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⭐️ No cont’d… 🔹 but the longer you wait, the ⬆️ the chance of failure of restarting 🧬 and experiencing disease complications 🔹 pts (and providers) prefer stopping immunomodulators 🔹 if anti-TNFs are working, don’t stop it

Some medications prescribed by gastroenterologists cost too much out-of-pocket or are declined coverage by insurance, leading to limited therapeutic options and adverse outcomes Mark Cuban Mark Cuban Cost Plus Drug Company provides a way for patients to get important meds at low cost Here's a list:

I gave a talk on inpatient bowel regimens today for the Yale School of Medicine Yale Internal Medicine residents and students, with additional 💎s on outpatient #constipation. Here are the slides! 💩 💩 💩 #MedTwitter #GITwitter #motility #MedEd Yale Internal Medicine Chiefs Mayo Clinic Gastroenterology & Hepatology

Practical resuscitation for bleeders. How do you do it? Let’s discuss. I’ll share my everyday practical approach. #GITwitter #GIFellows #emergencymedicine

1/18 🤔Why does the diagnosis of Streptococcus bovis bacteremia immediately raise the specter of colon cancer? If colon cancer leads to barrier disruption and translocation of bacteria into the blood, shouldn't E. coli bacteremia raise the same concern? Is S. bovis unique?

Diagnosis and management of cyclic vomiting syndrome. 🤮 #MedTwitter #GITwitter #motility journals.lww.com/ajg/Abstract/9…

Learned and tried this elegant technique for PEG ostomy site closure published by Allison Schulman MD, MPH giejournal.org/article/S0016-… Such a simple and easy to do technique that doesn't require advanced training. Was very satisfying to see the end result.

ChatGPT has limits. But there are tools that doesn’t have. Here’re 8 AI tools you should know about in 2023:

Iron Deficiency but No Bleed H. Pylori Urea breath Rx = Abx Autoimmune gastritis Anti-parietal/IF Ab, gastric Bx Rx = IV Fe Celiac TTG IgA, duodenal bx Rx = No gluten IRIDA = iron refractory iron deficiency anemia TMPRSS6 mut Rx = IV Fe PNH Flow ⬇️CD55/CD59 Rx = Eculizumab

This x 💯 - as the designated arbiters of inpatient iron deficiency anemia, the GI community encourages all primary teams to familiarize themselves with 👇🏽👇🏽👇🏽

We still live in the world of the "knocker uppers", only now they have become phones rather than people. And so the ubiquity of alarm clocks, something without which life now seems unimaginable, is emblematic of the evolution from a Pre-Industrial to an Industrial World.

🚨#GITwitter🚨 Think of every EGD, surveillance & diagnostic colon you do in one day. Now think of doing a prior auth for each of those. A poorly designed #priorauth pgm by #UnitedHealthcare will delay GI care & add red tape for us. UnitedHealthcare don’t implement the pgm on June 1!

An excellent video demonstration by Andrew Elden MD one of our core faculty on setting up Minnesota tube as rescue tx for 🩸 varices #GITwitter any tricks or tips to share for our first years?

Big clots are still a big problem in modern endoscopy. Here is a method to turn a flexible/rigidizing overtube into a large suction attachment to evacuate clots rapidly from the stomach. #GITwitter Douglas G. Adler MD, FASGE, FACG, AGAF Rashmi Advani, MD, ABOM Tarun Rustagi Neil Sharma, M.D. FASGE, FACG, AGAF SAGES is in Tampa in 2026!

Check out the summary I made on Sweet Syndrome! #GITwitter #MedEd

Pro Tips for Olympus PolyLoop 1️⃣ Close sheath/hook & advance collar at SAME TIME 2️⃣ Ensure there is metal exposed before deploying loop to avoid mis-deploying (eg, stuck around polyp 😬) Ever use Olympus GI PolyLoop & get frustrated when it fails? Need a better device!

Congratulations to our graduating general GI fellows. It has been such a fun three years. Can’t wait to see what you have in store for this world. Today is just the beginnning! NYU Langone Hospital—Long Island NYU Langone Health

It's amazing how such a small Dieulafoy's lesion in the colon can cause so much bleeding. Pitt Division of GI, Hepatology & Nutrition Pitt General Internal Medicine

Latest review NEJM : Mx of Acute #Pancreatitis 👉Key changes include early feeding, avoiding unnecessary ERCP, & minimally invasive approaches. 👉Common mistakes #gitwitter #medtwitter gastrojournal.org/article/S0016-…