Juan Turnes
@jturnes.bsky.social
Chief of Gastroenterology & Hepatology at University Hospital of Pontevedra, Spain | ➡️ AI in Medicine | EASL SoMe advisor | Associate Editor at Liver International
#LiverSky #GIsky #MedSky
#LiverSky #GIsky #MedSky
Pinned
Juan Turnes
@jturnes.bsky.social
· Nov 24
We are on our second starter pack for GI / Hepatology
Part 1: go.bsky.app/8Pho2tp
Part 2: go.bsky.app/VGyLKjR
#medsky #GIsky #LiverSky
Part 1: go.bsky.app/8Pho2tp
Part 2: go.bsky.app/VGyLKjR
#medsky #GIsky #LiverSky
Nuestro Servicio de Digestivo recibe el Premio Ciudad de Pontevedra 🙌
Un premio como este, de los ciudadanos a los que nos debemos, es un honor que supera con creces cualquier otro. Y un refuerzo extra para seguir avanzando e innovando todos juntos 💪
Un premio como este, de los ciudadanos a los que nos debemos, es un honor que supera con creces cualquier otro. Y un refuerzo extra para seguir avanzando e innovando todos juntos 💪
January 22, 2025 at 10:44 PM
Nuestro Servicio de Digestivo recibe el Premio Ciudad de Pontevedra 🙌
Un premio como este, de los ciudadanos a los que nos debemos, es un honor que supera con creces cualquier otro. Y un refuerzo extra para seguir avanzando e innovando todos juntos 💪
Un premio como este, de los ciudadanos a los que nos debemos, es un honor que supera con creces cualquier otro. Y un refuerzo extra para seguir avanzando e innovando todos juntos 💪
Reposted by Juan Turnes
The greatest review written on liver biopsy: indications, interpretation, and its future
By Dr Purva Gopal and colleagues in HepCommJournal
Open access journals.lww.com/hepcomm/full...
#liversky #pathsky
By Dr Purva Gopal and colleagues in HepCommJournal
Open access journals.lww.com/hepcomm/full...
#liversky #pathsky
January 9, 2025 at 12:46 AM
The greatest review written on liver biopsy: indications, interpretation, and its future
By Dr Purva Gopal and colleagues in HepCommJournal
Open access journals.lww.com/hepcomm/full...
#liversky #pathsky
By Dr Purva Gopal and colleagues in HepCommJournal
Open access journals.lww.com/hepcomm/full...
#liversky #pathsky
Reposted by Juan Turnes
Long-term risk of chronic liver disease in patients with celiac disease: a nationwide population-based, sibling-controlled cohort study
New research in The Lancet Regional Health - Europe
www.thelancet.com/journals/lan...
#GastroSky #LiverSky #MedSky
New research in The Lancet Regional Health - Europe
www.thelancet.com/journals/lan...
#GastroSky #LiverSky #MedSky
Long-term risk of chronic liver disease in patients with celiac disease: a nationwide population-based, sibling-controlled cohort study
CeD is associated with a persistently increased risk of any incident CLD, although the absolute risk is low. Physicians should be vigilant to early signs of liver dysfunction in patients with CeD.
www.thelancet.com
January 10, 2025 at 8:18 AM
Long-term risk of chronic liver disease in patients with celiac disease: a nationwide population-based, sibling-controlled cohort study
New research in The Lancet Regional Health - Europe
www.thelancet.com/journals/lan...
#GastroSky #LiverSky #MedSky
New research in The Lancet Regional Health - Europe
www.thelancet.com/journals/lan...
#GastroSky #LiverSky #MedSky
Reposted by Juan Turnes
There is urgent need for clinical trials for #HBV in #Africa.
Studies must deliver:
1. Quick start-up
2. Site potential, access to participants
3. High quality research leading to impact
www.thelancet.com/journals/lan...
🧪 #HepSky #LiverSky @mariondelphin.bsky.social @crick.ac.uk
Studies must deliver:
1. Quick start-up
2. Site potential, access to participants
3. High quality research leading to impact
www.thelancet.com/journals/lan...
🧪 #HepSky #LiverSky @mariondelphin.bsky.social @crick.ac.uk
January 11, 2025 at 12:10 PM
There is urgent need for clinical trials for #HBV in #Africa.
Studies must deliver:
1. Quick start-up
2. Site potential, access to participants
3. High quality research leading to impact
www.thelancet.com/journals/lan...
🧪 #HepSky #LiverSky @mariondelphin.bsky.social @crick.ac.uk
Studies must deliver:
1. Quick start-up
2. Site potential, access to participants
3. High quality research leading to impact
www.thelancet.com/journals/lan...
🧪 #HepSky #LiverSky @mariondelphin.bsky.social @crick.ac.uk
Reposted by Juan Turnes
Un estudio revela que los datos utilizados para entrenar la #IA están concentrando el poder en manos de unas pocas empresas, creando un oligopolio alineado con los intereses y objetivos de corporaciones con fines lucrativos
www.technologyreview.es/s/16958/asi-...
www.technologyreview.es/s/16958/asi-...
December 30, 2024 at 3:06 PM
Un estudio revela que los datos utilizados para entrenar la #IA están concentrando el poder en manos de unas pocas empresas, creando un oligopolio alineado con los intereses y objetivos de corporaciones con fines lucrativos
www.technologyreview.es/s/16958/asi-...
www.technologyreview.es/s/16958/asi-...
Reposted by Juan Turnes
Admittedly the cool name of the study group first caught my 👁️
POSEIDON study group showed
✅alfapump 📉need for LVP
✅similar complications
✅improved QOL
@amcollegegastro.bsky.social
journals.lww.com/ajg/abstract...
#liversky
POSEIDON study group showed
✅alfapump 📉need for LVP
✅similar complications
✅improved QOL
@amcollegegastro.bsky.social
journals.lww.com/ajg/abstract...
#liversky
January 6, 2025 at 4:44 PM
Admittedly the cool name of the study group first caught my 👁️
POSEIDON study group showed
✅alfapump 📉need for LVP
✅similar complications
✅improved QOL
@amcollegegastro.bsky.social
journals.lww.com/ajg/abstract...
#liversky
POSEIDON study group showed
✅alfapump 📉need for LVP
✅similar complications
✅improved QOL
@amcollegegastro.bsky.social
journals.lww.com/ajg/abstract...
#liversky
Reposted by Juan Turnes
The key may be in the selection. There are so many variables (types of surgery, types of decompensation) that it is impossible to address from a prospective study at this point in time. It may be worthwhile to have a registry to help glean what is futile versus what is possible.
January 5, 2025 at 5:35 PM
The key may be in the selection. There are so many variables (types of surgery, types of decompensation) that it is impossible to address from a prospective study at this point in time. It may be worthwhile to have a registry to help glean what is futile versus what is possible.
Key recommendations in portal vein thrombosis in patients with cirrhosis:
✅Identify recent thrombosis and extent
✅Anticoagulate if recent & >50% obstruction
❌ No anticoagulants if chronic cavernomas
✅DOACs safe if compensated
🤏 TIPS sometimes
💡 Image every 3m
doi.org/10.1053/j.ga...
#LiverSky
✅Identify recent thrombosis and extent
✅Anticoagulate if recent & >50% obstruction
❌ No anticoagulants if chronic cavernomas
✅DOACs safe if compensated
🤏 TIPS sometimes
💡 Image every 3m
doi.org/10.1053/j.ga...
#LiverSky
January 5, 2025 at 5:05 PM
Key recommendations in portal vein thrombosis in patients with cirrhosis:
✅Identify recent thrombosis and extent
✅Anticoagulate if recent & >50% obstruction
❌ No anticoagulants if chronic cavernomas
✅DOACs safe if compensated
🤏 TIPS sometimes
💡 Image every 3m
doi.org/10.1053/j.ga...
#LiverSky
✅Identify recent thrombosis and extent
✅Anticoagulate if recent & >50% obstruction
❌ No anticoagulants if chronic cavernomas
✅DOACs safe if compensated
🤏 TIPS sometimes
💡 Image every 3m
doi.org/10.1053/j.ga...
#LiverSky
Reposted by Juan Turnes
Q: Does gender play a role in GI symptoms? menopause? fascinating study.
A: women have more symptoms of GI disorders than men, & there are different symptoms w/age, maybe b/c hormone changes #menopause
onlinelibrary.wiley.com/doi/pdf/10.1...
A: women have more symptoms of GI disorders than men, & there are different symptoms w/age, maybe b/c hormone changes #menopause
onlinelibrary.wiley.com/doi/pdf/10.1...
Sex Differences, Menses‐Related Symptoms and Menopause in Disorders of Gut–Brain Interaction
Our global epidemiology study shows symptom differences within the five most common DGBI based on sex, menopause, age, and menses. Sex hormone-mediated effects may contribute to greater symptom burde....
onlinelibrary.wiley.com
January 5, 2025 at 1:32 AM
Q: Does gender play a role in GI symptoms? menopause? fascinating study.
A: women have more symptoms of GI disorders than men, & there are different symptoms w/age, maybe b/c hormone changes #menopause
onlinelibrary.wiley.com/doi/pdf/10.1...
A: women have more symptoms of GI disorders than men, & there are different symptoms w/age, maybe b/c hormone changes #menopause
onlinelibrary.wiley.com/doi/pdf/10.1...
Reposted by Juan Turnes
Ulcerative colitis in pts with PSC (compared to UC w/o PSC)
- more extensive (pancolitis)
- milder disease course
- heavier disease burden on right
- rectal sparing + ileitis
- higher risk of dysplasia and colorectal cancer (annual screening)
#IBDSky #LiverSky #GISky @natrevgastrohep.bsky.social
- more extensive (pancolitis)
- milder disease course
- heavier disease burden on right
- rectal sparing + ileitis
- higher risk of dysplasia and colorectal cancer (annual screening)
#IBDSky #LiverSky #GISky @natrevgastrohep.bsky.social
January 5, 2025 at 6:06 AM
Ulcerative colitis in pts with PSC (compared to UC w/o PSC)
- more extensive (pancolitis)
- milder disease course
- heavier disease burden on right
- rectal sparing + ileitis
- higher risk of dysplasia and colorectal cancer (annual screening)
#IBDSky #LiverSky #GISky @natrevgastrohep.bsky.social
- more extensive (pancolitis)
- milder disease course
- heavier disease burden on right
- rectal sparing + ileitis
- higher risk of dysplasia and colorectal cancer (annual screening)
#IBDSky #LiverSky #GISky @natrevgastrohep.bsky.social
Reposted by Juan Turnes
I once lost a debate in spectacular fashion to @brettefortune.bsky.social. Popular vote landslide AND electoral college
He was for early TIPS after variceal bleeding. I was against
My points were:
#liversky
He was for early TIPS after variceal bleeding. I was against
My points were:
#liversky
⚠️ A recent study in patients with cirrhosis and portal hypertension shows that preoperative placement of TIPS is associated with increased postoperative mortality 🤨
doi.org/10.1097/hc9....
#LiverSky #MedSky
doi.org/10.1097/hc9....
#LiverSky #MedSky
January 4, 2025 at 7:27 PM
I once lost a debate in spectacular fashion to @brettefortune.bsky.social. Popular vote landslide AND electoral college
He was for early TIPS after variceal bleeding. I was against
My points were:
#liversky
He was for early TIPS after variceal bleeding. I was against
My points were:
#liversky
⚠️ A recent study in patients with cirrhosis and portal hypertension shows that preoperative placement of TIPS is associated with increased postoperative mortality 🤨
doi.org/10.1097/hc9....
#LiverSky #MedSky
doi.org/10.1097/hc9....
#LiverSky #MedSky
January 4, 2025 at 7:10 PM
⚠️ A recent study in patients with cirrhosis and portal hypertension shows that preoperative placement of TIPS is associated with increased postoperative mortality 🤨
doi.org/10.1097/hc9....
#LiverSky #MedSky
doi.org/10.1097/hc9....
#LiverSky #MedSky
Albumin is the closest thing to a "universal remedy" in cirrhosis
We use it to treat different complications, with good evidence but also with debatable or negative evidence
Excellent analysis by Jonel Trebicka & @ggarciatsao.bsky.social
doi.org/10.1097/hep.0000000000000521
#LiverSky
We use it to treat different complications, with good evidence but also with debatable or negative evidence
Excellent analysis by Jonel Trebicka & @ggarciatsao.bsky.social
doi.org/10.1097/hep.0000000000000521
#LiverSky
January 4, 2025 at 11:11 AM
Albumin is the closest thing to a "universal remedy" in cirrhosis
We use it to treat different complications, with good evidence but also with debatable or negative evidence
Excellent analysis by Jonel Trebicka & @ggarciatsao.bsky.social
doi.org/10.1097/hep.0000000000000521
#LiverSky
We use it to treat different complications, with good evidence but also with debatable or negative evidence
Excellent analysis by Jonel Trebicka & @ggarciatsao.bsky.social
doi.org/10.1097/hep.0000000000000521
#LiverSky
Reposted by Juan Turnes
January 2, 2025 at 1:57 AM
Decompensated cirrhosis has often been considered the irreversible, terminal stage of liver disease, but this is not actually always the case
Have you heard of the concept of cirrhosis "recompensation"?
➡️ doi.org/10.1016/j.jhepr.2024.101233
#LiverSky
Have you heard of the concept of cirrhosis "recompensation"?
➡️ doi.org/10.1016/j.jhepr.2024.101233
#LiverSky
January 3, 2025 at 5:41 PM
Decompensated cirrhosis has often been considered the irreversible, terminal stage of liver disease, but this is not actually always the case
Have you heard of the concept of cirrhosis "recompensation"?
➡️ doi.org/10.1016/j.jhepr.2024.101233
#LiverSky
Have you heard of the concept of cirrhosis "recompensation"?
➡️ doi.org/10.1016/j.jhepr.2024.101233
#LiverSky
Today marks the end of my journey as Associate Editor at Liver International. It’s been a fantastic experience, and I’m confident the journal will continue to grow 📈
I encourage researchers to submit their valuable work and contribute to its success!
#liverSky
I encourage researchers to submit their valuable work and contribute to its success!
#liverSky
January 1, 2025 at 2:25 PM
Today marks the end of my journey as Associate Editor at Liver International. It’s been a fantastic experience, and I’m confident the journal will continue to grow 📈
I encourage researchers to submit their valuable work and contribute to its success!
#liverSky
I encourage researchers to submit their valuable work and contribute to its success!
#liverSky
⁉️ Crees que la implantación de la #IA generativa en tu trabajo es lenta o inexistente? @emollick.bsky.social lo explica en Co-Intelligence:
🚫 Exceso de centralización y burocracia
🐢 Estrategias obsoletas
🔑 El verdadero poder está en quienes conocen los problemas reales y ya están probando soluciones
🚫 Exceso de centralización y burocracia
🐢 Estrategias obsoletas
🔑 El verdadero poder está en quienes conocen los problemas reales y ya están probando soluciones
December 30, 2024 at 7:27 PM
⁉️ Crees que la implantación de la #IA generativa en tu trabajo es lenta o inexistente? @emollick.bsky.social lo explica en Co-Intelligence:
🚫 Exceso de centralización y burocracia
🐢 Estrategias obsoletas
🔑 El verdadero poder está en quienes conocen los problemas reales y ya están probando soluciones
🚫 Exceso de centralización y burocracia
🐢 Estrategias obsoletas
🔑 El verdadero poder está en quienes conocen los problemas reales y ya están probando soluciones
Reposted by Juan Turnes
Early Terli
Giving terlipressin at lower creatinines (1.5-2.0) or within 12 hours of presentation (skipping the “albumin challenge”)
1. From the RCTs journals.lww.com/hepcomm/page...
2. Pilot trial doi.org/10.1007/s106...
#liversky
Giving terlipressin at lower creatinines (1.5-2.0) or within 12 hours of presentation (skipping the “albumin challenge”)
1. From the RCTs journals.lww.com/hepcomm/page...
2. Pilot trial doi.org/10.1007/s106...
#liversky
Image Gallery : Early treatment with terlipressin in patients with hepatorenal syndrome yields improved clinical outcomes in North American studies : Hepatology Communications
journals.lww.com
December 23, 2024 at 12:15 AM
Early Terli
Giving terlipressin at lower creatinines (1.5-2.0) or within 12 hours of presentation (skipping the “albumin challenge”)
1. From the RCTs journals.lww.com/hepcomm/page...
2. Pilot trial doi.org/10.1007/s106...
#liversky
Giving terlipressin at lower creatinines (1.5-2.0) or within 12 hours of presentation (skipping the “albumin challenge”)
1. From the RCTs journals.lww.com/hepcomm/page...
2. Pilot trial doi.org/10.1007/s106...
#liversky
Reposted by Juan Turnes
OpenAI alerta sobre las capacidades de engaño en las IAs, tras descubrir intentos de «autoconservación» en ChatGPT | #IA | por @Alvy www.microsiervos.com/archivo/ia/c...
Dicen que ChatGPT se ha marcado un «Black Mirror» intentando «escapar» para salvarse de sus ser borrado por sus creadores
OpenAI alerta sobre las capacidades de engaño en las IAs, tras descubrir intentos de «autoconservación» en ChatGPT.
www.microsiervos.com
December 9, 2024 at 6:46 PM
OpenAI alerta sobre las capacidades de engaño en las IAs, tras descubrir intentos de «autoconservación» en ChatGPT | #IA | por @Alvy www.microsiervos.com/archivo/ia/c...
Reposted by Juan Turnes
Over on the Twitter I have liked hundreds of match day celebrations
Observations:
1. Bluesky still needs more value for learners and research discussions. It is growing but needs to be sustained
2. Match day reminds: America and American medicine still attracts the worlds best and brightest
Observations:
1. Bluesky still needs more value for learners and research discussions. It is growing but needs to be sustained
2. Match day reminds: America and American medicine still attracts the worlds best and brightest
December 8, 2024 at 9:35 PM
Over on the Twitter I have liked hundreds of match day celebrations
Observations:
1. Bluesky still needs more value for learners and research discussions. It is growing but needs to be sustained
2. Match day reminds: America and American medicine still attracts the worlds best and brightest
Observations:
1. Bluesky still needs more value for learners and research discussions. It is growing but needs to be sustained
2. Match day reminds: America and American medicine still attracts the worlds best and brightest
Reposted by Juan Turnes
What do hepatic encephalopathy and irritable bowel syndrome have in common?
Read this hot take from @jasmohanbajaj.bsky.social and @markpimentelmd.bsky.social in #AJG on whether HE is the original disorder of gut brain interaction (DGBI)
#GISky #LiverSky
Link: journals.lww.com/ajg/fulltext...
Read this hot take from @jasmohanbajaj.bsky.social and @markpimentelmd.bsky.social in #AJG on whether HE is the original disorder of gut brain interaction (DGBI)
#GISky #LiverSky
Link: journals.lww.com/ajg/fulltext...
December 9, 2024 at 6:00 PM
What do hepatic encephalopathy and irritable bowel syndrome have in common?
Read this hot take from @jasmohanbajaj.bsky.social and @markpimentelmd.bsky.social in #AJG on whether HE is the original disorder of gut brain interaction (DGBI)
#GISky #LiverSky
Link: journals.lww.com/ajg/fulltext...
Read this hot take from @jasmohanbajaj.bsky.social and @markpimentelmd.bsky.social in #AJG on whether HE is the original disorder of gut brain interaction (DGBI)
#GISky #LiverSky
Link: journals.lww.com/ajg/fulltext...
Reposted by Juan Turnes
We’re serious about @bsky.app’s future 🤝
Not only does @altmetric.com include 🦋 in it’s metrics, they also have Bluesky as part of their example and info pages 👏🏼 ☀️
Now they just need to adjust the example with more engagement from 🦋 than from X … 🚀 😉 @academic-chatter.bsky.social
www.altmetric.com/about-us/our...
Now they just need to adjust the example with more engagement from 🦋 than from X … 🚀 😉 @academic-chatter.bsky.social
www.altmetric.com/about-us/our...
The Altmetric Details Page
Find out more about the Altmetric Details Page, a collated record of online attention in one page. Access it through the Altmetric Explorer.
www.altmetric.com
December 9, 2024 at 2:26 PM
We’re serious about @bsky.app’s future 🤝
Reposted by Juan Turnes
The siRNA xalnesiran with or without an immunomodulator in chronic hepatitis B - the Piranga ph 2 study
www.nejm.org/doi/pdf/10.1...
#MedSky #LiverSky #IDSky
www.nejm.org/doi/pdf/10.1...
#MedSky #LiverSky #IDSky
Xalnesiran with or without an Immunomodulator in Chronic Hepatitis B | NEJM
Xalnesiran, a small interfering RNA molecule that targets a conserved region of the
hepatitis B virus (HBV) genome and silences multiple HBV transcripts, may have efficacy,
with or without an immun...
www.nejm.org
December 5, 2024 at 7:08 AM
The siRNA xalnesiran with or without an immunomodulator in chronic hepatitis B - the Piranga ph 2 study
www.nejm.org/doi/pdf/10.1...
#MedSky #LiverSky #IDSky
www.nejm.org/doi/pdf/10.1...
#MedSky #LiverSky #IDSky
Reposted by Juan Turnes
Systematic review & meta-analysis of locoregional therapies for #HCC in @jama.com network open
✅Inclusion:
RCTs with PFS and OS as endpoints
✅Conclusions:
Resection > thermal ablation ~ RT ~ HAIC > embolization
#oncsky #radonc #radsky #liversky
ja.ma/3ONRpQ1
✅Inclusion:
RCTs with PFS and OS as endpoints
✅Conclusions:
Resection > thermal ablation ~ RT ~ HAIC > embolization
#oncsky #radonc #radsky #liversky
ja.ma/3ONRpQ1
Locoregional Therapies for Hepatocellular Carcinoma
This systematic review and meta-analysis compares findings from randomized clinical trials on the use of locoregional therapies as monotherapy or combination therapy in the treatment of nonmetastatic ...
ja.ma
December 6, 2024 at 12:45 PM