Jorge

M.D. 👨🏽‍⚕️
SIC•PARVIS•MAGNA
Me gusta la música, la tecnología y todo lo relacionado al mundo automotriz 🤙

[Ana Paula Ugalde @anapaugalde]

La BBC tiene una página donde puedes ver cómo se van armando los cruces del Mundial 2026 conforme avanzan los partidos. Sin drama, sin "última hora". Solo el cuadro, actualizado, con el camino posible de cada selección. Parece un detalle menor. No lo es.

En un torneo con 48 equipos y 12 grupos, como aficionados, además de saber quién ganó, queremos imaginar contra quién podrían jugar nuestras selecciones, qué tan difícil se pone el camino, qué escenarios son posibles. Esa página responde exactamente eso, sin obligarte a calcular nada.

Y eso es lo que hace bien, convierte la información compleja en algo fácil de entender, en el momento exacto en que la gente lo necesita.

Les comparto la página por si quieren seguir los cruces: https://t.co/xo3HWSuTp3 ⚽
#Comunicación #Mundial2026 #ComunicaciónDigital

[MisterChip (Alexis) @2010MisterChip]

‼️ HISTÓRICO ‼️

Marruecos 🇲🇦 se convierte en la PRIMERA selección de la historia que junta en el campo a ONCE jugadores nacidos fuera del país en un partido de la Copa del Mundo:

🇨🇦 Bono (Montreal)
🇳🇱 Noussair Mazraoui (Leiderdorp)
🇫🇷 Issa Diop (Toulouse)
🇪🇸 Chadi Riad (Palma)
🇪🇸 Achraf Hakimi (Madrid)
🇫🇷 Neil El Aynaoui (Nancy)
🇫🇷 Ayyoub Bouaddi (Senlis)
🇧🇪 Chemsdine Talbi (Sambreville)
🇧🇪 Bilal El Khannouss (Molenbeek)
🇫🇷 Samir El Mourabet (Strasbourg)
🇪🇸 Ismael Saibari (Terrassa)

[Jana G Hashash, MD, MSc @JHashashMD]

MUST READ📖
Joint @RomeFoundation & @IOIBD1 RAND/UCLA Recommendations for #Evaluation & #Managmt of #IBD with #IBS-like Symptoms @AGA_Gastro

https://t.co/TAfqa31eTZ

📝Nomenclature: IBD with IBS-like symptoms

Evaluation🩺 🧫

Therapies
🥗Diet
💊Drugs💉
🧠Brain gut behavioral tx

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

✅ Evaluación del riesgo perioperatorio en pacientes con cirrosis

Fuente: https://t.co/K9I9WaNyN2

#LiverX

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

Actualizaciones en lesión hepática inducida por fármacos (DILI) 💊⚠️
1️⃣ Evaluación
2️⃣ Nuevas causas identificadas
3️⃣ Escalas RUCAM y 🆕 RECAM
📸: https://t.co/KCS55Eo8FR

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

🍉 Ligadura endoscópica con bandas para estómago en sandía

[Revista de Gastroenterología de México @RevistadeGastr1]

La colonoscopia continúa siendo una herramienta fundamental para la detección oportuna de cáncer colorrectal.

En este artículo publicado en la Revista de Gastroenterología de México se evaluó el efecto de las reuniones trimestrales y reportes por correo electrónico sobre indicadores de calidad en colonoscopia, como la tasa de detección de adenomas (ADR), la intubación cecal y el tiempo de retirada.

Consulta el artículo completo: https://t.co/4K6FpcTIRl

#Colonoscopia #CáncerColorrectal #Endoscopia #InvestigaciónMédica #RevistaGastroenterologíaMéxico

[Keith Siau @drkeithsiau]

Diagnosis and management of gastric
premalignant conditions - summary of ACG 2025 guidelines 📍

[Frontline Gastro @FrontGastro_BMJ]

Can pre-op pelvimetry help predict a difficult pouch? 📐🔎

This @FrontGastro_BMJ study explores pelvimetry as a predictive factor for difficult ileal pouch–anal anastomosis and postoperative complications — bringing anatomy, imaging and surgical planning together in IPAA care. 🧑‍⚕️🏥

A useful read for IBD surgeons, colorectal teams and clinicians managing patients considering restorative proctocolectomy.

Read more: https://t.co/OJon29C2kT

#IPAA #UlcerativeColitis #IBD #ColorectalSurgery #Pelvimetry #FrontlineGastro #GItwitter #InflammatoryBowelDisease #SurgicalResearch #ClinicalResearch @BritSocGastro @my_UEG @AmCollegeGastro @DDWMeeting @ESGE_news @ACPGBI @ASGBI @dr_aditi_kumar @OTavabie @DrJMKennedy @DunnePdj @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman

[EndoCollab™ | GI Endoscopy Community @EndoCollabcom]

Post-Polypectomy Surveillance Guidelines

By apexlabalphagi

[EndoCollab™ | GI Endoscopy Community @EndoCollabcom]

Does the Haraldson Classification Encompass All Papillas?

Some examples of papillas of Vater that may not be classifiable based on the classification of Haraldson. Examples inlcude ulcerated, tumorous, retracted papillae. What do you think about this classif

[Klaus Mönkemüller, MD, PhD @KMonkemuller]

💉 How to perform the best submucosal cushion for endoscopic mucosal resection

✅ Forget about everything written in GI books - you do not need „four-quadrant“ injection.

The EndoCollab method ➡️ Dynamic injection - one injection, then move scope and needle to achieve SM lift

[Hepatoma Research @HepatomaRes]

🫀 HCC Recurrence After Liver Transplantation Remains a Major Challenge

Although liver transplantation offers curative potential for HCC, post-transplant recurrence is still associated with poor outcomes.

🔗 https://t.co/M67obgcZmp
#LiverTransplantation #TransplantOncology

[Jan Král @KralJan]

👏 Great presentation on esophageal strictures at #ESGEDays2026 🩺

A short but excellent overview of classification, dilation strategy, stenting, and complication management 🔍⚠️

#GITwitter #MedEd #Endoscopy @ESGE_news

[Dr. Chacón-Lozsán F .'. @franciscojlk]

🩺 Cirrhosis is no longer just a “liver disease.”

This review summarizes how inpatient cirrhosis management has fundamentally evolved from static “end stage liver disease care” into dynamic risk stratification and organ support.

One of the most important modern concepts highlighted:

⚠️ “Cirrhosis” is increasingly being replaced by the concept of compensated advanced chronic liver disease (cACLD).

A particularly important ICU and ward management point:

🩸 Variceal bleeding management has changed.

Modern evidence supports:
• restrictive transfusion strategy
• early vasoactive therapy
• early antibiotics
• rapid endoscopy
• selective early TIPS in high risk patients

One major physiological misconception continues to harm patients:

❌ Elevated INR in cirrhosis does NOT equal auto anticoagulation.

Cirrhosis creates a “rebalanced” coagulation state where patients can simultaneously:
• bleed
AND
• thrombosis

This explains why routine FFP correction before paracentesis is no longer recommended and why portal vein thrombosis remains common.

Another critical update:

💧 Ascites management is not simply “give diuretics.”

The review reinforces that:
• sodium restriction is foundational
• albumin remains physiologically crucial
• aggressive fluid shifts can precipitate renal collapse
• diagnostic paracentesis should be routine in hospitalized patients with ascites, even without symptoms

Perhaps one of the most important modern concepts:

🧠 Hepatic encephalopathy is not merely “high ammonia.”

The article emphasizes:
• systemic inflammation
• infection triggers
• electrolyte disturbances
• medications
• renal dysfunction
• gut microbiome interactions

as central drivers of encephalopathy.

And importantly:

🍖 Protein restriction is now contraindicated.

This is a major paradigm shift from older teaching.

Patients with cirrhosis require:
• aggressive nutritional support
• high protein intake
• sarcopenia prevention
• late night protein supplementation

One of the strongest messages of the paper:

⚠️ Every hospitalization for decompensated cirrhosis should trigger transplant thinking.

Not “end stage management.”
Not passive stabilization.

But active reassessment of:
• prognosis
• reversibility
• candidacy
• goals of care
• frailty
• transplant referral timing

For intensivists and hospitalists, cirrhosis management is increasingly becoming a discipline of: • hemodynamic physiology
• renal protection
• inflammation control
• nutritional optimization
• procedural timing
• multidisciplinary coordination

rather than isolated hepatology alone.

📖 Rogal S. Inpatient Management of Patients With Cirrhosis. Annals of Internal Medicine. 2026. doi:10.7326/ANNALS-26-00513

[Cristobal Morales @CristobMorales]

https://t.co/pJ4Z0N4mbr Framework for the pharmacological treatment of obesity and its complications from the European Association for the Study of Obesity (EASO): 2026 update #ECO2026 @SociedadSeedo

[Cristina Tejera @cristinatejerap]

¿Cuándo elegir semaglutida y cuándo tirzepatida?
La EASO acaba de actualizar su algoritmo con evidencia hasta noviembre 2025 📊 @EASOobesity

Spoiler: depende del objetivo clínico. No es solo pérdida de peso.

🔗 @NatureMedicine

https://t.co/RKkccNGYTq

#ECO2026

[Keith Siau @drkeithsiau]

Here are some of the highlights ‼️

1️⃣ Where to take photos
2️⃣ How to describe lesions
3️⃣ Barrett’s assessment
4️⃣ Gastric intestinal metaplasia

📸: @FrontGastro_BMJ
https://t.co/dW3kKoS1p3

[Keith Siau @drkeithsiau]

This BSG guidance document is like a textbook for upper GI endoscopy and is a must read for endoscopists and trainees 💡🆕

[Meshal Alzakari | مشعل الزكري @docmeshal]

للباحثين 📚
مقال أنصح به وبشدة:

دليل 24 خطوة لإتقان
Systematic Review (المراجعة المنهجية) و
Meta-analysis (التحليل التلوي)

لو تشتغل في المجال البحثي، هذا المرجع بيختصر عليك سنوات 👌

احفظها… وارجع لها كل ما تبدأ مراجعة منهجية جديدة.