@AGA_Gastro Lastly, for the case report fans among us, there's an interesting case of collagenous gastritis, which can cause chronic diarrhea, reflux, and weight loss 🔑 treatment is not standardized, but might include budesonide, adjunctive PPIs, and nutritional support.

@AGA_Gastro Second, a commentary on CPUs for endoscopic resection of early CRC Comes with an excellent, educational graphic for how to approach surveillance post-endoscopic resection 👇

@AGA_Gastro First, a multi-center, prospective study of TPIAT in chronic pancreatitis TPIAT was associated with: • ⬇️ in opioid use • ⬇️ in abdominal pain • and ⬆️ and QOL scores 🔑 the etiology and duration of disease did not predict outcomes

A few personal favorites from the December issue of @AGA_Gastro 🧵

Excellent guest lecture by our former fellow @MarkHanscomMD from @WeillCornell -screening for pancreatic cancer -surveillance of lesions

In this Technology Status Evaluation Report, Trikudanathan et al review "Endoscopic devices and techniques for the management of gastric varices (with videos)." https://t.co/8csrtwC5CY #GITwitter @BilalMohammadMD

📣 The April 2025 issue of #Gastroenterology is out now ➡️ https://t.co/ZQble5CpSl This issue includes: 🟢 A CPU on computer-aided detection–assisted colonoscopy 🟢A study on the effect of #endoscopy screening on upper GI cancer mortality 🟢 and more!

Now in Articles in Press: "Glucagon-like peptide-1 receptor agonist use and the risk of residual gastric contents and aspiration in patients undergoing GI endoscopy" by Muhammad Usman Baig et al. https://t.co/v3EqccNDJq @reemsharaiha @CNewberryMD @MarkHanscomMD @allie_schulman

I've anecdotally seen some good outcomes with EUS-guided hepaticojejunostomy in patients with total gastrectomy, so it's nice to see other centers report the same in this month's @GIE_Journal 👉Technical success = 100% 👉Clinical success = 80% 👉Adverse events = 33%

Appreciated this article from @BilalMohammadMD (with commentary by @EndoscopyOthman ) on endoscopic internalization of PCTs. 1 thing I've been told is to consider manual instillation via syringe to better feel the pressure. Well worth the short read for those of us who do it!

How should we biopsy to characterize chronic gastritis? Here's what @AmJGastro says in this month's issue:

A couple of clinical pearls from @AGA_Gastro Curbside Consults: ✨ The pathologic findings from colchicine toxicity? Ring mitosis (also seen w/ paclitaxel) ✨ Don't overlook peritoneal TB if the ascites returns negative! Sensitivity is poor ➡️ Stains (5%) ➡️ Cx (35%) ➡️ PCR (64%)

A few personal takeaways from the updated guidelines: 🚫 PPI-REE 👍 6 esophageal biopsies, from 2 levels 💊 PPI = topical steroids 👎 Allergy-test directed diets 🩺 Re-assess response w/ EGD 8-12w after changes to tx 🤔 Consider empiric dilation (16-18 mm) if sx persist

@GIE_Journal Full guidelines available in this month's @GIE_Journal 📖 Read more:

🗣️ New ASGE guidelines on feeding tubes in this month's issue of @GIE_Journal 1️⃣ PEG > IR-G tubes 2️⃣ PEG on DAPT appears safe, but A/C warrants discussion 3️⃣ Early feeding 👍 4️⃣ If malignant dysphagia, offer direct PEG/IR-G if available (0.6% risk of seeding with pull-type)

Educational image in this month's issue of @AGA_Gastro

Congrats to @TrieuMD and co-authors for being featured in this month's @AGA_Gastro ! Really enjoyed the "3 Ps" framework for defining a professional career: ➡️ Passions ➡️ Priorities ➡️ Purpose https://t.co/fxzjjNM1k6

@AGA_Gastro And, of course, be sure to read both articles in full in this month's issue of @AGA_Gastro 👇

@AGA_Gastro Second, love to see this practice update from mentor #JohnMartin and team! Too many details for a tweet, but check it out for an excellent overview of all things enteral access, including NGT, NJT, PEG, PEGJ, and DPEJs! https://t.co/pJJqDgUSLQ

A couple of nice clinical practice updates in this month's issue of @AGA_Gastro ! First, an expert review of non-ampullary duodenal lesions: 👉 Non-dysplastic lesions do not require resection 👉 Duodenal adenomas should prompt colonoscopy 👍 CSP if flat & <20mm, h-EMR if >20mm