The "little blue pill" returns...Exercise induced colon ischemia
🤔Seen in distance runners
🤔Likely due to vasoconstriction
🤔Difficult to prevent at times
👍Novel use of sildenafil and fludrocortisone worked.
Nice review and discussion of workup.
#IMsky #Medsky #GISky
🤔Seen in distance runners
🤔Likely due to vasoconstriction
🤔Difficult to prevent at times
👍Novel use of sildenafil and fludrocortisone worked.
Nice review and discussion of workup.
#IMsky #Medsky #GISky
October 30, 2025 at 11:18 AM
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Is Shorter better? Esophageal variceal bleed
due to portal hypertension
🤔Always wondered about value of 5 days of Octreotide after successfully banding varices
😀Study: 1 vs 5 days Rx: No difference in 5 day re-bleeding or 6 week re bleeding and all cause mortality
#GIsky #IMsky #medsky
due to portal hypertension
🤔Always wondered about value of 5 days of Octreotide after successfully banding varices
😀Study: 1 vs 5 days Rx: No difference in 5 day re-bleeding or 6 week re bleeding and all cause mortality
#GIsky #IMsky #medsky
October 28, 2025 at 11:08 AM
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Want to make a difference for veterans? 🇺🇸 Join our FREE Thursday Night Lights webinar, November 6 at 7:00 pm CT, to explore how streamlining scheduling can improve access to community care at no additional cost. 👉 Save your spot: hubs.ly/Q03PXWlm0 #FreeEvent #GISky #MedSky
October 30, 2025 at 6:28 PM
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Hi #GIsky and #GIresearch friends, who has had success culturing mouse small intestinal enteroid monolayers? We could use some wisdom!
a man wearing glasses says i very much need your help
ALT: a man wearing glasses says i very much need your help
media.tenor.com
October 24, 2025 at 6:25 PM
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Unusual case in Gastro:
16yo: obstipation, 🔼 lfts, ileus, 🔼calcium
Athlete on Ayurvedic supplements (Bhasmas) from incineration of metals and minerals,and Shilajit resin from mountain rocks
All available on Amazon
Lead level 🔼
Resolved with chelation
#IMsky #Medsky #GIsky
16yo: obstipation, 🔼 lfts, ileus, 🔼calcium
Athlete on Ayurvedic supplements (Bhasmas) from incineration of metals and minerals,and Shilajit resin from mountain rocks
All available on Amazon
Lead level 🔼
Resolved with chelation
#IMsky #Medsky #GIsky
October 20, 2025 at 11:14 PM
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Delta Hep: 3 articles/one editorial CinGastro&Hep
🤔Only testing 4.9% meeting AASLD Criteria
🤔HDV associated with markedly 🔼 HCC
🤔Can use PAGE-8 score (or FIB-4) to predict HCC
(On Medscape Reach-B score)
Identifying D important with new meds coming out, and interferon
#IMsky #GISky #Medsky
🤔Only testing 4.9% meeting AASLD Criteria
🤔HDV associated with markedly 🔼 HCC
🤔Can use PAGE-8 score (or FIB-4) to predict HCC
(On Medscape Reach-B score)
Identifying D important with new meds coming out, and interferon
#IMsky #GISky #Medsky
October 18, 2025 at 1:00 PM
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I'm leading the resident hands-on session on Monday morning 10/27. Come join!
#GIsky #Gastrosky #ACG2025 @amcollegegastro.bsky.social
#GIsky #Gastrosky #ACG2025 @amcollegegastro.bsky.social
October 16, 2025 at 3:07 AM
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🎉 Exciting News from the #PGSIG about #NASPGHAN2025🎉
🌟 Our PGSIG members have an incredible lineup of presentations just around the corner!
🔗 View the schedule of events on our #Div54 website: pgsig.weebly.com
📣 Spread the word and let's connect!
#gastropsych #PediatricGI #GISky #Pedsgastropsych
🌟 Our PGSIG members have an incredible lineup of presentations just around the corner!
🔗 View the schedule of events on our #Div54 website: pgsig.weebly.com
📣 Spread the word and let's connect!
#gastropsych #PediatricGI #GISky #Pedsgastropsych
PG-SIG
The Pediatric Gastroenterology Special Interest Group (PG-SIG) is an officially recognized special interest group within the Society of Pediatric Psychology (Division 54 of the American...
pgsig.weebly.com
October 13, 2025 at 2:02 PM
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Canadian GI Guidelines re non ulcer UGI Bleed (endorsed by ASGE)
🤔Bleed from NPL Rec Hemostatic spray over conventional endo therapy
🤔Mallory Weiss with non bleeding visible vessels or clots rec no hemostatic Rx
🤔GAVE: Preferred band ligation over APC, prefer APC to RFA.
#GIsky #imsky
🤔Bleed from NPL Rec Hemostatic spray over conventional endo therapy
🤔Mallory Weiss with non bleeding visible vessels or clots rec no hemostatic Rx
🤔GAVE: Preferred band ligation over APC, prefer APC to RFA.
#GIsky #imsky
October 11, 2025 at 12:06 AM
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Hot Potato...Who treats Obesity?
PCP? GI? Endocrine??
Medscape Commentary: Dr. Muratore Opines that GI should treat
So many GI issues MASLD, MASH, GERD
Training pathways do exist, as well as specific courses
Often this responsibility ignored or passed off
Thoughts?
#GIsky #IMSky #Medsky
PCP? GI? Endocrine??
Medscape Commentary: Dr. Muratore Opines that GI should treat
So many GI issues MASLD, MASH, GERD
Training pathways do exist, as well as specific courses
Often this responsibility ignored or passed off
Thoughts?
#GIsky #IMSky #Medsky
October 8, 2025 at 9:50 PM
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Large R Pleural Effusion
Cirrhosis but no evid of Portal Hypertension
Hx CHF (stable)
Alb gradient 1.6 🔼
+Tc-99m peritoneal cavity scintigraphy
Hepatic Hydrothorax can occur in absence of ascites, but also in absence of other signs of portal hypertension.
Rx challenging
#GIsky #IMsky #Medsky
Cirrhosis but no evid of Portal Hypertension
Hx CHF (stable)
Alb gradient 1.6 🔼
+Tc-99m peritoneal cavity scintigraphy
Hepatic Hydrothorax can occur in absence of ascites, but also in absence of other signs of portal hypertension.
Rx challenging
#GIsky #IMsky #Medsky
September 30, 2025 at 10:26 PM
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Wonderful talks at our #IBDPro Sacramento Conference @ucdavis.bsky.social featuring @ibd-afzali.bsky.social! Thank you to our sponsors @crohnscolitisfdn.bsky.social @amcollegegastro.bsky.social. See you next time!
#GISky #Gastrosky #IBDsky #MedEd
#GISky #Gastrosky #IBDsky #MedEd
September 28, 2025 at 4:10 PM
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This table below shows the risk of an exposure by group size if nobody is testing/isolating. In a classroom of 25 kids, for example, there would be a 50-77% chance of an exposure.”— r/t Mike Hoerger PhD #FmSky #PedsSky #CardioSky #ObSky #GISky
September 27, 2025 at 12:54 PM
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Screen high risk pts for MASLD, and TREAT
👍Pts with T2DM, Obesity with 1 met risk factor, abnl LFT's..check FIB4 If abnl elastography
👍If F2-F3 consider treating.
👍All need review diet, exercise, weight loss, ETOH; consider bariatrics.
Reviewed before approval GLP-1
#Medsky #IMsky #GIsky
👍Pts with T2DM, Obesity with 1 met risk factor, abnl LFT's..check FIB4 If abnl elastography
👍If F2-F3 consider treating.
👍All need review diet, exercise, weight loss, ETOH; consider bariatrics.
Reviewed before approval GLP-1
#Medsky #IMsky #GIsky
September 25, 2025 at 11:09 AM
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New @lancetgastrohep.bsky.social
Non-inferiority of lyophilised faecal filtrate vs lyophilised donor stool was not established for the prevention of C difficile recurrence over 8 weeks
👉 Live 🦠 crucial in mediating clinical efficacy
www.thelancet.com/journals/lan...
#GISky #IDSky #MicroSky #FMT
Non-inferiority of lyophilised faecal filtrate vs lyophilised donor stool was not established for the prevention of C difficile recurrence over 8 weeks
👉 Live 🦠 crucial in mediating clinical efficacy
www.thelancet.com/journals/lan...
#GISky #IDSky #MicroSky #FMT
September 23, 2025 at 1:13 PM
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As an RN, the middle child of three brothers, and mom of a boy… I need a gastroenterologist/GI doc to explain farts. How are some completely undetectable and some smell like a raccoon crawled up there and died three days ago?
#medsky #GIsky (<— not sure that’s a thing) #fartsky #Gastrosky
#medsky #GIsky (<— not sure that’s a thing) #fartsky #Gastrosky
September 23, 2025 at 12:07 AM
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😮You are entering an evidence free zone (sort of)
Diet for IBD
Good review
🤔Some evidence for enteral feeds in peds CD
🤔Maybe better with combination of Enteral and CDED (CD
Exclusion Diet).
🤔Med Diet preferred over CHO Specific Diet. FODMAP may help with symptoms.
#Medsky #GISky #IMSky
Diet for IBD
Good review
🤔Some evidence for enteral feeds in peds CD
🤔Maybe better with combination of Enteral and CDED (CD
Exclusion Diet).
🤔Med Diet preferred over CHO Specific Diet. FODMAP may help with symptoms.
#Medsky #GISky #IMSky
September 18, 2025 at 12:39 PM
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At Elmhurst, we provide a multitude of opportunities for our residents to practice their teaching skills. Here is one of our wonderful PGY-2s, Jazmin Mexia, teaching our medical students about all things GI 🤓 #MedSky #GISky #elmhurstmedicine
September 16, 2025 at 7:04 PM
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THE DREADED Cannabis Hyperemesis Syndrome
😮CHS: Challenging, frustrating, endless
😟A consult you do not want to get
Nice review of CHS
Some meds to add to our list...
Topical Capsaicin cream
Droperidol
Olanzapine
Follow the yellow brick road:
emcrit.org/ibcc/cannabis/
#GIsky #IMsky #Medsky
😮CHS: Challenging, frustrating, endless
😟A consult you do not want to get
Nice review of CHS
Some meds to add to our list...
Topical Capsaicin cream
Droperidol
Olanzapine
Follow the yellow brick road:
emcrit.org/ibcc/cannabis/
#GIsky #IMsky #Medsky
Cannabis use & complications
CONTENTS clinical syndromes Basics Epidemiology of cannabis use Acute intoxication Acute cannabis intoxication Synthetic cannabinoid intoxication Subacute psychiatric syndromes Cannabis-induced anxiet...
emcrit.org
September 15, 2025 at 7:08 PM
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Dr. House Warned Us
🤔Pts not always honest
🤔Phosphatidylethanol correlate with ETOH past 1-4 weeks
🤔Pts with MASLD, MetALD, ALD
39% pts in ALD groups underestimated consumption
11% in non ALD groups
Overall 39% MASLD also met ALD criteria
Should we be checking this?
#IMSky #Medsky #GIsky
🤔Pts not always honest
🤔Phosphatidylethanol correlate with ETOH past 1-4 weeks
🤔Pts with MASLD, MetALD, ALD
39% pts in ALD groups underestimated consumption
11% in non ALD groups
Overall 39% MASLD also met ALD criteria
Should we be checking this?
#IMSky #Medsky #GIsky
September 14, 2025 at 6:14 PM
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4 likes
Attention early-career researchers focusing on GI & inflammatory diseases, #neuroscience or oncology: apply by Sept 16 for the Takeda Innovators in Science Award with Nature and join the previous winners. #Academicsky #GISky #medsky go.nature.com/4jBp3oM
September 10, 2025 at 5:21 PM
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💊 GLP-1 battle: Novo says Wegovy cuts risk of heart attack, stroke & CV death by 57% vs Lilly’s obesity drug.
shorturl.at/bTdiE #press
#BlueSky #MedSky 🧪 #IDSky
#SciSky #EMSky #EMedSky #NurseSky #FmSky #PedsSky #CardioSky #ObSky #GISky
shorturl.at/bTdiE #press
#BlueSky #MedSky 🧪 #IDSky
#SciSky #EMSky #EMedSky #NurseSky #FmSky #PedsSky #CardioSky #ObSky #GISky
Novo Nordisk Says Wegovy Cuts Heart Risk by 57% Compared With Eli Lilly’s Obesity Drug
The study used evidence gathered from patient experiences rather than a controlled trial, Novo said.
shorturl.at
September 1, 2025 at 4:36 PM
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