Yasser Ali

Gastroentrology and Hepatology specialist

[Yasser Ali @YasserMoAli]

@drkeithsiau Yes very common, seen a lot

[Yasser Ali @YasserMoAli]

@3enGem [email protected]

[Santhosh Ambika @RenoHemonc]

Time ot throw away BCLC based management - BEACON -HCC far more nuanced

[Giovanni Marchegiani @Gio_Marchegiani]

International Multidisciplinary 🤝 Consenus on #Fatty #Pancreas 🧈 is now published in @UEGJournal 🇪🇺

🚨 Fatty pancreas is associated with pancreatitis, metabolic disorders, and possible neoplastic changes

This landmark paper is 🆓 full access

https://t.co/dPJ1Tao5UL

[Dr.Priyanshu Jaseja @PJaseja]

3 tubular disorders- with metabolic alkalosis
Bartter syndrome
Gitelman syndrome
Liddle syndrome
#MedTwitter

[UEGJ @UEGJournal]

European Consensus Recommendations for Direct Cholangioscopy and Pancreatoscopy just for YOU:

🪩 42 recommendations at a glance

⬇️⬇️

🔗:https://t.co/0fSpATO7Wa

@my_ueg

[Yasser Ali @YasserMoAli]

@mannasalah How much?

[Frontline Gastro @FrontGastro_BMJ]

🔥 Amazing new review on Checkpoint inhibitor-induced cholangiopathy 💊🔥. Thanks to Atallah et al for their fantastic work 👏 👏

🔑 take homes:
1️⃣ It typically occurs after 6-13 cycles of anti-PD-1 therapy
2️⃣ MRCP is crucial to diagnose biliary abnormalities +/- liver biopsy
3️⃣ It has a poor biochemical response to immunosuppression

👀 Check out the full review below
https://t.co/dpoqDVLr4t

@PhilSmithIsBack @OTavabie @dr_aditi_kumar @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman @BASLedu @BSGtrainees @WorldGastroOrg @ulstergastro @pancreatitis_nl @SEEDendoscopia @EASLedu @AmCollegeGastro @Aegastro @SAGES_updates @UHSEndoscopy @WAGE_media

#GITwitter #livertwitter #Endoscopy #ERCP #MedEd #Oncology #Cholangiopathy

[Dr Aditya Gudheniya @Gastronaut___]

Few Key Points on Management of Acute Variceal Bleed (APASL 2025)

•Time-Zero (T0) redefined : T0 = time of first hematemesis, not hospital arrival, to capture the entire pre-hospital course.
•AVB episode duration = 48 hours from T0 (not 5 days as in Baveno VII). Any bleed within these 48 h = same episode.

•“Home-to-Door” time :- ideally 2 hours (acceptable up to 4h in mild cases). Delay >4–6h increases mortality.

•CT scan recommended as a non-invasive diagnostic tool to assess esophageal varices; CECT superior to LSM/MRI for high-risk varices.

•Pre-ER (ambulance) management :- Terlipressin 2 mg bolus can be administered during transport in suspected AVB.

•ER: Start vasoactive agent early : terlipressin/somatostatin/octreotide within 30 min of index bleed (“door-to-needle” time).

•All vasoconstrictors have comparable efficacy in initial control of variceal bleeding. Choice based on availability and comorbidities.

•Prefer terlipressin in AKI :- physiologic benefit and better renal outcomes.

•Continuous terlipressin infusion (4 mg/24h) preferred over intermittent bolus :- higher success, lower dose, fewer complications.

•Tranexamic acid :- may reduce post-EVL ulcer bleeding but does not reduce mortality and carries risk of portal vein thrombosis.

•After endoscopic control, vasoactive drugs may be stopped after 48 h, and NSBB started thereafter.

•Antibiotics : Ceftriaxone preferred; duration can be shortened to 2 days if endoscopic hemostasis is successful (vs 5 days).

•If both EV and GV present, obliterate gastric varices first even if no stigmata of recent bleed on GV.

•Gastric varices bleed less often but more severely; can bleed even when HVPG <12 mmHg due to large blood flow causing rapid and profuse bleeding.

•Key TIPS points :-
•Rescue option for failure to control bleeding.
•Consider early TIPS in high-risk patients (hemodynamic and endoscopic predictors).
•Preferred rescue therapy for refractory GV or PHG bleeding when endoscopic or radiologic options fail.

•Antibiotics are not recommended for acute variceal bleed in non-cirrhotic portal hypertension :- no evidence available.

#GITwitter

[Yasser Ali @YasserMoAli]

اول مرة انزل فيديوهات لحالات اشتغلتها هنا، قلت تبقى فرصة اتكلم اكتر.

دي حالة جت بشتكي بعد عملية #تكميم بكزا سنة باعراض مذكورة في الفيديو وده اللي لقيته اثناء المنظار وكانت الحلول المتاحة للاسف كلها جراحية او محاولة التاقلم مع الادوية لانها Traumatized من اي جراحة اخرى …

[Amy Oxentenko, MD, MACP, MACG, AGAF @AmyOxentenkoMD]

Recall #ExtraintestinalManifestations (EIMs) that parallel IBD activity?🤷🏻‍♀️

@IBD_Afzali shares her “Rule of E”

▶️ Starts w/“E” = parallels IBD activity
🔹Episcleritis
🔹E. nodosum
🔹Elbows (peripheral lg joints)

▶️ Does not start w/“E” = not parallel
🔹Uveitis
🔹Pyoderma
🔹Axial arthritis
🔹Also PSC

#ACGMWRegional
@AmCollegeGastro

[Carl Kay, MD @CarlKayMD]

Magic Numbers in Hepatology
▪️MAP goal &gt;82 in outpts
▪️Plt &lt;160 = concern
▪️Spleen ≥12 cm ➡️ portal HTN
▪️Portal v ≥13 mm ➡️ portal HTN
▪️SAAG ×10 ≈ HVPG (1.1=11)
▪️TIPS safe for ascites if MELD-Na ≤18
▪️MELD-Na &gt;15 ➡️ refer for transplant
▪️“6-month sobriety rule” = outdated

[Frontline Gastro @FrontGastro_BMJ]

With the expanding therapeutic armamentarium of IBD therapies 💊 , brush up your IBD knowledge 🧠 by reading this excellent manuscript published in FG: "The Milestone papers that changed clinical practice in IBD" 👇 👇 👇

https://t.co/B3QMt2tpgu

With thanks to the authors: Aaron Singh Bancil (@AaronBancil), Beatriz Gros (@Bealoquebea), Rupa Banerjee (@DrRupaBanerjee1), Aline Charabaty (@DCharabaty), Phil Tozer (@philtozer1) and Jonathan Blackwell (@JonnyBlackwell)

@PhilSmithIsBack @OTavabie @dr_aditi_kumar @DrJMKennedy @DunnePdj @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman @JonnyBlackwell @AlenkaBrooks @DCharabaty @jennie_clough @rachelcooney7 @DisneyBen @DrBuHayee @jklimdi @wingyanjoyce @Jonathansegal85

#IBD #Crohns #UlcerativeColitis #Gastroenterology #GITwitter #GIresearch #Colitis #CCUK #MedTwitter #IBDLife #DigestiveHealth #IBDAwareness #PrecisionGI #TranslationalGI #Gastro #GastroX #IBDScience #GutHealth #ImmunologyMeetsGI #NextGenGastro

[Yasser Ali @YasserMoAli]

@EndoCollabcom Esophageal diverticulosis ?

[Yasser Ali @YasserMoAli]

@specter12632742 انا بكتبه عادي

[Mamdouh NasrAllah @MamdouhNasrAllh]

أنا قد كلمتي ، سحب ناو من التويتة دي على بلاي ستيشن 5 ، و النتيجة آخر الأسبوع إن شاء الله ، لايك و شير و اكتب كومنت عشان تشارك معانا

[Yasser Ali @YasserMoAli]

@MamdouhNasrAllh Stay humble 😂😂

[Dr. AK 🇮🇳 @docakx]

Characteristic appearances of tongue in various conditions

[Yasser Ali @YasserMoAli]

Honored to attend the 2nd Egyptian Liver Transplant Conference (ELTS), led by Prof. Dr. Amr Abdelaal. A great platform to share insights &amp; innovations in liver transplant with experts worldwide. Proud to be part of the Egyptian Liver Transplant Community! #LiverTransplant