robert verdonk
@rcverdonk
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Gastroenterologist. St Antonius Hospital. Dutch Pancreatitis Study Group. HPB and Hepatology.
Joined August 2013
What is your practice for surveillance in PSC? US?MRI? Or…. Both??? 👉🏻 Ultrasound for the Detection of Gallbladder Malignancy in Primary Sclerosing Cholangitis - Altenmüller - 2025 - Liver International - Wiley Online Library
onlinelibrary.wiley.com
Background and Aims In primary sclerosing cholangitis (PSC), the risk for gallbladder malignancy is increased. Surveillance imaging is used for early diagnosis. The study aims to assess the reliabi...
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RT @UEGJournal: 🧪Fecal elastase-1 is a sensitive test for pancreatic exocrine insufficiency (#PEI). 📊 In a meta-analysis:.200 µg/g → Sens.….
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Acute pancreatitis?? Seems ‘normal’ food 🥘 as good as fat-restricted! 👉🏻Normal-fat versus fat-restricted diets in patients with acute pancreatitis: A randomized controlled study (NouRish-AP study) - ScienceDirect
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This is really interesting stuff: emerging role of fatty pancreas! 👉🏻 Fatty pancreas disease and the risk of future diseases of the exocrine pancreas: Official journal of the American College of Gastroenterology | ACG
journals.lww.com
relevance. This study quantified intra-pancreatic fat deposition (IPFD) and assess its natural history and related outcomes. Methods: Adults ≥18 years with radiologically confirmed FPD between 2004...
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Endoscopic Balloon Dilation Versus Stent Placement in the Management of Dominant Strictures in Primary Sclerosing Cholangitis: A Systematic Review and Meta-Analysis - ScienceDirect
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Very important to consider when diagnosing cholangiocarcinoma and deciding on treatment: 25% of patients have an underlying liver disease! 👉🏻Prevalence of Chronic Liver Disease in Cholangiocarcinoma: A Meta-Analysis - ScienceDirect
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RT @NEJM: Recent meta-analyses showed that metabolic dysfunction–associated fatty liver disease (MAFLD) is associated with an increased ris….
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RT @UEGJournal: ✅Small & stable #PancreaticCysts may not require ongoing #surveillance. In the #PACYFIC trial, cysts <15 mm & slow-growing….
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RT @AmJGastro: Local Post-Procedural Cryoprevention Significantly Reduces the Incidence of Post-ERCP Pancreatitis.Azuma, et al. 📕 https:/….
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In accordance with @UEGJournal guidelines I always try to obtain tissue for IAP 👉🏻 Impact of EUS-guided fine-needle biopsy sampling on International Consensus Diagnostic Criteria for diagnosing autoimmune pancreatitis: a prospective multicenter study
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This is something I am considering more often these days: 👉🏻Diagnostic yield of whole exome sequencing in adult-onset cholestatic liver disease.
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Now THIS is some serious Monday evening reading! Well done @EASLnews! Immunosuppression, biopsies, serology and more: 👉🏻 EASL Clinical Practice Guidelines on the management of autoimmune hepatitis - Journal of Hepatology
journal-of-hepatology.eu
Autoimmune hepatitis (AIH) is a chronic liver disease of unknown aetiology which may affect any patient irrespective of age, sex, or ethnicity. At baseline, the clinical spectrum of the disease...
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RT @SWexner: Mechanisms of histopathologic vascular damage caused by pancreatic juice leakage: Implications for preventing hemorrhagic comp….
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Should we refer patients with MASLD more often for 🔪? Resolution of Metabolic Dysfunction-associated Steatohepatitis With No Worsening of Fibrosis After Bariatric Surgery Improves 15-year Survival: A Prospective Cohort Study -
cghjournal.org
The aim of this study was to investigate the consequences of the histological progression of metabolic dysfunction-associated steatohepatitis (MASH) and fibrosis on long-term survival after bariatric...
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Very interesting development regarding disease modification in acute pancreatitis 👉🏻Parecoxib sequential with imrecoxib for occurrence and remission of severe acute pancreatitis: a multicentre, double-blind, randomised, placebo-controlled trial | Gut
gut.bmj.com
Background There is no effective drug treatment for the organ failure (OF) caused by severe acute pancreatitis (SAP). Objective We aimed to evaluate the efficacy of cyclooxygenase-2 inhibitors...
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One of the most complex entities to deal with as a gastroenterologist! 👉🏻The dual role of IgG4 in immunity: bridging pathophysiology and therapeutic applications | Gut
gut.bmj.com
IgG4 antibodies exhibit unique structural and functional properties, which distinguish them from other IgG subclasses. Among clinicians, IgG4 has been primarily associated with IgG4-related diseases...
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RT @UEGJournal: Struggling to manage patients with dysphagia despite normal gastroscopy results? 🤔 . Discover the latest UEG and ESNM guida….
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RT @Gio_Marchegiani: Non-pancreatic neoplasms in and around the 🪷 ampulla of Vater: International Guidelines. 🔬 Optimal pathology assessmen….
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