M PREMKUMAR

Stranger in a Strange Land

[Akash Roy @RoyAHep]

🇮🇳 Real-world data from >1000 patients with MASLD/MetALD
MRI-PDFF phenotyping + 🧲 MRE anchor
🔍 Key takeaways:
✔️ Similar CMRF & AF burden
✔️ FIB-4 & NFS perform well
❌ APRI underperforms
💡 Simple NITs even for MetALD
@AnandVKulkarni2 @DrMaheshgoenka
https://t.co/4o4nXkFJ5e

[Dr Ashish Kumar @DrAshish_Kumar]

🧵NEW STUDY PUBLISHED
Our DiaFib-Liver Study is now published in @LancetRH_SEAsia.
The largest-ever real-world survey of liver fibrosis in type 2 diabetes from any low- or middle-income country.
9,202 patients. 82 doctors. Pan-India. 🇮🇳
🔗 https://t.co/DPVtTIMifK

[Dr Ashish Kumar @DrAshish_Kumar]

#Fibrosis prevalence across clinical subgroups:
Highest: CAD (33%),
eGFR <60 (33%),
Obesity (32%),
Dyslipidaemia (30%)
Even without obesity: 19%
Dashed line = overall prevalence (26%).
No difference by sex or hypothyroidism.
Fibrosis is widespread across ALL subgroups.

[M PREMKUMAR @docMPK]

@anjan_dhar6 @IJG_Journal @UshaPGIMER @drvishal82 @drsridhars @SChandanMD @BabuPMohan2 @Samanta_JayPGI @elhence_anshu @ibdseb @amolbapaye @ZaheerNabi8 @miNitinjagtap @GKochharMD https://t.co/MdXVKDjZGI

[Nikita Sharma @sharmanik]

*New Issue Alert*
The special IJG Women and Gastroenterology March-April issue (Volume 45, Issue 2) is online.
Please have a look:
https://t.co/ZBke1qpJME

@IJG_Journal @docMPK @drvishal82 @drsridhars @DrAnuraagJ @giri_gutnliver @UshaPGIMER

[Indian Journal of Gastroenterology @IJG_Journal]

Gastro-intestinal infections and stewardship practices—A call for action to practising GI professionals

Rohit Gupta et al

https://t.co/wJIsY9Bk5C

[M PREMKUMAR @docMPK]

@IvaKosuta Thanks Iva!! Hope to see you work with us on the next one.🗺 prospective data needed.

[M PREMKUMAR @docMPK]

@giri_gutnliver @KIMSGastro @hsid_h @RoyAHep @drsridhars @AnandVKulkarni2 @DrAnuraagJ @KailashKolhe @drgauravkhatana Congratulations Giri

[Indian Journal of Gastroenterology @IJG_Journal]

MUST-READ REVIEW

Gastrointestinal cancers in women: The role of sex hormones

by Amit Yadav &
Prof Usha Dutta @UshaPGIMER

#WomenGI #GItwitter

https://t.co/SHkGUyFpl5

[Indian Journal of Gastroenterology @IJG_Journal]

On the occasion of International Women's Day
We released the special issue of @IJG_Journal on women and gastroenterology.

It is purple to signify women empowerment

#GITwitter #WomensDayEveryDay

[M PREMKUMAR @docMPK]

Please do read and share articles from the Special Isdue on Women in Gastroenterology.... Physicians and Patients. Special thanks to all contributors.@JCEH_Hepatology @IvaKosuta @pummy92 @MaiwallRakhi @SwetaRose3 @ShubhraMishra91 @LisaVWMD @manasa_alla @drvishal82 @drsridhars

[Indian Journal of Gastroenterology @IJG_Journal]

Gastroenterology through a gender lens: Clinical and professional perspectives

@docMPK @UshaPGIMER #ProfKochhar

https://t.co/2Gyte4mGYS

[M PREMKUMAR @docMPK]

https://t.co/Wgb5191WKf

For liver POCUS aficionados. @JCEH_Hepatology @hepocus @RoyAHep @manhalizzy @KavishPatidar11 @RohitMehtaniDM @AnandVKulkarni2 @KoraAbhi @IvaKosuta @DivyaveerSSNeph @pummy92 @MaiwallRakhi @stevenbollipo @giri_gutnliver @drkeithsiau @SakkarinC @Apichatka

[Journal of Clinical and Experimental Hepatology @JCEH_Hepatology]

🆕 @INASL_Liver Consensus provides practical guidance on “difficult-to-treat AIH”
🔹 Acute AIH
🔹 Cirrhosis
🔹 Overlap syndromes & drug-induced AIH
🔹 Pregnancy, paediatric & post-LT AIH, comorbidities
📖 Read now in JCEH https://t.co/zsrM6TtGQE

[Anand V Kulkarni @AnandVKulkarni2]

Recompensation in ALD-20% (large multicenter data from India)
✅higher in DC without AAH
✅Linked to better survival
Each additional month of abstinence -3% higher chance of recomp.
7% re-decomp
17% decomp further (who did not recomp first)

https://t.co/AdMmKDZhGa
@BavenoCoop @ReibergerThomas @JimmyLaiCT @RoyAHep @ggarciatsao @ebtapper @juanpabloarab @TCotterMD #LiverX

[Hepatoma Research @HepatomaRes]

💬 In cirrhotic patients with #HCC, how do you approach thrombotic risk assessment?
🔘 Routine screening
🔘 Case-by-case
🔘 Mainly after PVT occurs
🔘 No standardized approach
#LiverCancer #Hepatology

@manhalizzy @rav7ks @MichaelAlbertMD @docMPK @perillo_prazole @katiewiskar

[M PREMKUMAR @docMPK]

https://t.co/7tUEf2gS3e…
🧵3..Assessment of Shock Phenotypes and AKI phenotypes is the best strategy for management of the hepatocardiorenal axis.
POCUS is the simplest and safest tool in hepatology practice..🎯 @ajay_duseja @AnandVKulkarni2 @drnipunverma @salvatore_piano

[M PREMKUMAR @docMPK]

Point-of-care ultrasound (POCUS) guided pragmatic fluid and albumin resuscitation and hemodynamic monitoring in Cirrhosis and Septic Shock -🧵1 https://t.co/Di2fLAwvss
Comments Welcome! @RoyAHep @hepocus @KavishPatidar11 @kumarrahul0204 @ebtapper

[M PREMKUMAR @docMPK]

🧵2 Restrictive and Effective POCUS guided volume resuscitation works best.
Shock is a spectrum...Phenotypes are between Fluid responsive to circulatory failure. ✅️⏳️Time based perfusion targets reduce mortality. Assessment of CCM and Fluid challenge ➡️ 'cardiac reserve'

[Indian Journal of Gastroenterology @IJG_Journal]

The Pancreas edition of @IJG_Journal is out !!

A wonderful compilation of articles!