Discover and read the best of Twitter Threads about #ACG2022
Most recents (17)
💎 GI bleeding🩸 
💎#IBD
🔑Have patient complete symptom questionnaire to get a more detailed picture of their symptoms
🔑Digital rectal examination
Chronic constipation is common and has tremendous impact on quality of life
#Constipation is NOT all about frequency. Ask about 👇
I've summarized the guidelines here👇
Do NOT prescribe a gluten-free diet unless we are positive this is #celiac disease!
Normal small intestinal histology
Defining #celiac disease and non-celiac gluten (more accurately, wheat) sensitivity
#Celiac disease is common
Amebiasis
Infectious mimics of #IBD
Health maintenance in inflammatory bowel disease with @dr_fcalderaibd
#MedTwitter #GITwitter #IBD #ACG2022
#MedTwitter #GITwitter #IBD #ACG2022
Risk of serious and opportunistic infections with #IBD therapies
Vaccines in #IBD: safe and recommended
The role of #surgery in inflammatory bowel disease with
@IBDBen
#MedTwitter #GITwitter #IBD #ACG2022
@IBDBen
#MedTwitter #GITwitter #IBD #ACG2022
Good medical therapy has reduced need for surgery, but many still will require surgery
Over time, more surgery is elective (yay!)
Discussing inflammatory bowel disease treatments with patients, with @tinahamd
#MedTwitter #GITwitter #IBD #ACG2022
#MedTwitter #GITwitter #IBD #ACG2022
First, need to explain #IBD itself to patients
🔌anti-TNFs "block the plug," preventing turning on the inflammatory pathways
Endoscopic features of inflammatory bowel disease with @IBD_Afzali 🔦 🔥
#MedTwitter #GITwitter #IBD #ACG2022
#MedTwitter #GITwitter #IBD #ACG2022
Who's seen this? 😱 🙋♂️
Endoscopy serves many purposes in #IBD
🎯 Goals in management of inflammatory bowel disease with @MLongMD
#MedTwitter #GITwitter #IBD #ACG2022
#MedTwitter #GITwitter #IBD #ACG2022
Only a minority of Crohn disease patients have an indolent course. The majority have PROGRESSIVE disease. We need to identify these patients and treat them in the window of opportunity.
In determining treatment, consider: symptoms, endoscopy, and prognosis
Disorders of the hepatic and mesenteric
circulation
#MedTwitter #LiverTwitter #GITwitter #Liver #ACG2022
circulation
#MedTwitter #LiverTwitter #GITwitter #Liver #ACG2022
⚠️Remember your anatomy!
Where do clots occur?
⚠️Black >>> white for diverticular bleeding and rates are 📈
Urgent colonoscopy in acute lower GI bleed?
Risk stratification
🥇Restrictive transfusion to 7
Exceptions:
-hypotensive ⛽️
-pre-existing CVD 🫀
-ACS 🫀
Exceptions:
-hypotensive ⛽️
-pre-existing CVD 🫀
-ACS 🫀
Anticoagulants and antiplatelets during GI bleed🩸with the 👸 of #CardioGI herself, @NeenaSAbrahamMD!
#MedTwitter #GITwitter #ACG2022 #hematology #hemetwitter
#MedTwitter #GITwitter #ACG2022 #hematology #hemetwitter
Regardless of cardiovascular indication for AC/AP, GIB risk ⬆️ with AGE
⚠️Disparities in AC/AP prescribing: black, Hispanic, and women are ⬇️ likely to be appropriately prescribed
Microbiota-based therapeutics in the treatment of recurrent Clostridioides difficile 🦠
@DrPaulGastro @Khanna_S @caterina_oneto
#MedTwitter #GITwitter #IDTwitter #ACG2022 #Cdiff
@DrPaulGastro @Khanna_S @caterina_oneto
#MedTwitter #GITwitter #IDTwitter #ACG2022 #Cdiff
Pathogenesis of CDI
1. Disruption of #microbiome (antibiotics) ▶️ loss of colonization resistance
2. Colonization
3. Spore ▶️ vegetative ▶️ toxin
4. Recurrence cycle or restoration of microbiota
1. Disruption of #microbiome (antibiotics) ▶️ loss of colonization resistance
2. Colonization
3. Spore ▶️ vegetative ▶️ toxin
4. Recurrence cycle or restoration of microbiota
Antibiotics control acute disease, but do not protect against recurrence
