Arka De

Hepatologist with a keen interest in research and a passion for music, astronomy and geo-political history

[Arka De @doc_arka]

Analysis of >7700 Indian patients in ICOM-D cohort reveals:
- near complete overlap (98%) between NAFLD and MASLD
- comparable disease severity and non-invasive test performance in NAFLD and MASLD
https://t.co/5tum9ugjCW
@ajay_duseja @HepatologyPGI @JHepatology @RoyAHep

[ARPIT SHASTRI @ARPITSHASTRI_78]

Pleased to share our 3-year experience with "EUS-guided Liver Biopsy and PPG Assessment (using modified non-proprietary setup) in suspected cACLD or Cirrhosis" from @HepatologyPGI #PGIMER alongside @doc_arka
⭐Safe and feasible
⭐Effective
⭐One stop endoscopic assessment for portal HTN and liver disease

@ajay_duseja @drsuniltaneja @docMPK @drnipunverma @naveendandia @drbabupgi @ShastriMalvika

[ARPIT SHASTRI @ARPITSHASTRI_78]

🔸Acute esophageal necrosis (AEN), an uncommon condition may sometimes manifest as hematemesis🩸

🔸It can occur in the setting of acute alcohol intoxication and may occasionally obscure an underlying life-threatening condition.

🌟We got 2 recently reported cases 🌟

🔥 Case 1: AEN secondary to alcohol intoxication and diabetic keto-acidosis
https://t.co/L4JEdV1SeF

🔥 Case 2: AEN concealing an underlying esophageal adenocarcinoma
https://t.co/68sThyhpBC

[ARPIT SHASTRI @ARPITSHASTRI_78]

🔥Duodenal TB is a rare form of gastrointestinal TB (1-6%)🔥

👉🏼Gastric outlet obstruction is an uncommon presentation

👉🏼Timely diagnosis and early initiation of ATT may obviate the need for more invasive endoscopic or surgical interventions

👉🏼We report a case of young female presented with GOO and later diagnosed with duodenal TB
https://t.co/DWQ7M4Tafp

[Achintya Singh, MD @AchintyaSinghMD]

Spybite to assist difficult biliary cannulation:
SOCCER Trial

https://t.co/h6yCfrtgN6

🥇100% cannulation success, less attempts
🪙No difference in Post-ERCP pancreatitis
🪙Effective across all papilla morphology
🪙Papilla stabilizes papilla, improves visualization

[David C Whitcomb MD PhD @DavidCWhitcomb]

What’s your go-to tip for reading pancreatic CTs?
Reply below! 📷
🚨 Essential reading for residents, fellows, internists, gastroenterologists & radiologists! "CT Images of the Pancreas for Beginners" – a practical guide showing how expert abdominal imagers systematically evaluate common pancreatic abnormalities.
👍👍Perfect for building confidence in interpreting pancreatic CTs!
📷 Read free: [https://t.co/YszWLgHaAZ]
#Pancreas #Radiology #CTimaging #MedEd #Gastroenterology #AbdominalImaging #PancreaticDisease @RadiologyACR @SIRspecialists @EsgarSociety @PittGILiverNutr @NatPancFdn @Aiims1742 @YhernandezMD @DeMadaria @ArielMedicine @CAPERpancreas @YouppiePancreas @shyamTMD @MaisamHaijaMD @NEndoscopy @letswinpc @GIPapachristou @maham_waqar170 @MadameSurgeon #MedTwitter

[Achintya Singh, MD @AchintyaSinghMD]

An exceptionally good and clear video to understand liver anatomy:

https://t.co/3xkd5brRHr

[Scott Isaacs @scottisaacsmd]

Outstanding (open access) review on metabolic, cardiovascular, and renal benefits of glucagon-like receptor agonists and next-generation incretin-based medications.
https://t.co/Yxzns6x5Oa

[Arka De @doc_arka]

Endoscopic transpapillary gallbladder stenting for complicated cholecystitis in cirrhosis
-Technically feasible & safe with high clinical success and favorable outcomes
https://t.co/PnJkPaOyY5
@ajay_duseja @ARPITSHASTRI_78 @HepatologyPGI @JCEH_Hepatology #GITwitter, @RoyAHep

[Ganesh C P @GaneshCp95]

This INASL opens gateway into Endohepatology
Register and fix ur slots
#INASL 2025 Chandigarh
August 7-10

[Sunil Taneja @drsuniltaneja]

🔑Nutrition is so important in Liver disease.
🔥Hot off the press
✅ACLF-Intensive Nutrition improves survival & frailty
✅MELD & AARC ⬇️
⬇️ Hospitalization rates
👇👇👇Clinical Gastroenterology & Hepatology
doi: 10.1016/j.cgh.2024.09.021.

[Ajay Duseja @ajay_duseja]

CPLD-2024
19th-20th October, Chandigarh
We are all set to welcome the Hepatology community of the country to Chandigarh for 24th - PGI-AIIMS- SGPGI - Current Perspectives in Liver Disease

A not to be missed Academic Bonanza in Liver Disease
https://t.co/HxSiwrR4Ow

[Arka De @doc_arka]

@HepatologyPGI https://t.co/cJ5bNHhWuE

[Arka De @doc_arka]

Pilot double-blind RCT on Dapagliflozin in recurrent ascites
-Significantly better ascites control and natriuresis with Dapa
-No diff in CTP, MELD or survival between Dapa and placebo
-Increased AKI and infections with Dapa
@HepatologyPGI #GITwitter
https://t.co/ArjLtZZRmD

[Akash Roy @RoyAHep]

🔸Out in print : Measures to classify SLD 🇮🇳 cohort
🔸Revisiting ANI to identify Met-ALD
🔸📈 40% ever 🍷consumers
🔸ANI 👍 at xtremes but underperforms in grey zones
🔸GGT ❎
🔸Similar MRPDFFs
@doc_arka @AnandVKulkarni2 @ajay_duseja @DrLoomba @LiverFellow https://t.co/3y73PSMem1

[Akash Roy @RoyAHep]

🔸Its🔑 to identify ACLF early
🔸We ❓ what transitions AD ➡️ ACLF
🔸Simple indicators: 3cohorts
➡️Failing Liver
➡️Portal Hypertension Severity
➡️Systemic Inflammation
Works in ALD ➕ MASLD cohorts
👁️ AD ➡️ACLF
@nipun29j @AmCollegeGastro @DrArunKValsan https://t.co/YpchhaHNbO

[Dr. AK 🇮🇳 @docakx]

🌟ANTIBIOTICS - Spectrum of activity

[Dr Nipun Verma @drnipunverma]

Plasma exchange does not improve overall survival in patients with acute liver failure in a real world cohort - Journal of Hepatology https://t.co/TmmUahPFUr

@EASLnews @EASLedu @INASL_Liver @AASLDtweets #livertwitter

[Journal of Clinical and Experimental Hepatology @JCEH_Hepatology]

Original Article: Central obesity is an independent determinant of advanced fibrosis in lean patients with non-alcoholic fatty liver disease (NAFLD)

By Arka De et al

https://t.co/Gx1PoSEfFL

#LiverTwitter #GITwitter #Obesity

[Arka De @doc_arka]

Tuberculosis masquerading as a pancreatic cyst in a patient with cirrhosis and significant weight loss
https://t.co/KbJntpXV6K
@HepatologyPGI #GItwitter #livertwitter

[Dr Dhiraj Agrawal @DhirajA31]

🆕 Therapeutic Plasma Exchange in Hepatology: Indications, Techniques and Practical application - Journal of Clinical and Experimental Hepatology https://t.co/sHUj31U3Rz
@AmerGastroAssn @AmCollegeGastro @EASLedu @AASLDtweets @INASL_Liver @_LTSI_ @Continental_hyd