𝓔𝓷𝓽𝓮𝓼𝓼𝓪𝓻 𝓐. 𝓜𝓮𝓮𝓵𝓪𝓭🩺
@entessarly204.bsky.social
Physician
GI & Hepatology Department
Tripoli University Hospital
Tripoli _Libya
GI & Hepatology Department
Tripoli University Hospital
Tripoli _Libya
Reposted by 𝓔𝓷𝓽𝓮𝓼𝓼𝓪𝓻 𝓐. 𝓜𝓮𝓮𝓵𝓪𝓭🩺
I learned that several patients in our practice have had their carvedilol prescriptions refused by the pharmacist because it is contraindicated in cirrhosis
1. No
2. Please talk to the doctor / prescriber before saying something like this to a patient
#liversky
1. No
2. Please talk to the doctor / prescriber before saying something like this to a patient
#liversky
February 13, 2025 at 2:13 PM
I learned that several patients in our practice have had their carvedilol prescriptions refused by the pharmacist because it is contraindicated in cirrhosis
1. No
2. Please talk to the doctor / prescriber before saying something like this to a patient
#liversky
1. No
2. Please talk to the doctor / prescriber before saying something like this to a patient
#liversky
Reposted by 𝓔𝓷𝓽𝓮𝓼𝓼𝓪𝓻 𝓐. 𝓜𝓮𝓮𝓵𝓪𝓭🩺
🔥🔥🔥BREAKWATER🔥🔥🔥
BRAF V600E mut #CRC
SOC (FOLFOX) +/- encorafenib + cetuximab
EC + FOLFOX shows:
✅⬆️ORR
✅Strong suggestion of ⬆️OS
🚨EC + FOLFOX is a new SOC‼️
Pub available: idp.nature.com/authorize?re...
#GI25 @ascocancer.bsky.social
BRAF V600E mut #CRC
SOC (FOLFOX) +/- encorafenib + cetuximab
EC + FOLFOX shows:
✅⬆️ORR
✅Strong suggestion of ⬆️OS
🚨EC + FOLFOX is a new SOC‼️
Pub available: idp.nature.com/authorize?re...
#GI25 @ascocancer.bsky.social
January 25, 2025 at 11:11 PM
🔥🔥🔥BREAKWATER🔥🔥🔥
BRAF V600E mut #CRC
SOC (FOLFOX) +/- encorafenib + cetuximab
EC + FOLFOX shows:
✅⬆️ORR
✅Strong suggestion of ⬆️OS
🚨EC + FOLFOX is a new SOC‼️
Pub available: idp.nature.com/authorize?re...
#GI25 @ascocancer.bsky.social
BRAF V600E mut #CRC
SOC (FOLFOX) +/- encorafenib + cetuximab
EC + FOLFOX shows:
✅⬆️ORR
✅Strong suggestion of ⬆️OS
🚨EC + FOLFOX is a new SOC‼️
Pub available: idp.nature.com/authorize?re...
#GI25 @ascocancer.bsky.social
Winter ❄️🥶
Tripoli - Libya
Tripoli - Libya
December 25, 2024 at 11:39 AM
Winter ❄️🥶
Tripoli - Libya
Tripoli - Libya
Tripoli _Libya
December 8, 2024 at 9:29 PM
Tripoli _Libya
Reposted by 𝓔𝓷𝓽𝓮𝓼𝓼𝓪𝓻 𝓐. 𝓜𝓮𝓮𝓵𝓪𝓭🩺
🧪 New research on PSC-IBD & IBD:
- 1 in 50 new IBD cases involves PSC-IBD & diagnosis is rising in higher socioeconomic groups
- IBD diagnosis before PSC has worse outcomes than diagnosis w/ PSC first
- Higher rates of death & transplant in PSC-IBD vs IBD alone
www.jhep-reports.eu/article/S258...
- 1 in 50 new IBD cases involves PSC-IBD & diagnosis is rising in higher socioeconomic groups
- IBD diagnosis before PSC has worse outcomes than diagnosis w/ PSC first
- Higher rates of death & transplant in PSC-IBD vs IBD alone
www.jhep-reports.eu/article/S258...
DEFINE_ME
www.jhep-reports.eu
December 5, 2024 at 3:21 PM
🧪 New research on PSC-IBD & IBD:
- 1 in 50 new IBD cases involves PSC-IBD & diagnosis is rising in higher socioeconomic groups
- IBD diagnosis before PSC has worse outcomes than diagnosis w/ PSC first
- Higher rates of death & transplant in PSC-IBD vs IBD alone
www.jhep-reports.eu/article/S258...
- 1 in 50 new IBD cases involves PSC-IBD & diagnosis is rising in higher socioeconomic groups
- IBD diagnosis before PSC has worse outcomes than diagnosis w/ PSC first
- Higher rates of death & transplant in PSC-IBD vs IBD alone
www.jhep-reports.eu/article/S258...
Reposted by 𝓔𝓷𝓽𝓮𝓼𝓼𝓪𝓻 𝓐. 𝓜𝓮𝓮𝓵𝓪𝓭🩺
(2/2) Cholangiocarcinoma - Klastkin type
Scroll through the case on Radiopaedia: radiopaedia.org/play/76428/e...
#Radsky #Medsky #FOAMrad #radiology
Scroll through the case on Radiopaedia: radiopaedia.org/play/76428/e...
#Radsky #Medsky #FOAMrad #radiology
November 26, 2024 at 2:52 PM
(2/2) Cholangiocarcinoma - Klastkin type
Scroll through the case on Radiopaedia: radiopaedia.org/play/76428/e...
#Radsky #Medsky #FOAMrad #radiology
Scroll through the case on Radiopaedia: radiopaedia.org/play/76428/e...
#Radsky #Medsky #FOAMrad #radiology
Reposted by 𝓔𝓷𝓽𝓮𝓼𝓼𝓪𝓻 𝓐. 𝓜𝓮𝓮𝓵𝓪𝓭🩺
Seven shades of melaena!
It is often frustrating when we get dubious GI referrals for suspected melaena/melena. So I made this chart for reference, feel free to share! #medsky #gastrosky #gisky
It is often frustrating when we get dubious GI referrals for suspected melaena/melena. So I made this chart for reference, feel free to share! #medsky #gastrosky #gisky
November 29, 2024 at 10:21 PM
Seven shades of melaena!
It is often frustrating when we get dubious GI referrals for suspected melaena/melena. So I made this chart for reference, feel free to share! #medsky #gastrosky #gisky
It is often frustrating when we get dubious GI referrals for suspected melaena/melena. So I made this chart for reference, feel free to share! #medsky #gastrosky #gisky
Reposted by 𝓔𝓷𝓽𝓮𝓼𝓼𝓪𝓻 𝓐. 𝓜𝓮𝓮𝓵𝓪𝓭🩺
Ok #GastroSky #IBDSky
Let’s discuss this paper!
Does VDZ become the drug of choice over anti-TNFs for prevention of post of CD recurrence?
Should history of previous biologic failure for active CD affect you choice of post-op prophylaxis?
REPOST to share to the IBD community, patient input pls!
Let’s discuss this paper!
Does VDZ become the drug of choice over anti-TNFs for prevention of post of CD recurrence?
Should history of previous biologic failure for active CD affect you choice of post-op prophylaxis?
REPOST to share to the IBD community, patient input pls!
Vedolizumab to prevent postoperative recurrence of Crohn's disease (the REPREVIO RCT)
"Vedolizumab prevented postoperative recurrence of CD & should be considered as a prophylactic treatment in individuals with risk factors for recurrence."
www.thelancet.com/journals/lan...
#GastroSky #IBDSky
"Vedolizumab prevented postoperative recurrence of CD & should be considered as a prophylactic treatment in individuals with risk factors for recurrence."
www.thelancet.com/journals/lan...
#GastroSky #IBDSky
November 19, 2024 at 2:54 PM
Ok #GastroSky #IBDSky
Let’s discuss this paper!
Does VDZ become the drug of choice over anti-TNFs for prevention of post of CD recurrence?
Should history of previous biologic failure for active CD affect you choice of post-op prophylaxis?
REPOST to share to the IBD community, patient input pls!
Let’s discuss this paper!
Does VDZ become the drug of choice over anti-TNFs for prevention of post of CD recurrence?
Should history of previous biologic failure for active CD affect you choice of post-op prophylaxis?
REPOST to share to the IBD community, patient input pls!
Reposted by 𝓔𝓷𝓽𝓮𝓼𝓼𝓪𝓻 𝓐. 𝓜𝓮𝓮𝓵𝓪𝓭🩺
Hello IBDers - I put together this table of Crohn's and UC medication, according to whether you take the drug orally, by injection or by infusion.
May be useful if you have a preference for how you receive your #IBD meds. Based on UK prescribing only.
#IBDsky ##GastroSky #GISky
May be useful if you have a preference for how you receive your #IBD meds. Based on UK prescribing only.
#IBDsky ##GastroSky #GISky
November 25, 2024 at 5:36 PM
Hello IBDers - I put together this table of Crohn's and UC medication, according to whether you take the drug orally, by injection or by infusion.
May be useful if you have a preference for how you receive your #IBD meds. Based on UK prescribing only.
#IBDsky ##GastroSky #GISky
May be useful if you have a preference for how you receive your #IBD meds. Based on UK prescribing only.
#IBDsky ##GastroSky #GISky
أحيانا أريد فقط أن أكون بعيداً عن كل شيء .
Sometimes I just want to get away from it all.
Sometimes I just want to get away from it all.
November 21, 2024 at 8:09 PM
أحيانا أريد فقط أن أكون بعيداً عن كل شيء .
Sometimes I just want to get away from it all.
Sometimes I just want to get away from it all.
Reposted by 𝓔𝓷𝓽𝓮𝓼𝓼𝓪𝓻 𝓐. 𝓜𝓮𝓮𝓵𝓪𝓭🩺
Great look into the future on HCC surveillance by George Ioannou at AASLD #TLM24
Seems likely that blood based biomarkers and aMRI will play some role but, despite its significant flaws, ultrasound has so far stood the test of time
Seems likely that blood based biomarkers and aMRI will play some role but, despite its significant flaws, ultrasound has so far stood the test of time
November 16, 2024 at 2:45 PM
Great look into the future on HCC surveillance by George Ioannou at AASLD #TLM24
Seems likely that blood based biomarkers and aMRI will play some role but, despite its significant flaws, ultrasound has so far stood the test of time
Seems likely that blood based biomarkers and aMRI will play some role but, despite its significant flaws, ultrasound has so far stood the test of time
Reposted by 𝓔𝓷𝓽𝓮𝓼𝓼𝓪𝓻 𝓐. 𝓜𝓮𝓮𝓵𝓪𝓭🩺
Brilliant thread on hospital induced anaemia.
November 18, 2024 at 8:25 PM
Brilliant thread on hospital induced anaemia.
Reposted by 𝓔𝓷𝓽𝓮𝓼𝓼𝓪𝓻 𝓐. 𝓜𝓮𝓮𝓵𝓪𝓭🩺
Pearls from « Viral Hepatitis and Immunosuppression : When to Screen and When to Treat »
#TLM24 #Liversky #IDsky
➡️ Screening Recommendations for prevention of HBV reactivation
(no current recommendations for any other viral hepatitis screening)
Use triple panel test
= HBsAg, HBcAb, HBsAb
#TLM24 #Liversky #IDsky
➡️ Screening Recommendations for prevention of HBV reactivation
(no current recommendations for any other viral hepatitis screening)
Use triple panel test
= HBsAg, HBcAb, HBsAb
November 18, 2024 at 7:49 PM
Reposted by 𝓔𝓷𝓽𝓮𝓼𝓼𝓪𝓻 𝓐. 𝓜𝓮𝓮𝓵𝓪𝓭🩺
🧪 Researchers identify 3 subtypes of metabolic-associated steatotic liver disease ( #MASLD - old term #NAFLD ) in a Chinese cohort
🔑The 3 subtypes have differential risks of developing cirrhosis and HCC
🎯Subtypes could aid in personalized treatment
#LiverSky
www.science.org/doi/abs/10.1...
🔑The 3 subtypes have differential risks of developing cirrhosis and HCC
🎯Subtypes could aid in personalized treatment
#LiverSky
www.science.org/doi/abs/10.1...
Integrative multiomic analysis identifies distinct molecular subtypes of NAFLD in a Chinese population
Integrative multiomic analysis identifies three molecular subtypes of NAFLD associated with distinct clinical risks.
www.science.org
November 18, 2024 at 7:31 PM
🧪 Researchers identify 3 subtypes of metabolic-associated steatotic liver disease ( #MASLD - old term #NAFLD ) in a Chinese cohort
🔑The 3 subtypes have differential risks of developing cirrhosis and HCC
🎯Subtypes could aid in personalized treatment
#LiverSky
www.science.org/doi/abs/10.1...
🔑The 3 subtypes have differential risks of developing cirrhosis and HCC
🎯Subtypes could aid in personalized treatment
#LiverSky
www.science.org/doi/abs/10.1...
Reposted by 𝓔𝓷𝓽𝓮𝓼𝓼𝓪𝓻 𝓐. 𝓜𝓮𝓮𝓵𝓪𝓭🩺
November 16, 2024 at 11:29 PM
Reposted by 𝓔𝓷𝓽𝓮𝓼𝓼𝓪𝓻 𝓐. 𝓜𝓮𝓮𝓵𝓪𝓭🩺
I know I'm a bit late, but here's the updated table of #IBD treatments with their doses & routes of administration with the addition of guselkumalb
Full quality table ➡️ www.ibd-eii.com/ibdcheatsheet/
Full quality table ➡️ www.ibd-eii.com/ibdcheatsheet/
November 17, 2024 at 4:47 PM
I know I'm a bit late, but here's the updated table of #IBD treatments with their doses & routes of administration with the addition of guselkumalb
Full quality table ➡️ www.ibd-eii.com/ibdcheatsheet/
Full quality table ➡️ www.ibd-eii.com/ibdcheatsheet/
Reposted by 𝓔𝓷𝓽𝓮𝓼𝓼𝓪𝓻 𝓐. 𝓜𝓮𝓮𝓵𝓪𝓭🩺
2/2 EUS guided gallbladder drainage for a nonsurgical candidate with cholecystitis. #gastro #gastroenterology #endoscopy
November 17, 2024 at 2:48 AM
2/2 EUS guided gallbladder drainage for a nonsurgical candidate with cholecystitis. #gastro #gastroenterology #endoscopy