It could be a bit awkward jumping into a virtual room and then there you are 1:1 with the presenter. I put together a short list of fairly generic "ice breaker" type questions to get the discussion flowing. Relying on #MedTwitter to buff up/enhance this short list. #DDW2021

Bringing QI to GI --> starting now! Digestive Disease Week American Gastroenterological Association (AGA)

AGA Rapid Review and Guideline for SARS-CoV2 Testing and Endoscopy Post-Vaccination: 2021 Update Shahnaz Sultan and colleagues gastrojournal.org/article/S0016-…

The AGA is seeking public comments on the new AGA Practice Guideline on the Management of #Coagulation Disorders in Patients w/#Cirrhosis Stable cirrhosis+undergoing common procedures: ⛔️ recommend visco-elastic testing to predict bleeding gastro.org/news/new-cirrh… #livertwitter

In-press in Gastroenterology -- 👇 our report on the Development of the American Gastroenterological Association (AGA) Policy Agenda during COVID, and leg&reg successes -- led by Shazia Siddique MD MS @SimonMathewsMD Yamini Natarajan, MD Anthony Sofia SarahStreettMD Kathleen Teixeira Megan Tweed Leslie Narramore, AGA, Regulatory Affairs Director Duke GI gastrojournal.org/article/S0016-…

New GRADE guidance for rating the certainty of evidence for comparative test accuracy studies and between-study (indirect) comparisons.GRADE Working Group Reem Mustafa Holger Schünemann

First Look at Pharmacologic Management of Obesity American Gastroenterological Association (AGA) Guideline 🔥🔥🔥🔥🔥

After 6️⃣ months deep in data, our American Gastroenterological Association (AGA) evidence synthesis & guideline teams for The Role of Biomarkers in #IBD met for 5️⃣‼️hours today to draft our initial recommendations. Coming soon! All ⭐️co-Chairs: Sid Singh Karen Chachu Shahnaz Sultan Ashwin,M.D Jeremy Adler, MD, MSc

#Tweetorial on the new updated American Gastroenterological Association (AGA) Guidelines in Gastroenterology on #IBS below 👇🏾 All ⭐️ Guideline Panel: Lin Chang Anthony Lembo, MD Shahnaz Sultan Joel Heidelbaugh Walter Smalley & Nicholas Verne More info: ow.ly/SFqF50JE5VK

Core components for all patients with IBS: 🔸 strong pt-provider relationship 🔸 education & reassurance 🔸dietary modifications (e.g. low FODMAP diet) 🔸 lifestyle modifications (exercise, sleep, ⬇️ stress)

Pharm mgmt of pts with IBS (regardless of type): ✅ antispasmodics for abdominal pain ✅ TCAs (8 RCTs with clinically meaningful ⬆️ in global sx) ❌ SSRIs (7 RCTs: no sig ⬆️ global sx or abd pain) *Note that these are conditional recommendations with low certainty in evidence*

.American Gastroenterological Association (AGA) Guideline on IBS-Diarrhea: ✅ eluxadoline (do not use in pts with no GB or EtOH >3x/d) ✅ rifaximin, incl re-tx in those with recurrent sx after initial response ✅ alosetron *conditional recs w/moderate certainty in evidence* ✅ loperamide (w/very low certainty)

.American Gastroenterological Association (AGA) Guideline on IBS-Constipation: ✅ Linaclotide (linzess)- Strong Rec/High Qual Evid And conditional recs & moderate evid for: ✅ Tenapanor (ibsrela) ✅ Plecanatide (trulance) ✅ Lubiprostone (amitiza) ✅ Tegaserod ➡️ re-approved for women <65yo w/o hx CV events

For pts with persistent #IBS sx despite above therapy, the American Gastroenterological Association (AGA) Clinical Decision Support Tool calls for considering: 🔸adding or switching to a low dose TCA 🔸SNRI 🔸Brain-Gut Behavior Therapy incl CBT and hypnosis

Don't miss the opportunity to hear directly from the Gastroenterology authors! Lin Chang Anthony Lembo, MD Shahnaz Sultan Joel Heidelbaugh Walter Smalley & Nicholas Verne Join our Gastro Bites webinars on 🔹July 7 at noon EDT 🔹July 21 at noon EDT Register here: ow.ly/SFqF50JE5VK

Join us on Wednesday July 20th for the Minnesota Medical Association Physician’s Forum Webinar on “Advances in Colorectal and Prostate Cancer Screening” Philipp Dahm @UMN GI Fellowship

Congratulations to my AMAZING co-fellows for matching into advanced endoscopy today ⭐️Nick McDonald will be going to Jefferson Health ⭐️Mohamed Abdallah, MD will be going to Cleveland Clinic Congratulations to Induruwa Pathirana for matching at @UMN GI Fellowship for advanced endoscopy #GITwitter

So excited for this!! Looking forward to tomorrow's discussion with the ACG community and Raina Shivashankar M.D.!!!

Help us train the next generation of IBD researchers, teachers, and compassionate caregivers by supporting our IBD fund at z.umn.edu/IBDFund. #UMNGive UMN Medical School UMN Medicine

Hosting the amazing Dr Fola May for DOM Research Seminar at the University of Minnesota Fola May, MD PhD Eugenia Shmidt MD UMN DOM Research UMN Medicine @UMN GI Fellowship