-
New meta-analysis https://bit.ly/2S87P7U shows that hemodynamic response to beta-blockers in patients with cirrhosis + varices decrease the risk of:
Bleeding
Ascites
Encephalophaty
Peritonitis
Death
Both in patients with and without previous ascites
#livertwitter pic.twitter.com/dIMm5KTk98
-
Can you remember all the liver segments? I just have this microfiber cloth for my eyeglasses
handy! Feel free to save the image. #livertwitter#gitwitter#medtwitterpic.twitter.com/B2OwDTmOE5
-
Coding with
#python is fun. Here is a small code I did on my iPhone to save me using multiple calculators for FIB-4, BMI, APRI and NAFLD Fibrosis score. I do it all at once in 1 minute with this.#pythonista#livertwitter pic.twitter.com/X1zJfdoiJE -
1/ Let's differentiate pyogenic from amebic liver abscess in a
#Tweetorial today. We will examine DDx, risk factors, microbiology, clinical features, diagnostics, and treatment. This came from my most recent morning report.#IDTwitter#LiverTwitter#MedEdpic.twitter.com/IOZk3j1wht
Prikaži ovu nit -
In adjusted and matched analysis accounting for potential confounders, no significant difference found in the incidence of
#HCC between ETV vs TDF in#HepB patients#LiverTwitter@HenryEChang https://journals.lww.com/ajg/Fulltext/2020/02000/Tenofovir_Versus_Entecavir_for_Hepatocellular.21.aspx …Prikaži ovu nit -
Question to
#livertwitter - Young pt w/biopsy proven cirrhosis 2/2 NASH (MELD Na 14, platelet & albumin normal, CTP A) & end stage cardiomyopathy awaiting
only transplant.
Would you talk to this patient about HCV+ heart donors? Does the pts cirrhosis affect your decision? pic.twitter.com/eCet6zKrGJ
-
One important take away Although change in CO predicted HRS, it was not a strong predictor of transplant free survival
#gijournalclub#LiverTwitter -
If and when we can categorize patients to high risk for HRS and responders vs non responders, then might be able to narrow it down enough to justify a disease modifying agent like albumin
#gijournalclub#LiverTwitter -
Also note that delta CO <25% had a specificity of 61% to predict HRS
#gijournalclub#LiverTwitter -
Basically, you already know this pathophysiology and DSE parameters seems to not add a whole lot to the picture
#gijournalclub#LiverTwitter -
That’s the point I think the HD studies would identify the sickest patients who are already getting priority based on MELDna Not sure what additional data this would add to identify patients at risk for Hrs
#gijournalclub#LiverTwitter -
Interestingly, HRS predicted transplant free survival but not cardiac reserve
#gijournalclub#livertwitter -
That concludes my first
#livertwitter#tweetorial Learning points:
PEC is a thing (
)
More common if fcSEMS placement occluded cystic duct
MDT approach:
Surgery/cholecystostomy/EUS-guided drainage/stent exchange all potentially good approaches. Depends on the patient.Prikaži ovu nit -
This is what I signed up for when I joined Twitter. Great discussion
by #LiverTwitter https://twitter.com/LizzieAbyMD/status/1224772849354903555 …
-
Congratulations on this important contribution
@phil_newsome7, Stephen Harrison and many others! Now I can stop hitting refresh@LancetGastroHep waiting for the full paper. Fantastic resource for pts with#NAFLD#livertwitter -
I’m not an expert (yet), but I think that
@Dr_Ampuero has the answer for#livertwitter
-
Need a refresher on liver segments?
#LiverTwitter https://twitter.com/stevenbollipo/status/1224529394116358144 …
-
Who performs HVPG (hepatic venous pressure gradient) procedure in your patients with cirrhosis at your institution?
#Livertwitter -
The
#livertwitter network between Jan 25th - Feb 2nd & Top 10 engaging:@ebtapper@JonathanRyderMD@AtoosaRabiee@jturnesv@drmoutaz@BloomPringle@HannesHagstrom@IanARowe@Paulo_MartinsMD@Will_Sanchez_MDpic.twitter.com/OeEltLEung
Čini se da učitavanje traje već neko vrijeme.
Twitter je možda preopterećen ili ima kratkotrajnih poteškoća u radu. Pokušajte ponovno ili potražite dodatne informacije u odjeljku Status Twittera.
Specificity =
Change in management =
Every level in a patient with
What am I missing?
Meta-analysis: