Thanks!

[Samagra Agarwal @Sam_ogre]

@docdhir Both eus cystoduodenostomy and ercp could be good options. What did you do?

[jaumebosch @jaumebosch9]

@ReibergerThomas @ebtapper @BavenoCoop @JuanAbraldes @BrettEFortuneMD @ggarciatsao @crisripol @docberza @AleksanderKrag @JonelTrebicka @MajaThiele ✅ Statins for cirrhosis: where is the truth?
➡️ Nothing is more robust evidence than a RCT! What RCTs say?
1) Statins cause a mild significan decrease in HVPG .Confirmed by 3 studies.
2) Statins do not decrease rebleeding in 2nd prevention, but decrease mortality by circa 50%
3)

[Samagra Agarwal @Sam_ogre]

@ashishchauhan__ @drashu123 @randeeprana90 @Samanta_JayPGI Patient stable, not requiring PRBC, no significant Hb drop. Worried about infection within the clot in cavity. Any suggestions for further management ?

[Samagra Agarwal @Sam_ogre]

40yr male with acute pancreatitis and portal/ splenic vein thrombosis in 3rd month of illness presents with a large pseudocyst. Eus CG with plastic stents is planned but as soon as needle and wire are introduced you see this just beyond the wire. What would you do next?

[Samagra Agarwal @Sam_ogre]

@ashishchauhan__ @drashu123 @randeeprana90 @Samanta_JayPGI So we went ahead and completed the procedure. Lot of blood on endoscopic view but could get two plastic stents in. Repeated a ct angio that showed large clot within the collection and in the stomach but no pseudoaneurysm again! No further 🩸 for 2 days now.

[Sanchit @Sanchit30497977]

👉. Our RCT on Statin in management of variceal 🩸is accepted for oral in @EASLedu ILC2024. Addition to Trials from AiimsGE iimportantQuestions in management of variceal 🩸. @EASLnews @BavenoCoop @Sam_ogre @randeeprana90 @mdtabish008 @Being_Medico @JustSagnik #livertwitter

[Jasmohan Bajaj @JasmohanBajaj]

Should we start simvastatin on everyone with variceal bleeding along w carvedilol? Maybe! Open label but encouraging data from @aiims_newdelhi @EASLnews #EASLCongress
Non bleeding deaths prevented primarily

[Sanchit @Sanchit30497977]

Congratulations @randeeprana90 for best oral abstract presentation of this year #EASL2024. Proud moment for #AIIMS Gastroenterology. @EASLnews @BavenoCoop @Sam_ogre @JustSagnik @AnandVKulkarni2 . #livertwitter #EASLCongress .