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
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
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
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
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.
🚨 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
🚨Long-term use of low-dose prednisone was associated with higher recurrence Primary Sclerosing Cholangitis recurrence after liver transplantation‼️
#LiverX@AEEHLiver@sepdigestiva
🎯🧵 ¿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 👇
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
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