@niklaus2009 Dentro de los criterios de hepatitis relacionada a alcohol pueden pasar hasta 8 semanas de la fecha de último consumo. Frecuentemente los pacientes no reportan su consumo real. Esos laboratorios son muy sugestivos de daño por alcohol. Revisen los criterios y considérenlo
@niklaus2009 Con esos laboratorios, hepatitis relacionada a alcohol hasta demostrarse lo contrario (leucocitosis, macrocitosis de 123, la relación AST/ALT). Yo le buscaría por ahí. Muchos pacientes con hepatitis por alcohol terminan en colecistectomia o CPRE de forma innecesaria
.@HopkinsGIHep Colorado course #DrRussCohen 💎
💎If serum CMV PCR neg, it’s not CMV colitis
💎Fever of unknown origin - Think CMV & Histo sp if on TNFi or JAKi
💎Zoster risk 6-8% w AZA & JAKi ->vaccinate!
💎QFT indeterminate: if CxRay neg, no RF: it’s not TB! start IBD Rx
🚨 🆕 HCC #Guideline Alert🚨: The Role of #Radiotherapy by BCLC Stage from EASL Clinical Practice Guidelines on the management of
#hepatocellular carcinoma. A thread for the radiation oncology community 🧵🔥
Let’s break it down by BCLC stage!👇
@drkeithsiau Intestinal Lymphomatous Polyposis gives also that peculiar appereance. I’ve seen patients with mantle cell lymphoma involving the GI tract with those findings
It's out: The standard reference on
🩸portal vein thrombosis🩸
👉 diagnosis
👉 management
👉 endpoints for future clinical studies
Chapeau @RautouE & team
🔗 https://t.co/1PsJP2YtYX
#LiverTwitter@LancetGastroHep
Concluyó con gran éxito el Curso Anual de Postgrado del Departamento de Gastroenterología: Medicina de Precisión en Enfermedades del Aparato Digestivo, coordinado por los doctores Mario Peláez Luna y Luis Uscanga Domínguez. Gracias a los asistentes y ponentes por su participación
The 2024 Global status report on alcohol just released by the @WHO:
🔸2.6 million deaths are due to alcohol (4.7% of all).
🔸400 million people (7% population) live with alcohol use disorders.
🔸Europe and Africa have the highest alcohol consumption.
https://t.co/0dNGCbRByO
The term “SOCIAL DRINKER” is too vague and should be avoided in medical records.
Few days ago I saw a patient that was described as a social drinker. He told me that he usually drinks 4-5 beers daily because: “I am a very social person”.
#medX#livertwitter
Endometriosis is a condition in which pieces of the uterine tissue grow outside of the uterus. There are different types of endometriosis, as the condition can occur in different parts of the body.
In some cases, endometrial tissue grows on or inside the intestines. This is referred to as colorectal endometriosis.
Colonoscopy (F, 30 y.o.) in a patient with periodic rectal bleeding. Endoscopic images correspond to colorectal endometriosis.
#endometriosis #colonoscopy #EVISX1
How to select patients with alcohol-associated hepatitis for EARLY liver transplantation ?
I think this practical algorithm is very useful.
https://t.co/WV3d3PtC6V @juanpabloarab@LuisAntonioDiaz@DrLoomba@APandT
Important day for hepatology - 1st ever medication approved for #MASH#NASH! Resmetirom approved by @US_FDA for people with MASH & fibrosis but no cirrhosis.
Let's hope the promise shown in clinical trials will hold in real life outcomes.
#livertwitter
https://t.co/EtMMH2QoVv
In cirrhosis, which procedures are considered high or low risk for bleeding and which laboratory thresholds are considered safe?
Results based on expert opinion (not evidence based), helpful to inform clinical decision making @JHEP_Reports#livertwitter
https://t.co/iJMBPtIK4u
@giri_gutnliver@doctorboletoh Is there evidence of iron / B12 deficiency? Autoimmune gastritis as a diff diagnosis in patients with corpus-fundus predominant atrophic gastritis.
Azathioprine vs mycophenolate mofetil (+ steroids) for induction of remission in AIH?
Open-label RCT in Netherlands and Belgium showed that MMF:
- ⬆️ biochemical remission / complete biochemical response at 6 mo
- ⬇️ serious side effects
@JHepatology#livertwitter