Dr John O'Donohue @TheBottomDoc
Gastroenterologist. Shining a light on bowel cancer. Inspector of endoscopy units, stomachs & bile ducts too. Some tweets my own. Lewisham, England Joined December 2014-
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Dr John O'Donohue retweeted
🧵1/6 🚨 New from the British Society of Gastroenterology: We analysed all UK colonoscopies from the National Endoscopy Database (2019–2020). That’s over 592,000 procedures. Findings below 👇 (📄 Free article link (limited time): authors.elsevier.com/c/1ktHw3mGpvWkI)
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@goldstone_tony @HeldinEU @nhs_pensions But it might make sense atk wait a year for the recent pay increase of 8% to be ‘baked in’ to final salary calculation. which is ‘best of three’ last years. You’d have to live 12 years after retirement to see the gains, though!
Well, what sort of farewell cake did you expect at an upper GI surgeon’s retirement party? @LG_NHS Saying happy retirement to Mr Alek Uzkalnis!
A very promising start to a @JAG_Endoscopy accreditation visit, right here!
How to identify the ‘sensory phenotype’ in bloating, and how to treat it: Duloxetine, not SSRI, is best if diet and diaphragmatic breathing isn’t enough and pharmaceutical treatment needed Kyle Staller, Mass General @DDWMeeting
Practical guide to management of bloating - all in one slide - Kyle Staller, Mass General Hosptial @DDWMeeting
The major gas/bloat producers in the gut:
SIBO due to just two bacteria: E. coli and klebsiella
IBS microbiome subtypes in types of IBS: Mike Pimentel, Cedars-Sina @DDWMeeting IBS-C: methanogens IBS-D: hydrogen sulfide
What’s different between patients with bloating & normal controls? Fernando Azpiroz, Hspital Val d’Hebron @DDWMeeting Not amount of gas, or biomass. It’s sensitivity to distension. Perceived distension can be obesity, or descent of diaphragm (abdominophrenic dyssynergia)
Management of reflux @DDWMeeting - hierarchy of management - where to use PCABS for PPI-refractory reflux -who are good candidates for an anti-reflux procedure
Not all FODMAPs are equal! Can we simplify FODMAP restriction in IBS-D? Prashant Singh, Un of Michigan @DDWMeeting FODMAP restriction difficult and can result in micronutrient malnutrition In reintroduction phase, most symptoms due to fructans & galacto-oligosaccharides
Heather Patton, VA San Diego, CA @DDWMeeting All patients with compensated cirrhosis should be subclassified as with or without Clinically Significant Portal Hypertension (CSPH) - and pharmacotherapy used (eg carvedilol) to lower portal pressure Note NEW terminology!
However, 40% of patients do not respond adequately to UDCA. Pruritus can be exacerbated by Obeticholic Acid - which can’t be used with decompensated cirrhosis. Elafibrinor, a PPAR agonist, shows promise and improves pruritus.
New treatment paradigm for PBC (Primary Biliary Cholangitis) - Dr Willscott Naugler, Portland, Oregon
Don’t need endoscopy to screen for varices in patients with cirrhosis any more - Dr Willscott Naugler, Portland, ON @DDWMeeting Concept of ‘Clinically significant Portal Hypertension’ - if > 10 mm Hg elevation is present, start on beta blockers to prevent varices, ascites
EIGHT mistakes doctors make in treating IBD - AVOID THESE! David T Rubin, University of Chicago @DDWMeeting
Choice of immunomodulatory therapies in IBD: The story in 2024, summarised in just three slides David T Rubin (University of Chicago) @DDWMeeting
Keith Siau @drkeithsiau
213K Followers 5K Following GI doctor with interests in endoscopy, gut health, liver & medicine. 💜 #GITwitter #LiverTwitter #MedEd. Occasional silliness. Siau rhymes with meow 😺
Prof John Leeds @NEndoscopy
5K Followers 2K Following Prof Leeds doing all things HPB medicine: advanced clinical practice, EUS, ERCP, training and research. Tweets do not mean endorsement.
Charlie Lees @charlie_lees
22K Followers 3K Following I write about inflammatory bowel disease providing inspiration, education and deep community. I am Professor of Gastroenterology and UKRIFLF. I also run a lot.
BSG @BritSocGastro
18K Followers 2K Following The British Society of Gastroenterology is focused on the promotion of gastroenterology and hepatology in the UK. RTs not endorsements.
𝗗𝗿 𝗔𝗷𝗮... @UKGastroDr
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BSG @BritSocGastro
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𝗗𝗿 𝗔𝗷𝗮... @UKGastroDr
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