help@

Ciencia. Deportes.

[Elliot Tapper @ebtapper]

What is asterixis?

👋Described~60 yrs ago by Adams/Foley
👋Methods:60pts w/impending hepatic coma vs controls
👋Flapping flexion/extension, best @ the🤚but happens even 2 the 👁️lids! Has intervening tremor (mini-asterixis)

Look 4 it while checking handgrip!
#livertwitter
1/4

[Keith Siau @drkeithsiau]

Endoscopic assessment of Barrett’s Oesophagus

[Elliot Tapper @ebtapper]

Love this paper
1. Checking ANA in everyone with elevated ALT is unhelpful, sometimes harmful, usually confusing
2. Biopsy when ALT <100 but ANA elevated is not useful
3. Autoimmune hepatitis is a clinical diagnosis and frequently made DESPITE biopsy findings

[Frontline Gastro @FrontGastro_BMJ]

🧪🔬 Do we still need endomysial antibody (EMA) after IgA tTG?
📉 This study says: No meaningful added value—including in “borderline” tTG where EMA sensitivity ~0.41 and no association with biopsy.
https://t.co/Ll9bt7EGOE

#CoeliacDisease #Endoscopy #Diagnostics #GastroTwitter

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

[S.Enf.Infecciosas HRUM @infeccHRUmalaga]

Usas la #Vancomicina para #Cdifficile 💩en pulso o en “táper”❓En @JAMA_current Ensayo clínico donde #”Taper” (125 mg/6 h 14 días y después pauta descendente)💊📉fue SUPERIOR a #pulsos (125 mg/6 horas 14 días)📸👇🏻con MENOS recurrencias📉🔁
🔗🆓 https://t.co/rELvcJ8yPR

[John Damianos, M.D. @john_damianosMD]

Low-dose aspirin is associated with a 58% ⬇️ risk of colorectal cancer and a 34% ⬇️ risk of mortality in patients with inflammatory bowel disease.

https://t.co/F15rGJn77H

[help@ @cesar1511]

@AnaPath10 Gist y le pides cd 117

[EndoCollab™ | GI Endoscopy Community @EndoCollabcom]

Factors associated with increased calprotectin concentration

Reference: D'Amico, F., et al. (2021), International consensus on methodological issues in standardization of fecal calprotectin measurement in inflammatory bowel diseases. United European Gastroenterol J, 9: 451-460.

[Dr Aditya Gudheniya @Gastronaut___]

🧵 ALT vs AST :- Significance of zonation in interpreting patterns of enzyme elevations
A thread 🧵-

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

Manejo de la enfermedad de Crohn: 🆕 Directrices ACG 2025 #4KMedEd

[Ajit Kolatkar @ajitkolatkar]

🚨 New study alert!
How should we test for #Hpylori in patients already on #PPIs?
Though guidelines recommend stopping PPIs before testing, #realworld patients often can’t.
Study from PGIMER, India compares Double-site #BIOHIT RUT vs. Histopathology. 🧵
https://t.co/vmaSDYG1SQ

[Dr Luis Felipe Cabrera Vargas MD FACS @PipeCabreraV]

Myths and legends in surgery! Bowel sounds are not reliable signs for intestinal transit! @pferrada1 @SWexner @TomVargheseJr Only in @DCRjournal !

[Yakup Ergün @dr_yakupergun]

Liver Segments: Axial CT and 3D Reconstruction

Source: xray_iq

[Álvaro Díaz-González @adiazgonzalezMD]

🚨Long-term use of low-dose prednisone was associated with higher recurrence Primary Sclerosing Cholangitis recurrence after liver transplantation‼️

#LiverX @AEEHLiver @sepdigestiva

[Keith Siau @drkeithsiau]

Is this a gamechanger in acute pancreatitis? This new RCT has just dropped in @Gut_BMJ 💥

📸: https://t.co/9aPao5gIbf

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

Capas del tracto gastrointestinal 🔬 #4KMedEd

[Aegastro @aegastro]

🎯🧵 ¿Qué novedades trae la nueva guía de la ASGE (2025) sobre el diagnóstico y manejo de la enfermedad por reflujo gastroesofágico (ERGE)?

¿Qué cambia? ¿Cuándo hacer endoscopia? ¿Qué tratamientos endoscópicos se recomiendan? ¿Qué técnicas emergen? Te lo contamos paso a paso 👇

[The Baveno Cooperation: an EASL Consortium @BavenoCoop]

CIRROXABAN Study is finally here!
🔬 First DB RCT evaluating rivaroxaban in cirrhosis
💡 Complication-free survival benefit in Child‑Pugh B7 (HR 0.26 [95 % CI 0.07–0.90]).
⚠️ Mild bleeding ↑, but no increase in severe events.
📄 https://t.co/KMjoBIZVsp

[AJG - The American Journal of Gastroenterology @AmJGastro]

Vonoprazan High-dose Dual, Vonoprazan Triple and Rabeprazole Reverse Hybrid Therapies for First-line Treatment of H. pylori Infection: A Multicenter Randomized Trial
Hsu, et al.

📕 https://t.co/fuM2Ii7JIU

@MLongMD @JasmohanBajaj

[Klaus Mönkemüller, MD, PhD @KMonkemuller]

💩 Diarrhea after kidney transplant
Source: https://t.co/lqHHq9I1DN