Hello #MedTwiter👋 This week, I'm launching #WedGastroGuide💩 Goal➡️ Share and highlight valuable GI guidelines from American Gastroenterological Association (AGA) ACG ASGE GI Endoscopy AASLD Time⏲️ Every Wednesday Target Audience🎯IM residents, GI applicants, and GI fellows See you this

#WedGastroGuide💩 🍺 Alcoholic Hepatitis AASLD 👉 Key Points: 1⃣ Eligibility for Steroids (MDF ≥32, r/o other causes of liver injury, r/o active infection) 2⃣ C/I to Steroids (infection, AKI, GI bleed, multiorgan failure/shock, concomitant HIV, HBV, HCV, TB...) 3⃣

#WedGastroGuide💩 Chronic Idiopathic Constipation - Joint American Gastroenterological Association (AGA) & @ACG Guideline 👉 Key Points: 1⃣ Hydration & ⬆️fibers 2⃣ Osmotic laxatives (e.g. PEG, Mg Oxide) 3⃣ Stimulants as short-term or rescue therapy (e.g. Bisacodyl, Senna) 4⃣ Secretagogue (e.g.

#WedGastroGuide 💩 Gastroparesis - ACG Guideline 👉 Key Points: 1⃣ R/O mechanical obstruction 2⃣ Assess for 💊-induced delayed GE (e.g. opioids) 3⃣ SGE (solid meal emptying ≥ 3h). ❌opioids, prokinetics, and other💊that can affect GE for at least 48 hours prior

#WedGastroGuide 💩 Follow-up after Colonoscopy and Polypectomy - American Gastroenterological Association (AGA) Guideline 👉 Key Points: 1⃣ Algorithm for average risk population who had a high-quality colonoscopy 2⃣ Average risk population: ❌ IBD, ❌personal or FH of CRC, ❌hereditary syndromes that ⬆️risk

#WedGastroGuide💩 Management of Celiac Disease ACG 2023 Guideline 👉 Key Points: 1⃣ ❌ Screen all patients 2⃣ Consider testing if clinical picture suggestive of possible CD❓(e.g. diarrhea, weight loss, abdominal pain, bloating, chronic IDA, etc). 3⃣ Initial

#WedGastroGuide💩 Management of Anticoagulants & Antiplatelets in Acute GI Bleeding & Periendoscopic Period - ACG 2022 Guideline 🔑 Key points: 1⃣ Determine if life-threatening🩸 2⃣ Life-threatening🩸on Warfarin➡️ PCC>FFP. No clear benefit for vitamin K 3⃣

#WedGastroGuide 💩 Prevention, Diagnosis, and Treatment of Hepatocellular Carcinoma - AASLD 2023 Guideline ‼️Part 2: HCC Diagnosis Diagnostic modality⁉️ 💠Multiphase CT or MRI with LI-RADS classification. Sufficient for diagnosis without biopsy in 🔼risk patients:

#WedGastroGuide💩 Endoscopic Eradication Therapy of Barrett's Esophagus and Related Neoplasia American Gastroenterological Association (AGA) 2024 Guideline High-grade dysplasia (HGD)‼️ 🔸Recommends complete EET 🔸Surveillance at 3, 6, and 12 months➡️annually Low-grade dysplasia (LGD)‼️ 🔸Recommends EET >

#WedGastroGuide💩 Small Intestinal Bacterial Overgrowth (SIBO) - ACG 2020 Guideline Symptoms⁉️ 🔸Bloating, pain, dissension, flatuence, diarrhea Risk factors⁉️ 🔸Any condition affecting mechanisms in Table 3 🔸Motility disorders (diabetes, scleroderma), prior

#WedGastroGuide 💩 Management of ingested foreign bodies and food impactions - ASGE GI Endoscopy 2011 Guideline 💠Avoid contrast imaging ❌❌ 💠Determine timing of endoscopy⏲️(table below) 💠Endoscopic removal‼️ 🔸Disk batteries or sharp objects in esophagus 🔸Esophageal food

#WedGastroGuide💩 Post-ERCP Pancreatitis Prevention Strategies - ASGE GI Endoscopy 2023 Guideline Rectal NSAIDs‼️ 🔸Indomethacin 100 mg 🔸>30 min before or during procedure 🔸❌in recent PUD or renal insufficiency Wire-guided✅> Contrast-guided cannulation‼️ Pancreatic duct

Incredibly excited to be applying for #GIFellowship💩 Thrilled to be sharing this journey with my amazing fiancée and future #PedsGI star Rasha Abou Jaoudeh, MD🌟 #GIfellowship #PedsGIfellowship #match2025

#WedGastroGuide💩 IBS-C Pharmacotherapy - American Gastroenterological Association (AGA) 2022 Guideline 1⃣First-line therapy 🔸Constipation➡️Osmotic laxatives (e.g. PEG) 🔸Abdominal pain➡️Antispasmodics (e.g. dicyclomine, hyoscyamine) 2⃣Second-line therapy➡️Secretagogues 🔸Linaclotide (Linzess)✅290

Great work by @CleClinicKids Drs. Meenal Karuvannur and Rasha Abou Jaoudeh, MD presenting on complex clinical issues and #IBD at the #MWGC2024! #womeninmedicine #FutureLeaders

#WedGastroGuide💩 Management of Acute Colonic Pseudo-Obstruction (ACPO ~ Ogilvie Syndrome) - ASGE GI Endoscopy 2020 Guideline Uncomplicated ACPO‼️ 🔹No ischemia or peritonitis, cecal diameter<12 cm, no significant abdominal pain 🔹NPO, NGT,✅electrolytes & fluids, 💊infection,

#WedGastroGuide💩 Transjugular Intrahepatic Portosystemic Shunt (TIPS) - @AASLD 2023 Guidance TIPS Main Indications⁉️ 🔸Variceal bleed refractory to 💊or endoscopic management 🔸Ascites refractory to Na-restriction and 💊 (Spironolactone 400 mg/day + Furosemide 160 mg/day)

#WedGastroGuide 💩 Role of Endoscopy in Enteral Feeding - ASGE GI Endoscopy 2011 Guideline PEG Indications⁉️ 🔸Impaired swallowing due to neurologic or cancer-related conditions when oral nutrition is not expected to resume within 30 days 🔸Intact GI tract but insufficient

Reflux Esophagitis - Los Angeles Classification 🔹Grade A: ≤5mm mucosal breaks, not bridging folds 🔹Grade B: >5mm mucosal breaks, not bridging folds 🔸Grade C: Breaks bridging folds, <75% circumference 🔸Grade D: Breaks bridging folds, ≥75% circumference EndoscopyCampus

Thrilled to have couples matched with my other half Rasha Abou Jaoudeh, MD at Emory University !! Thankful for our family, friends, and mentors! Emory Gastroenterology and Hepatology Fellowship #GIFellowship #PedsGIFellowship #Match2025