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Kewin Siah

@kewinsiah.bsky.social

420 followers 760 following 63 posts

Gastroenterologist specializing in DGBIs. Adjunct A/Prof at the National University of Singapore. President of IBS Support Group Singapore. Passionate about IBS, constipation, gastroparesis, and gut health.

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Kewin Siah @kewinsiah.bsky.social · Jan 24

I’ve been on Bluesky for a bit and felt we needed a space to bring the DGBI community together. So, I created the #DGBI Starter Pack! A place to connect, share ideas, and grow as a network. Join in and let’s make gut health the focus! #GISky #GutSKy #IBS 🌟➡️https://go.bsky.app/5PZzEvd

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Kewin Siah @kewinsiah.bsky.social · Jul 5

🌏 Join us in Jakarta for ANMA 2025 🇮🇩 — the premier neurogastroenterology event in Asia!
📆 4–6 September 2025
🏨 Ritz Carlton Mega Kuningan Hotel
🤝 In conjunction with IDDW 2025
Let’s advance #DGBI care together!
🔗 [https://iddwanma2025.com/]
#ANMA2025 #IDDW2025 #Neurogastroenterology #GIcare #Jakarta

Kewin Siah @kewinsiah.bsky.social · Apr 20

The Korean🇰🇷 #IBS consensus is comprehensive, pragmatic, and harmonizes Western evidence with regional practice constraints, drug availability, and increasing psychosocial attention.
www.jnmjournal.org/journal/view...
#GIsky #DGNIsky

2025 Seoul Consensus on Clinical Practice Guidelines for Irritable Bowel Syndrome

Yonghoon Choi, Young Hoon Youn, Seung Joo Kang, Jeong Eun Shin, Young Sin Cho, Yoon Suk Jung, Seung Yong Shin, Cheal Wung Huh, Yoo Jin Lee, Hoon Sup Koo, Kwangwoo Nam, Hong Sub Lee, Dong Hyun Kim, Ye ...

www.jnmjournal.org

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Kewin Siah @kewinsiah.bsky.social · Apr 18

We’ve put this sticker up in our hospital loo for #WorldIBSDay—proud to partner with NUHS+ to shine a light on IBS‑C.

👉 nuhsplus.edu.sg/article/back...

#GISky #DGBISky

Kewin Siah @kewinsiah.bsky.social · Apr 1

🆕 2025 USMSTF Bowel Prep Recommendations:
✅ Split-dose still #1
✅ 2L preps now preferred 💧
✅ Same-day OK for PM scopes (not AM)
✅ Low-residue > clear liquid diet
❗ Aim for >90% adequate prep
🤔 Simethicone? Possibly helpful.

🔓 Full text: www.giejournal.org/article/S001...
#GIsky #MEdedsky

Kewin Siah @kewinsiah.bsky.social · Mar 22

🧠💻 The AGA 2025 Guideline on CADe-assisted colonoscopy makes no recommendation—due to very low certainty in reducing #CRC incidence or mortality.
✅ ADR improve ⚠️ But more low-risk polyp detection → increased surveillance, cost & patient burden. #GiSky #GutSky
www.gastrojournal.org/article/S001...

Kewin Siah @kewinsiah.bsky.social · Mar 15

Vibrating Capsule shows promise in treating Chronic Constipation! Low adverse events (2.9% bloating, 2.9% abdominal pain) and high patient satisfaction (83% convenient, 71% satisfied). Read more: (link unavailable) #GISky #MedSky #DGBI
👉https://pubmed.ncbi.nlm.nih.gov/40059867/

The Vibrating Capsule: Safety and Tolerability in Patients With Chronic Idiopathic Constipation - PubMed

The Vibrating Capsule, a first in class treatment for CIC was found to be safe and well tolerated by patients in clinical trials. No patient discontinued treatment due to adverse events.

pubmed.ncbi.nlm.nih.gov

Kewin Siah @kewinsiah.bsky.social · Mar 13

📚 New Research: Linaclotide outperforms Lactulose for treating Functional Dyspepsia + IBS-C overlap. 🌟
✅ 87.2% of patients on Linaclotide reported symptom relief vs just 54.2% on Lactulose
📈 Bloating, abdominal discomfort, stool frequency
🔬 pubmed.ncbi.nlm.nih.gov/40079184/
#GutSky #IBSSky #DGBI

Efficacy of Linaclotide in Functional Dyspepsia and Constipation-Predominant Irritable Bowel Syndrome Overlap: A Randomized Trial - PubMed

ClinicalTrials.gov: NCT05134584.

pubmed.ncbi.nlm.nih.gov

Kewin Siah @kewinsiah.bsky.social · Mar 10

"Constipation is a common GI symptom in pure autonomic failure, affecting nearly half of patients. It often shows up alongside other autonomic issues, highlighting the complexity of managing this condition. 🧠🚽 #NeurologySky #GutSky #ANSSky #https://pubmed.ncbi.nlm.nih.gov/40053259/

Kewin Siah @kewinsiah.bsky.social · Mar 5

pmc.ncbi.nlm.nih.gov/articles/PMC...

pmc.ncbi.nlm.nih.gov

Kewin Siah @kewinsiah.bsky.social · Mar 4

🚨 What raises your risk of #IBS? A new umbrella review of 69 systematic reviews highlights key factors: female gender, anxiety, depression & gastroenteritis. How can we improve prevention? #GutHealth #DGBISky #GISky

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Kewin Siah @kewinsiah.bsky.social · Mar 4

🚀 A breakthrough in motility testing! The #AtmoCapsule emerges as a solid alternative to the discontinued #SmartPill, showing strong correlation for gastric emptying & colonic transit times. A new era for GI transit assessment? #DrGutBrainExplains #GISky #DGBISky
🔓 www.cghjournal.org/article/S154...

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Kewin Siah @kewinsiah.bsky.social · Feb 22

🔥New study: Psychological stress can break oral tolerance to food, triggering IgE-mediated mast cell activation & gut pain hypersensitivity—offering insights into stress-induced IBS. #GISky #GutSky #DGBI #MedSky
📃https://els-jbs-prod-cdn.jbs.elsevierhealth.com/article/S0016-5085(25)00371-3/fulltext

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Kewin Siah @kewinsiah.bsky.social · Feb 20

Kudos to @AndySamberg & @BowenYang for tackling anxiety & #IBS in their #SNL song! Using comedy to break down stigma & spark conversations. Authentic representation matters! #MentalHealthMatters #GutHealthMatters #GITwitter
👉https://youtu.be/k94SUJ8UMKk?si=1QZhXfJO-L5RgDy_

Kewin Siah @kewinsiah.bsky.social · Feb 20

First meeting of the APAGE Emerging Leader Committee DGBI Special Interest Group! Discussing initiatives for 2025 and beyond. Stay tuned for updates! #GiSky #GutSky

Kewin Siah @kewinsiah.bsky.social · Feb 15

Can't wait to reconnect with old friends at #DDW2025! 📷 So many events, so little time! See you all in 77 days and 4 hours! 📷📷 #BeGutsy #gicommunity #ddw2025 #DGBI #GISky #GutSky

Kewin Siah @kewinsiah.bsky.social · Feb 10

New study shows an IgG-based elimination diet improved #IBS symptoms in 59.6% of patients vs 42.1% on a sham diet (n=223). Interesting, but subgroup analysis suggests it may work better for IBS-C and IBS-M than IBS-D. #GISky #GutSky #DGBI pubmed.ncbi.nlm.nih.gov/39894284/

Kewin Siah @kewinsiah.bsky.social · Feb 8

Advanced #Parkinson’s led to severe colonic dysmotility, fecal impaction, & kidney issues in a 77-yr-old. Treated with rectal tube + meds, but no cure for alpha-synuclein damage. 🚨 Early recognition key! #stoolcankill 🧠💩 #GISky #GutSky #constipation #DGBI #FGID pubmed.ncbi.nlm.nih.gov/39917098/

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Kewin Siah @kewinsiah.bsky.social · Feb 8

Are you thinking of signing up for #BlueSky?

▶️Use Sky follower bridge extension to follow people on bluesky that you follow on twitter! I
www.sky-follower-bridge.dev/get-started....

▶️Follow me! @kewinsiah.bsky.social

Check out the #BlueSky's #DGBI Starter Pack also! 🌟➡️https://go.bsky.app/5PZzEvd

Sky Follower Bridge

Instantly find and follow the same users from your 𝕏 followers on Bluesky

www.sky-follower-bridge.dev

Kewin Siah @kewinsiah.bsky.social · Feb 7

#Stoolcankill: Rare case of ileal fecaloma causing small bowel obstruction in a 60yo 🧓with chronic #constipation. Surgical intervention successfully resolved the obstruction. Highlights importance of considering fecaloma in SBO differentials. #GiSky #Gutsky #DGBI pubmed.ncbi.nlm.nih.gov/39905511/

Kewin Siah @kewinsiah.bsky.social · Feb 4

Welcome to the #DGBI Starter Pack!

Reposted by Kewin Siah

Altmetric @altmetric.com · Nov 18

We strongly suggest that academic publishers and other platforms that host research rapidly implement a Share to Bluesky button for their articles. Here's how:

docs.bsky.app/docs/advance...

#AcademicSky #HigherEd #Altmetrics

Action Intent Links | Bluesky

Authors, websites, and apps can use action intent links to implement "Share on Bluesky" buttons, or similar in-app actions. Logged-in users will be directed to the corresponding action view in the Blu...

docs.bsky.app

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Reposted by Kewin Siah

Motilent @motilent.bsky.social · Nov 19

Gastroparesis: the chronic feeling of bloating, nausea & upper GI discomfort. With #GLP1 helping to boost the prevalence to 1-2% of the population, is it finally getting the attention it deserves?

🧵⬇️

#gisky #gastrosky #gastroparesis #IBD

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Kewin Siah @kewinsiah.bsky.social · Feb 4

Digital eHealth vs onsite 2-day IBS education: Digital program significantly ⬇️ symptom severity in 41% of pts & improved QoL, anxiety, depression. Both interventions scored high on client satisfaction. eHealth is a viable, for IBS self-management. #GutSky #GISky humanfactors.jmir.org/2025/1/e43618

Kewin Siah @kewinsiah.bsky.social · Feb 4

#Gastroparesis Dx requires Sx like nausea/vomiting; asymptomatic cases excluded. N&V are key; bloating, pain less linked to severity. Overlaps with #FDyspepsia, but distinct patterns. QoL, mental health impacted. Weight loss not always present. #GutSky #GISky www.thelancet.com/journals/lan...

Kewin Siah @kewinsiah.bsky.social · Feb 1

🚨 New @AmerGastroAssn update! 🚨 Screening & surveillance are key for #gastric cancer prevention in high-risk U.S. groups. Endoscopy + H. pylori eradication = crucial steps. Personalized risk-based approach needed. 🔗 doi.org/10.1053/j.ga... #GISky #medsky #GutSky

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