Discover and read the best of Twitter Threads about #ascites
Most recents (4)
⭐️New-pub alert!!
@APASLnews guidelines on management of #ascites in liver disease.
Salient features covered which are different from other guidelines👇🏻
✅Diagnostic approach to mixed ascites
✅Role of low-dose albumin (1/n)
link.springer.com/article/10.100…
@APASLnews guidelines on management of #ascites in liver disease.
Salient features covered which are different from other guidelines👇🏻
✅Diagnostic approach to mixed ascites
✅Role of low-dose albumin (1/n)
link.springer.com/article/10.100…
✅Recommendations on use of ACE inhibitors/ARBs
✅Diagnostic approach to management of pleural effusion
✅Recommend ICA definition for defining renal dysfunction in refractory ascites
✅Start with low-dose diuretics and gradually increase dose to increase tolerability (2/n)
✅Diagnostic approach to management of pleural effusion
✅Recommend ICA definition for defining renal dysfunction in refractory ascites
✅Start with low-dose diuretics and gradually increase dose to increase tolerability (2/n)
⭐️Diagnostic algorithm for workup of new onset #ascites 👇🏻
✅SAAG - diagnosis of portal hypertension
✅High SAAG, high protein ascites - use BNP, 2D echo, SPA doppler and thyroid profile
✅Low SAAG, high protein ascites - use ascitic fluid ADA, amylase and TG (3/n)
✅SAAG - diagnosis of portal hypertension
✅High SAAG, high protein ascites - use BNP, 2D echo, SPA doppler and thyroid profile
✅Low SAAG, high protein ascites - use ascitic fluid ADA, amylase and TG (3/n)
🔥PPI in liver-related outcome in @Cirrhosis by @nadimmahmud
🏥Comp cirrhosis, VOCAL cohort, IPTW adjst
👉PPI exposure:
⏫Severe infection (SBP), decomp
💀Mortality (⏬prior BGIT ; ⏫ liver-related💀)
✅Use PPI when indicated
#LiverTwitter @EASLnews @serperm @KaplanDeLiver
🏥Comp cirrhosis, VOCAL cohort, IPTW adjst
👉PPI exposure:
⏫Severe infection (SBP), decomp
💀Mortality (⏬prior BGIT ; ⏫ liver-related💀)
✅Use PPI when indicated
#LiverTwitter @EASLnews @serperm @KaplanDeLiver
🔥NITs for CSPH in #HCV post-SRV by @GeorgSemmler #ILC2022
n=324 HCV, HVPG>6mmHg + paired LSM/Plt
CSPH resolved 25%
✅LSM>25kPa: CSPH
✅LSM<12k + Plt>150: exclude CSPH
✅3-yr decomp risk: 0% vs 9.6% (CSPH)
#LiverTwitter @SaSi_Lens @jaumebosch9 @MattiasMandorf1
n=324 HCV, HVPG>6mmHg + paired LSM/Plt
CSPH resolved 25%
✅LSM>25kPa: CSPH
✅LSM<12k + Plt>150: exclude CSPH
✅3-yr decomp risk: 0% vs 9.6% (CSPH)
#LiverTwitter @SaSi_Lens @jaumebosch9 @MattiasMandorf1
🔥 Important study!
⭐️Carvedilol + Simvastatin in sys inflammation by Dr Edilmar A Tapias #ILC2022 👏
n=82 cirrhosis with HRV
RCT, 1:1, CV + Sv vs CV
🎯HVPG, inflammation at 1m
⭐️Carvedilol reduce IL-6 AND HVPG
⭐️Simva enhance response
#LiverTwitter @anna_baiges @EASLnews
⭐️Carvedilol + Simvastatin in sys inflammation by Dr Edilmar A Tapias #ILC2022 👏
n=82 cirrhosis with HRV
RCT, 1:1, CV + Sv vs CV
🎯HVPG, inflammation at 1m
⭐️Carvedilol reduce IL-6 AND HVPG
⭐️Simva enhance response
#LiverTwitter @anna_baiges @EASLnews
1
Sharing our invited review: Transjugular intrahepatic portosystemic shunt (TIPS) in #cirrhosis/World #Journal of #Gastroenterology. @SRajesh_IR helms 24-page colossus discussing exhaustively recent studies #livertwitter #MedTwitter #irad #GITwitter
Full: bit.ly/3ib7Frp
Sharing our invited review: Transjugular intrahepatic portosystemic shunt (TIPS) in #cirrhosis/World #Journal of #Gastroenterology. @SRajesh_IR helms 24-page colossus discussing exhaustively recent studies #livertwitter #MedTwitter #irad #GITwitter
Full: bit.ly/3ib7Frp
2
Topics we discuss include - variceal bleeding (incl ectopic), #ascites & #hydrothorax (incl chylous), #complications, new techniques, #stent size dilemma & extensive point of care algorithmic approaches in portal hypertension complications, eg: esophageal #variceal bleeding 👇
Topics we discuss include - variceal bleeding (incl ectopic), #ascites & #hydrothorax (incl chylous), #complications, new techniques, #stent size dilemma & extensive point of care algorithmic approaches in portal hypertension complications, eg: esophageal #variceal bleeding 👇
#livertwitter #irad #MedEd #MedTwitter
Large tortuous paraumbilical vein shunt in #patient with #Cirrhosis and #portalhypertension. @SRajesh_IR 👌
1/3
Large tortuous paraumbilical vein shunt in #patient with #Cirrhosis and #portalhypertension. @SRajesh_IR 👌
1/3
Post coil (CARTO) and glue, complete disappearance of shunt ✌️
#phtsig #radiology #MedStudentTwitter
2/3
#phtsig #radiology #MedStudentTwitter
2/3
#Tipss #procedure performed along with shunt occlusion, for recurrent #ascites 3/3
Complete resolution of portal hypertension complications 💯🎯
Complete resolution of portal hypertension complications 💯🎯
