Shivi S Siva M.D. aka Shivi S. Sivanantham (@sivashivi) 's Twitter Profile
Shivi S Siva M.D. aka Shivi S. Sivanantham

@sivashivi

Academic GI with an #IBD focus Alumni @DrexelMedicine, @uchicago, social media team @IBDjournals young delegate @AGA Opinions👍🏼Medical advice ❌

ID: 3285410174

calendar_today20-07-2015 13:34:30

213 Tweet

312 Followers

272 Following

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Pts in long-term remission show significant recovery of the gut microbial ecosystem w/ high species diversity & composition. The presence of A. muciniphila predicted flare-free outcomes. Read more here: bit.ly/3R7lCu7

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In #Octave open, #UC pts w/ long-term maintenance therapy with tofacitinib 5 or 10 mg BD can sustain beneficial effects on #HRQoL for up to 72 months, regardless of prior remission or responder status, or Rx history. David T. Rubin, MD bit.ly/3MTPVmx

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Could transplanted human intestinal organoids developed in vitro & expanded into healthy stem cells promote epithelial regeneration & restore intestinal physiology? Could these be useful in tissue repair in a defined #IBD group? Learn from Gwo Tzer bit.ly/40ISXzT

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In a nationwide Danish cohort of 30,102 patients with #IBD and (+) Covid-19 PCR test by Bente Mertz Nørgård, no increased #corticosteroid prescriptions were noted. Patients can be counseled that #COVID-19 does not trigger #IBD flare-ups. bit.ly/3Ga41wu

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Should we push further in T2T paradigm to achieve histologic remission? According to this study - yes! 445 patients with UC and Mayo 0 or 1 endoscopic activity, histologic activity was a significant predictor of clinical relapse 🤒 Raymond Cross bit.ly/3RL1nDP

Should we push further in T2T paradigm to achieve histologic remission? According to this study - yes! 445 patients with UC and Mayo 0 or 1 endoscopic activity, histologic activity was a significant predictor of clinical relapse 🤒 <a href="/Marylandibddoc/">Raymond Cross</a> bit.ly/3RL1nDP
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Important mechanistic insight into cancer pathways in UC. 🔥 cytokines ⬇️ miR-615-5p, which ⬆️ STC1, promoting tumorigenesis bit.ly/3vQdtms

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How do you compare IBD therapies without H2H trials 🤔? In this study, Matching-Adjusted Indirect Comparison is used to compare filgotinib vs VDZ, TOF, UST for UC bit.ly/3Ikjafw

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In 600 pts w/ #CD, the overall prevalance of fecal incontinence (FI) was 22.3%. Risk factors for FI were penetrating dz, age at dx, perianal dz at dx, and ⬆️ Perianal Disease Activity Index score. These can be used for early risk prediction of FI in #CD💩 bit.ly/3TDzKxD

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IUS in IBD is great tech, but problem is standardization 🤔 This piece by Phillip Gu Dan Carter Dr Dermot McGovern Jason H. Moore, PhD et al. shows the promise of radiomics over traditional neural network AI models ⚠️ limitation is single center/operator doi.org/10.1093/crocol…

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This is Shivi S. Siva @sivashivi. I’m an academic #IBD specialist Montefiore Gastroenterology. I'm back authoring tweets for @IBDjournals in October 2024. Calling all patients with and providers treating IBD to follow along to encourage a great dialogue on #Crohns #UC

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A retrospective study of 202 #CD/pts Virginia Solitano, showed 22% had endoscopic skipping prox/to TI & 25% smallbowel skip lesions, ID by #CTE/MRE. Imaging ID #stricturing dz in 36.2% /pts missed by #ileoscopy. Ileoscopy missed active CD in prox.bowel, in 1/5 of pts, ID by imaging.

A retrospective study of 202 #CD/pts <a href="/virgisolitano/">Virginia Solitano</a>, showed 22% had endoscopic skipping prox/to TI &amp; 25% smallbowel skip lesions, ID by #CTE/MRE. Imaging ID #stricturing dz in 36.2% /pts missed by #ileoscopy. Ileoscopy missed active CD in prox.bowel, in 1/5 of pts, ID by imaging.
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In 10,578 #IBD pts Ellen Zimmermann, show improved access to care in Hispanic pts & use of higher #biologics than non-Hispanic White (NHW) OR: 1.3, P < .0001. Non-Hispanic Black /pts used more steroids than NHW OR: 1.2, P = .0004 w/higher ER visits & hosp/to NHW. doi.org/10.1093/ibd/iz…

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IUS is performed in office w/RT #CD dz activity, w/swift Rx changes. Parades et al. provide an external validation of the simple IUS score for #CD, w/good correlation w/endoscopy (SES-CD r = .757, P < .001). Should IUS be a 1st line tool for f/u in #CD? doi.org/10.1093/ibd/iz…

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Could gut microbiome act as a predictive biomarker to identify#IBD pts in risk of Dz progression & intensify Rx? Ranko Gacesa show by whole-genome metagenomics on basal fecal samples & a 10 year retrospective analysis of pts EMR, personalized Rx is feasible. doi.org/10.1093/ibd/iz…

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Peter Higgins reports that socially vulnerable patients w#IBD are more likely to be diagnosed w/# depression but not anxiety. Overall rates of screening for depression and anxiety are low, particularly among more socially vulnerable patients. Find out more doi.org/10.1093/ibd/iz…

<a href="/ibddoctor/">Peter Higgins</a> reports that socially vulnerable patients w#IBD are more likely to be diagnosed w/# depression but not anxiety. Overall rates of screening for depression and anxiety are low, particularly among more socially vulnerable patients. Find out more  doi.org/10.1093/ibd/iz…
Beatriz Gros (@bealoquebea) 's Twitter Profile Photo

I know I’m a bit late, but here’s the updated table of #IBD treatments with their doses & routes of administration with the addition of guselkumab Full quality table➡️ ibd-eii.com/ibdcheatsheet/

I know I’m a bit late, but here’s the updated table of #IBD treatments with their doses &amp; routes of administration with the addition of guselkumab

Full quality table➡️ ibd-eii.com/ibdcheatsheet/
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Meet our 2025 IBDJournal & CC360 Social Media Team, who have already been hard at work! 👏 Stay tuned each month for perspectives on the latest science published in @IBDjournals from each of these #IBD physicians. 🔬📊 Ben Click Shivi S Siva M.D. aka Shivi S. Sivanantham Jeffrey M Dueker, MD, MPH Simon Hong Suha Abushamma, MD

Meet our 2025 <a href="/IBDJournals/">IBDJournal & CC360</a> Social Media Team, who have already been hard at work! 👏

Stay tuned each month for perspectives on the latest science published in @IBDjournals from each of these #IBD physicians. 🔬📊

<a href="/BenClickMD/">Ben Click</a> <a href="/SivaShivi/">Shivi S Siva M.D. aka Shivi S. Sivanantham</a> <a href="/DuekerJeffrey/">Jeffrey M Dueker, MD, MPH</a>
<a href="/SimonHongMD/">Simon Hong</a> <a href="/SuhaAbushamma/">Suha Abushamma, MD</a>