Teaching or managing tough colorectal lesions? My #RMIE2025 session on Recalcitrant Adenomas is now on @VuMedi — concise strategies to tackle difficult cases and avoid surgery. https://t.co/i6F9UOR4qr via @vumedi @LuisLaraMD1 @IBD_Afzali @AmCollegeGastro @UCMCGIHEP @uc_health

@ebtapper And don't forget about this oldie but goodie suggesting that SBP in pts with BUN <32 and TBili <4 (low risk) do OK without albumin. https://t.co/fKQ1hqUSBa

🚨 Liver Biopsy remains a 🔑 tool in our 🧰 , so #GIHepFellowshipBootcamp is here to get you ready to understand: 💉Utility of biopsy across conditions❕ 💉Biopsy histologic characteristics❕ 💡The table below is GOLD 🏆 https://t.co/eUOMCGDjdN

Here's how to intubate that 9 o'clock ileocecal valve. 👇 This clip teaches the step-by-step technique for successfully intubating the ileum when the ileocecal valve is located in the 9 o'clock (left) position. Here is the procedure shown: 1. Locate the valve. 2. Pull back to

If systemic hypotension was the sole cause of ischemic hepatitis, every patient in the MICU would have ALT >500 But the incidence is 1 in 50 You need right heart failure, congestion, that exceeds portal pressure. Then the systemic bp drop can be transient or relative

New insights on assessing LIVER FIBROSIS with NON-INVASIVE TESTS, just released by @NEJM: - Key techniques & thresholds. - Practical algorithms & actionable steps. https://t.co/KkPHLNaLh3

The prognosis of liver disease depends on the extent of fibrosis, which is usually staged with the use of liver biopsy. The limitations of biopsy have led to the development of noninvasive tests, which Drs. Laurent Castera, Mary E. Rinella, and Emmanuel A. Tsochatzis review.

Thanks to @IBD_Afzali for lifting @UCMCGIHEP @AmCollegeGastro #2025 and to our faculty and trainees for showing up and supporting our intentional growth. We do this together @MoamenGabrMD @drsusankais #NehaWadhwaMD, Matthew Still PGY 2 and Matthew SolimanMD PGY @wrightstate

Get ready Utes..

Andrawes identifies "Top tips for the management of esophageal varices not responsive to endoscopic variceal ligation." https://t.co/k2WkvJZ7dv #GITwitter @shandrawes @yaransarkis

I often wonder how many of these I have missed so far. SSL.

Way to celebrate Internal Medicine Day!🏆 recognition for your efforts @AmCollegeGastro #2025 🙏 to our faculty for supporting our wonderful residents @UCincyMedicine @UCMCGIHEP @UCResearch @mdavadi @alexanderjdile @TberryMD @IBD_Afzali @inukzand @ACPIMPhysicians @md_myer

The infamous “Rule of 5” of non-invasive testing presented at #ACG2025 ▪️LSM cutoffs: 5–10–15–20 kPa ▪️<10 kPa excludes; ≥15 kPa = cACLD ▪️≥20 kPa ± Plt <150k → CSPH risk ▪️Skip EGD if <20 kPa & Plt ≥150k ▪️Repeat q1y or q3–5 yrs if mild disease 🙏Nancy Reau

Why hypokalemia worsens hepatic encephalopathy ? •Hypokalemia is a recognized precipitating factor for hepatic encephalopathy, with strong clinical association and mechanistic causality. •It stimulates renal ammoniagenesis by enhancing tubular glutamine metabolism and

🚨 Our findings from UNOS, published in @AASLDtweets @LTxJournal 1️⃣ TARE is overtaking TACE as the bridge to LT in HCC 📉 Lower waitlist dropout 🔬 >2x odds of complete pathologic necrosis ⏱️ Similar overall survival, often in fewer sessions ⚖️ Access gaps by insurance 👉

The paradox of nitric oxide in cirrhosis and portal hypertension :- too little nitric oxide inside the liver, and too much outside it. Inside the liver, there’s actually nitric oxide deficiency. The endothelial cells in the hepatic sinusoids are dysfunctional ie their

Cervical cancer screening remains low in liver transplant patients regardless of demographics: A single-center review @LizzieAbyMD https://t.co/O6UnPFCwFg

🔬 High-Yield Hereditary Cancer Syndromes (by Dr. Shweta Dhar): 1HBOC – BRCA1/2 2FAMMM – CDKN2A, CDK4 3Lynch (HNPCC) – MLH1, MSH2, MSH6, PMS2, EPCAM 4FAP – APC 5Others:  • Peutz-Jeghers – STK11  • MAP – MUTYH  • Juvenile Polyposis – SMAD4 6Cowden – PTEN

GI polyps got you puzzled? 🫤 Dr. @GiJawaid breaks down the lumps and bumps of the GI tract — what they are, why they matter, and when to worry. #GITwitter #medtwitter

📚 Functional GI Disorders – High-Yield Pearls (Dr. Rawan Dayah) 🧠 Hirschsprung Disease •❌ Absent RAIR (Rectoanal Inhibitory Reflex) → 🔍 Suggests Hirschsprung 🚽 Constipation •🌀 Colonic Inertia → ❌ No HAPCs (High-Amplitude Propagating Contractions) on manometry •🎈