Kewin Siah
@kewinsiah.bsky.social
Gastroenterologist specializing in DGBIs. Adjunct A/Prof at the National University of Singapore. President of IBS Support Group Singapore. Passionate about IBS, constipation, gastroparesis, and gut health.
🌏 Join us in Jakarta for ANMA 2025 🇮🇩 — the premier neurogastroenterology event in Asia!
📆 4–6 September 2025
🏨 Ritz Carlton Mega Kuningan Hotel
🤝 In conjunction with IDDW 2025
Let’s advance #DGBI care together!
🔗 [https://iddwanma2025.com/]
#ANMA2025 #IDDW2025 #Neurogastroenterology #GIcare #Jakarta
📆 4–6 September 2025
🏨 Ritz Carlton Mega Kuningan Hotel
🤝 In conjunction with IDDW 2025
Let’s advance #DGBI care together!
🔗 [https://iddwanma2025.com/]
#ANMA2025 #IDDW2025 #Neurogastroenterology #GIcare #Jakarta
July 5, 2025 at 10:14 PM
🆕 2025 USMSTF Bowel Prep Recommendations:
✅ Split-dose still #1
✅ 2L preps now preferred 💧
✅ Same-day OK for PM scopes (not AM)
✅ Low-residue > clear liquid diet
❗ Aim for >90% adequate prep
🤔 Simethicone? Possibly helpful.
🔓 Full text: www.giejournal.org/article/S001...
#GIsky #MEdedsky
✅ Split-dose still #1
✅ 2L preps now preferred 💧
✅ Same-day OK for PM scopes (not AM)
✅ Low-residue > clear liquid diet
❗ Aim for >90% adequate prep
🤔 Simethicone? Possibly helpful.
🔓 Full text: www.giejournal.org/article/S001...
#GIsky #MEdedsky
April 1, 2025 at 9:19 PM
🆕 2025 USMSTF Bowel Prep Recommendations:
✅ Split-dose still #1
✅ 2L preps now preferred 💧
✅ Same-day OK for PM scopes (not AM)
✅ Low-residue > clear liquid diet
❗ Aim for >90% adequate prep
🤔 Simethicone? Possibly helpful.
🔓 Full text: www.giejournal.org/article/S001...
#GIsky #MEdedsky
✅ Split-dose still #1
✅ 2L preps now preferred 💧
✅ Same-day OK for PM scopes (not AM)
✅ Low-residue > clear liquid diet
❗ Aim for >90% adequate prep
🤔 Simethicone? Possibly helpful.
🔓 Full text: www.giejournal.org/article/S001...
#GIsky #MEdedsky
🧠💻 The AGA 2025 Guideline on CADe-assisted colonoscopy makes no recommendation—due to very low certainty in reducing #CRC incidence or mortality.
✅ ADR improve ⚠️ But more low-risk polyp detection → increased surveillance, cost & patient burden. #GiSky #GutSky
www.gastrojournal.org/article/S001...
✅ ADR improve ⚠️ But more low-risk polyp detection → increased surveillance, cost & patient burden. #GiSky #GutSky
www.gastrojournal.org/article/S001...
March 22, 2025 at 1:57 AM
🧠💻 The AGA 2025 Guideline on CADe-assisted colonoscopy makes no recommendation—due to very low certainty in reducing #CRC incidence or mortality.
✅ ADR improve ⚠️ But more low-risk polyp detection → increased surveillance, cost & patient burden. #GiSky #GutSky
www.gastrojournal.org/article/S001...
✅ ADR improve ⚠️ But more low-risk polyp detection → increased surveillance, cost & patient burden. #GiSky #GutSky
www.gastrojournal.org/article/S001...
"Constipation is a common GI symptom in pure autonomic failure, affecting nearly half of patients. It often shows up alongside other autonomic issues, highlighting the complexity of managing this condition. 🧠🚽 #NeurologySky #GutSky #ANSSky #https://pubmed.ncbi.nlm.nih.gov/40053259/
March 10, 2025 at 1:54 AM
"Constipation is a common GI symptom in pure autonomic failure, affecting nearly half of patients. It often shows up alongside other autonomic issues, highlighting the complexity of managing this condition. 🧠🚽 #NeurologySky #GutSky #ANSSky #https://pubmed.ncbi.nlm.nih.gov/40053259/
🚨 What raises your risk of #IBS? A new umbrella review of 69 systematic reviews highlights key factors: female gender, anxiety, depression & gastroenteritis. How can we improve prevention? #GutHealth #DGBISky #GISky
March 4, 2025 at 11:39 PM
🚨 What raises your risk of #IBS? A new umbrella review of 69 systematic reviews highlights key factors: female gender, anxiety, depression & gastroenteritis. How can we improve prevention? #GutHealth #DGBISky #GISky
🚀 A breakthrough in motility testing! The #AtmoCapsule emerges as a solid alternative to the discontinued #SmartPill, showing strong correlation for gastric emptying & colonic transit times. A new era for GI transit assessment? #DrGutBrainExplains #GISky #DGBISky
🔓 www.cghjournal.org/article/S154...
🔓 www.cghjournal.org/article/S154...
March 4, 2025 at 11:25 PM
🚀 A breakthrough in motility testing! The #AtmoCapsule emerges as a solid alternative to the discontinued #SmartPill, showing strong correlation for gastric emptying & colonic transit times. A new era for GI transit assessment? #DrGutBrainExplains #GISky #DGBISky
🔓 www.cghjournal.org/article/S154...
🔓 www.cghjournal.org/article/S154...
🔥New study: Psychological stress can break oral tolerance to food, triggering IgE-mediated mast cell activation & gut pain hypersensitivity—offering insights into stress-induced IBS. #GISky #GutSky #DGBI #MedSky
📃https://els-jbs-prod-cdn.jbs.elsevierhealth.com/article/S0016-5085(25)00371-3/fulltext
📃https://els-jbs-prod-cdn.jbs.elsevierhealth.com/article/S0016-5085(25)00371-3/fulltext
February 22, 2025 at 11:24 PM
Kudos to @AndySamberg & @BowenYang for tackling anxiety & #IBS in their #SNL song! Using comedy to break down stigma & spark conversations. Authentic representation matters! #MentalHealthMatters #GutHealthMatters #GITwitter
👉https://youtu.be/k94SUJ8UMKk?si=1QZhXfJO-L5RgDy_
👉https://youtu.be/k94SUJ8UMKk?si=1QZhXfJO-L5RgDy_
February 20, 2025 at 2:32 PM
Kudos to @AndySamberg & @BowenYang for tackling anxiety & #IBS in their #SNL song! Using comedy to break down stigma & spark conversations. Authentic representation matters! #MentalHealthMatters #GutHealthMatters #GITwitter
👉https://youtu.be/k94SUJ8UMKk?si=1QZhXfJO-L5RgDy_
👉https://youtu.be/k94SUJ8UMKk?si=1QZhXfJO-L5RgDy_
New study shows an IgG-based elimination diet improved #IBS symptoms in 59.6% of patients vs 42.1% on a sham diet (n=223). Interesting, but subgroup analysis suggests it may work better for IBS-C and IBS-M than IBS-D. #GISky #GutSky #DGBI pubmed.ncbi.nlm.nih.gov/39894284/
February 10, 2025 at 5:54 PM
New study shows an IgG-based elimination diet improved #IBS symptoms in 59.6% of patients vs 42.1% on a sham diet (n=223). Interesting, but subgroup analysis suggests it may work better for IBS-C and IBS-M than IBS-D. #GISky #GutSky #DGBI pubmed.ncbi.nlm.nih.gov/39894284/
Advanced #Parkinson’s led to severe colonic dysmotility, fecal impaction, & kidney issues in a 77-yr-old. Treated with rectal tube + meds, but no cure for alpha-synuclein damage. 🚨 Early recognition key! #stoolcankill 🧠💩 #GISky #GutSky #constipation #DGBI #FGID pubmed.ncbi.nlm.nih.gov/39917098/
February 8, 2025 at 11:34 PM
Advanced #Parkinson’s led to severe colonic dysmotility, fecal impaction, & kidney issues in a 77-yr-old. Treated with rectal tube + meds, but no cure for alpha-synuclein damage. 🚨 Early recognition key! #stoolcankill 🧠💩 #GISky #GutSky #constipation #DGBI #FGID pubmed.ncbi.nlm.nih.gov/39917098/
#Stoolcankill: Rare case of ileal fecaloma causing small bowel obstruction in a 60yo 🧓with chronic #constipation. Surgical intervention successfully resolved the obstruction. Highlights importance of considering fecaloma in SBO differentials. #GiSky #Gutsky #DGBI pubmed.ncbi.nlm.nih.gov/39905511/
February 7, 2025 at 10:25 PM
#Stoolcankill: Rare case of ileal fecaloma causing small bowel obstruction in a 60yo 🧓with chronic #constipation. Surgical intervention successfully resolved the obstruction. Highlights importance of considering fecaloma in SBO differentials. #GiSky #Gutsky #DGBI pubmed.ncbi.nlm.nih.gov/39905511/
Digital eHealth vs onsite 2-day IBS education: Digital program significantly ⬇️ symptom severity in 41% of pts & improved QoL, anxiety, depression. Both interventions scored high on client satisfaction. eHealth is a viable, for IBS self-management. #GutSky #GISky humanfactors.jmir.org/2025/1/e43618
February 4, 2025 at 6:29 AM
Digital eHealth vs onsite 2-day IBS education: Digital program significantly ⬇️ symptom severity in 41% of pts & improved QoL, anxiety, depression. Both interventions scored high on client satisfaction. eHealth is a viable, for IBS self-management. #GutSky #GISky humanfactors.jmir.org/2025/1/e43618
#Gastroparesis Dx requires Sx like nausea/vomiting; asymptomatic cases excluded. N&V are key; bloating, pain less linked to severity. Overlaps with #FDyspepsia, but distinct patterns. QoL, mental health impacted. Weight loss not always present. #GutSky #GISky www.thelancet.com/journals/lan...
February 4, 2025 at 3:39 AM
#Gastroparesis Dx requires Sx like nausea/vomiting; asymptomatic cases excluded. N&V are key; bloating, pain less linked to severity. Overlaps with #FDyspepsia, but distinct patterns. QoL, mental health impacted. Weight loss not always present. #GutSky #GISky www.thelancet.com/journals/lan...
🚨 New @AmerGastroAssn update! 🚨 Screening & surveillance are key for #gastric cancer prevention in high-risk U.S. groups. Endoscopy + H. pylori eradication = crucial steps. Personalized risk-based approach needed. 🔗 doi.org/10.1053/j.ga... #GISky #medsky #GutSky
February 1, 2025 at 2:31 PM
🚨 New @AmerGastroAssn update! 🚨 Screening & surveillance are key for #gastric cancer prevention in high-risk U.S. groups. Endoscopy + H. pylori eradication = crucial steps. Personalized risk-based approach needed. 🔗 doi.org/10.1053/j.ga... #GISky #medsky #GutSky
🌟 Recognizing #DGBI in patients with organic GI disease remission prevents overtreatment with risky drugs and ensures targeted care. Let’s focus on better outcomes! 👉 bit.ly/3Ee3iwv #GISky #MedSky #GutSky
January 28, 2025 at 7:41 AM
🌟 Recognizing #DGBI in patients with organic GI disease remission prevents overtreatment with risky drugs and ensures targeted care. Let’s focus on better outcomes! 👉 bit.ly/3Ee3iwv #GISky #MedSky #GutSky
New insights from the Rome Foundation Report:
DGBI overlaps across GI & non-GI regions suggest a spectrum of disorders.
Persistent symptoms in organic GI disease remission need careful diagnosis.
Multidisciplinary care + gut-brain axis therapies = the future. #GISky #GutSky #DGBI
DGBI overlaps across GI & non-GI regions suggest a spectrum of disorders.
Persistent symptoms in organic GI disease remission need careful diagnosis.
Multidisciplinary care + gut-brain axis therapies = the future. #GISky #GutSky #DGBI
January 27, 2025 at 2:47 PM
Excited share that our @romefoundation.bsky.social Working Team's manuscript 📄 on Overlap in Disorders of Gut-Brain Interaction #DGBI is now published in @natrevgastrohep.bsky.social! Grateful for this amazing journey with global experts. Read here: nature.com/articles/s41...
#DGBI #GISky #GutSky
#DGBI #GISky #GutSky
January 27, 2025 at 2:47 PM
Excited share that our @romefoundation.bsky.social Working Team's manuscript 📄 on Overlap in Disorders of Gut-Brain Interaction #DGBI is now published in @natrevgastrohep.bsky.social! Grateful for this amazing journey with global experts. Read here: nature.com/articles/s41...
#DGBI #GISky #GutSky
#DGBI #GISky #GutSky
New meta-analysis highlights acupuncture's potential for IBS-D patients—relieving symptoms, anxiety, and depression while boosting response rates. Promising steps forward for the gut-brain connection! 🌱🧠 #IBS #GutHealth #MentalHealth dx.doi.org/10.1097/MD.0... #GISky #GutSky #Medsky #DGBI #FGID
January 26, 2025 at 9:42 AM
New meta-analysis highlights acupuncture's potential for IBS-D patients—relieving symptoms, anxiety, and depression while boosting response rates. Promising steps forward for the gut-brain connection! 🌱🧠 #IBS #GutHealth #MentalHealth dx.doi.org/10.1097/MD.0... #GISky #GutSky #Medsky #DGBI #FGID
Heartburn is a key driver of healthcare utilization in GERD, yet insurance restrictions often shape management. Emerging #PCABs could reduce costs, improve QALYs, and align drug pricing ($8.57/pill) with clinical and economic value.#GERD #PCAB #DGBI
www.cghjournal.org/article/S154...
January 26, 2025 at 1:14 AM
Heartburn is a key driver of healthcare utilization in GERD, yet insurance restrictions often shape management. Emerging #PCABs could reduce costs, improve QALYs, and align drug pricing ($8.57/pill) with clinical and economic value.#GERD #PCAB #DGBI
www.cghjournal.org/article/S154...
I've been on Bluesky for a while now, waiting for a starter pack to bring the #DGBI community together. Since none existed, I decided to create one myself! The DGBI Starter Pack is here to help us connect, share, and grow together. Join us and make gut health a priority! 🌐🌱 #GISky #GutSky #IBS #FGID
January 24, 2025 at 10:15 PM
I've been on Bluesky for a while now, waiting for a starter pack to bring the #DGBI community together. Since none existed, I decided to create one myself! The DGBI Starter Pack is here to help us connect, share, and grow together. Join us and make gut health a priority! 🌐🌱 #GISky #GutSky #IBS #FGID
"How does colonoscopy impact gut microbiota? 🦠 New insights on changes, mechanisms, and probiotics for recovery in Clinical Endoscopy (2025). Highly recommended 🤓 ! 📖 doi.org/10.5946/ce.2... #GutSky #GISky #Microbiota
January 24, 2025 at 6:04 PM
"How does colonoscopy impact gut microbiota? 🦠 New insights on changes, mechanisms, and probiotics for recovery in Clinical Endoscopy (2025). Highly recommended 🤓 ! 📖 doi.org/10.5946/ce.2... #GutSky #GISky #Microbiota
Autoimmune Pancreatitis: 🌟
From its classification into types 1 & 2 to cutting-edge treatments like glucocorticoids & B-cell depletion therapies, new insights redefine AIP care.
Dive into this UEG review . 🔗 doi.org/10.1002/ueg2... #GIHealth #AutoimmunePancreatitis #GISky #GutSky
From its classification into types 1 & 2 to cutting-edge treatments like glucocorticoids & B-cell depletion therapies, new insights redefine AIP care.
Dive into this UEG review . 🔗 doi.org/10.1002/ueg2... #GIHealth #AutoimmunePancreatitis #GISky #GutSky
January 24, 2025 at 3:46 PM
Autoimmune Pancreatitis: 🌟
From its classification into types 1 & 2 to cutting-edge treatments like glucocorticoids & B-cell depletion therapies, new insights redefine AIP care.
Dive into this UEG review . 🔗 doi.org/10.1002/ueg2... #GIHealth #AutoimmunePancreatitis #GISky #GutSky
From its classification into types 1 & 2 to cutting-edge treatments like glucocorticoids & B-cell depletion therapies, new insights redefine AIP care.
Dive into this UEG review . 🔗 doi.org/10.1002/ueg2... #GIHealth #AutoimmunePancreatitis #GISky #GutSky