Dr. Samatha Toopran

DM Nephrology

[Dr. Samatha Toopran @samathatoopran]

Thank you for giving me such a wonderful opportunity to share our case on this platform. @myadla Great to have you as the moderator @Dilushiwijay
#ECNeph @ISNeducation @ISNkidneycare

Good night :)

[manjusha yadla @myadla]

Lets look at donor and recipient factors for post Tx malignancy and the possible management strategies
#ECneph @Dilushiwijay @ISNkidneycare @ISNeducation @samathatoopran
Indian Journal of Transplantation 17(4):p 389-396, Oct–Dec 2023.

[manjusha yadla @myadla]

NET in post Tx #ECNeph
Today Epub in IJN in a post Tx woman ,20 years after Tx a pancreatic NET
https://t.co/TbBZitUEKP

[manjusha yadla @myadla]

Some more info about GI NETs
Treatment algorithm, WHO based classification
Milder lesions need Medical management with somatostatin analogues
#ECNeph @Dilushiwijay @samathatoopran @ISNkidneycare
Gastrointestinal neuroendocrine tumors,
Annals of Oncology (21)(7)2010

[Dr. Samatha Toopran @samathatoopran]

@Yashaswini14131 @ISNeducation @ISNkidneycare @Dilushiwijay @myadla Mostly yes! Bcoz once MMF was stopped... diarrhoea subsided #ECNeph

[Dr. Samatha Toopran @samathatoopran]

Sharing an overview on the various differential diagnosis and clinical pearls on apoptotic entropathy by the pathologist Dr. Karamchandani
#ECNeph @ISNeducation @ISNkidneycare @Dilushiwijay @myadla

[Dr. Samatha Toopran @samathatoopran]

@Yashaswini14131 @ISNeducation @ISNkidneycare @Dilushiwijay @myadla Mostly MMF was the one causing the diarrhoea...once MMF was stopped diarrhoea subsided

[Dr. Samatha Toopran @samathatoopran]

Hope everyone had fun and have something new to take home from the discussion today. Any doubts/queries? Please do share your experience with the management of NET and post transplant diarrhoea😊
#ECNeph @ISNeducation @ISNkidneycare @Dilushiwijay @myadla

[Dr. Samatha Toopran @samathatoopran]

So here's a few key take aways from todays discussion on NET
#ECNeph @ISNeducation @ISNkidneycare @Dilushiwijay @myadla

[Dr. Samatha Toopran @samathatoopran]

To summarise the various management strategies of NET...
#ECNeph @ISNeducation @ISNkidneycare @Dilushiwijay @myadla

[Dr. Samatha Toopran @samathatoopran]

@ISNeducation @ISNkidneycare @Dilushiwijay @myadla We were thinking in lines of an infectious cause for diarrhea #ECNeph however to our surprise even CMV came negative

[Dr. Samatha Toopran @samathatoopran]

Not just obstruction, NET can lead to persistent vomitings in many ways...
#ECNeph @ISNeducation @ISNkidneycare @Dilushiwijay @myadla

[Dr. Samatha Toopran @samathatoopran]

Ours had a non-functional NET causing obstruction. The surgical gastroenterologist team had planned for a gastrograffin follow through study followed by Whipples procedure. Some stats on the clinical presentation of NET
#ECNeph @ISNeducation @ISNkidneycare @Dilushiwijay @myadla

[Dr. Samatha Toopran @samathatoopran]

Coming to NET, the incidence of NET has been on the rise since the past few years. Heres some interesting stats
#ECNeph @ISNeducation @ISNkidneycare @Dilushiwijay @myadla

[Dr. Samatha Toopran @samathatoopran]

Here's something to take home from today's discussion on apoptotic enteropathy...
#ECNeph @ISNeducation @ISNkidneycare @Dilushiwijay @myadla

[Dr. Samatha Toopran @samathatoopran]

If biopsy reveals apoptotic enteropathy...what are the differentials?
#ECNeph @ISNeducation @ISNkidneycare @Dilushiwijay @myadla

[Dr. Samatha Toopran @samathatoopran]

Here's a comprehensive approach to evaluation of Post Transplant Diarrhoea
#ECNeph @ISNeducation @ISNkidneycare @Dilushiwijay @myadla

[Dr. Samatha Toopran @samathatoopran]

Good evening all! I am Dr Samatha from Hyderabad, India. Glad to join the case discussion today. Let’s see who will crack this first!
#ECNeph @ISNeducation @ISNkidneycare @Dilushiwijay @myadla

[Dr. Samatha Toopran @samathatoopran]

Keen to know the diagnosis? Get ready to tickle your brains! Join us for an interesting case discussion TODAY on #ECNephThursday, 26th February, 9PM IST. Don’t miss!
#ECNeph @ISNeducation @ISNkidneycare @Dilushiwijay @myadla

[ISN Education @ISNeducation]

Check clinical summary of todays #ECNeph
Join us to share your experience in managing GI complications in post renal Tx
@ISNkidneycare @samathatoopran @Dilushiwijay @myadla @acssjr @krithicism