Madunil A Niriella

Dad/Clinician ... Gastroenterologists & Hepatologist/Academic .. Senior Professor in Gastroenterology & Hepatology/Researcher/Fitness enthusiast

[Madunil A Niriella @madunil]

@drkeithsiau @drobiy12 Avoid using “units”: use “grams per week” instead - it’s universal same

[Madunil A Niriella @madunil]

@drkeithsiau @drobiy12 Zero is the amount associated with no excess ALL caused mortality; for patients with established CLD, zero is even more important to prevent progression of any fibrosis and future decompression; limits are ONLY used to correctly classify the disease (as in the SLD spectrum)

[Madunil A Niriella @madunil]

@drkeithsiau Go slow on SoMe 😅

[Madunil A Niriella @madunil]

@ebtapper 1. Why measure HVPG if the clinical response was so good?
2. Even if measured and not dropped, does it matter given such good clinical response?
3. Give the disparity between clinical and heamodynamic response it’s only fair to assume the post-TIPSS measurement is inaccurate

[Madunil A Niriella @madunil]

@drkeithsiau Better term would be “angio-ectasia” (no dysplasia in the these lesions) 😁

[Madunil A Niriella @madunil]

@DrFarhan93 None

[Madunil A Niriella @madunil]

Slide from my upcoming lecture on #NAFLD #livertwitter #fattyliver

[Madunil A Niriella @madunil]

@stevenbollipo @ebtapper Completely agree
Adult scopes effective in most cases; change to paed scope only in difficult cases such as severe diverticulosis
It is all about technique - low air and early delooping
(Ideally able to complete a ileo-colonoscopy even with a gastroscope)

[Madunil A Niriella @madunil]

@drkeithsiau Best examples of recompensation are in complete abstinence in cases of alcohol associated decompensated cirrhosis and successful anti-viral therapy in cases of chronic viral hepatitis associated decompensated cirrhosis

[Madunil A Niriella @madunil]

@RexClementine Please write up a detailed, in-depth analysis of how and why SL cricket has fallen from grace and what actions are necessary immediate, medium- and long-term to rectify and resurrect SL cricket in the foreseeable future
Thanks

[Madunil A Niriella @madunil]

@BlaneyMD Very common cross sectional image finding and misinterpretation in the setting of dACLD and CSPH - thanks for highlighting this

[Madunil A Niriella @madunil]

@BrennanSpiegel Yes, seen early post-banding ulcers. Reviewing indication and previous photo documentation of cases reveal the varices were too small to band (and banding was not indicated); other reason is trying to use ALL seven bands at once (banding remaining all small visible varices)

[Madunil A Niriella @madunil]

@ebtapper My spotify listening age is 18! 🤣

[Madunil A Niriella @madunil]

@ebtapper @nickmmark No APC is misleading. > 95% of the time Cureus will ask for what is called Preferred Editing at some time in the submission process, which involves a fee (but less than standard open access journal APC)

[Madunil A Niriella @madunil]

@Wisdom_HQ 2 parrots = 200-170 = 30
1 parrot = 15

[Madunil A Niriella @madunil]

@tim_cook Invest in Sri Lanka. That's the best thing possible for our country. Thanks 🙏🏼

[Madunil A Niriella @madunil]

@drkeithsiau What's your email - DM please
I’ll share the PDF

[Madunil A Niriella @madunil]

@FrontGastro_BMJ There is NO place for a FIT in iron deficiency anaemia

[Madunil A Niriella @madunil]

@Cricket_decoded Are you sure? 😁

[Madunil A Niriella @madunil]

@theliverdoc Absolutely!
Collagen in its entirety cannot be absorbed
However, taking collagen can provide non-essential amino acids for de novo collagen synthesis - not essential for healthy skin & hair