Monthly Journal Club 1st Sunday @2pm covering a range of GI & Hep topics | By @SultanMahmoodMD @ijlalakbar @AtoosaRabiee @AllonKahn @SunilAminMD | #GIJC

USA
Joined December 2019
GI Journal Club retweeted
🎉 FEATURING Muhammad Ali Butt 📷RECEPIENT 2026 FITE DDW Travel Grant Award! 🏆WINING ABSTRACT: Real-World Impact of the AI Colonoscopy Era on Adenoma Detection and Interval Colorectal Cancer: A National Propensity-Matched Study #TEUSCONSORTIUM #IDHER #FITE #DDW2026 #GRANTS
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GI Journal Club retweeted
🆕Now on Preprint: medrxiv.org/content/10.1101/… Our study comparing the @UCSF secure implementation of @OpenAI gpt-35-turbo #LLM model versus manual chart review for extraction of distinct data elements from #HCC imaging reports
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🆓 #CME Broadcast w/@IridiumContEd & @GiJournal - 👋 @KowdleyMd @SonalKumarMD & @rajVuppaLanchi - 🗣️#PBC patho and s/sx - CME ℹ️: iridiumce.com/pbcbroadcaston… - Supported by an independent educational grant from @InterceptPharma xitter.cf/i/broadcasts/1vOGwjlow…
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This whole thread is amazing! I wish I had this at the beginning of my training. I probably could have gotten alot more done and in a timely manner. 😁 (Also appreciate #theEmoroidDigest Podcast shoutout 👊👊👊)
1/ Collated thread for new GI fellows ⭐️GI Fellow Resources ⭐️ ▪️Websites ▪️Guidelines ▪️Apps ▪️Podcasts ▪️Textbooks ▪️Board study ▪️Social media 📲 bit.ly/3KwqCVG (hyperlinked 📄) #GITwitter
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📢🥳We are thrilled to welcome @SultanMahmoodMD to the @UPMC Interventional Endoscopy Team! 🎉 Under the co-leadership of Dr. Mahmood, we now offer ESD and POEM to patients at Passavant, enhancing our commitment to exceptional patient care. Learn more: providers.upmc.com/provider/…"
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GI Journal Club retweeted
Randomized trial of through-the-skin versus endoscopic liver biopsy 1️⃣equivalent patient satisfaction 2️⃣longer specimen with endoscopy but equivalent portal tracts 3️⃣more fragmentation with endoscopy pubmed.ncbi.nlm.nih.gov/3743… #livertwitter
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In the 📕#RedJournal: Quality Indicators for the Diagnosis and Management of Eosinophilic Esophagitis Leiman, et al. 👉 bit.ly/3Nqpzbn @David_LeimanMD @AfrinKamalMD @DrGaryFalk @NGonsalvesMD @RenaYadlapati @priyakathpalia #EoE
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🏅 Don't leave your #CME Behind!✍️Complete the posttest & eval: iridiumce.com/pbcbroadcasttw… 🚩Follow us for more 🆓 #CME!
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❓2⃣ Approximately 40% of patients with PBC have inadequate response to ursodeoxycholic acid (UDCA) alone. If a patient does not respond to UDCA, what agent should be considered next?
19%Fenofibrate
78%Obeticholic acid (OCA)
3%Phenobarbital
0%SSRIs
37 votes • Final results
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❓1⃣ Ursodeoxycholic acid (UDCA) remains standard first-line therapy for patients with PBC. Which of the following describes best practice when administering UDCA to patients with PBC?
13%Given with meals
2%Never w/ decomp cirrhosis
0%Same time every day
85%Dosed at 13-15 mg/kg/day
46 votes • Final results
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🩺Where are you in your career?
45%Hepato/Gastro MD
45%Hepato/Gastro Res/Fellow
5%Primary Care Provider
5%Other, NP/PA, PharmD, RN
22 votes • Final results
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GI Journal Club retweeted
Replying to @my_ueg
@my_ueg has come up with this lovely checklist 📑pre #ERCP. It will be interesting to know🧑‍🏫 ❓️How many ERCPists actually cover all this ❓️Who mentions Mortality 🙋‍♂️ 🤔What's your consent procedure? @UEGJournal
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🆓 #CME Broadcast w/@IridiumContEd & @GiJournal - 👋 @KowdleyMd @SonalKumarMD & @rajVuppaLanchi - 🗣️#PBC care and tx - CME ℹ️: iridiumce.com/pbcbroadcasttw… - Supported by an independent educational grant from @InterceptPharma xitter.cf/i/broadcasts/1PlKQpPMZ…
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GI Journal Club retweeted
🆓 #CME Broadcast w/@IridiumContEd & @GiJournal - 👋 @KowdleyMd @SonalKumarMD & @rajVuppaLanchi - 🗣️#PBC care and tx - CME ℹ️: iridiumce.com/pbcbroadcasttw… - Supported by an independent educational grant from @InterceptPharma xitter.cf/i/broadcasts/1BdGYyYqP…
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1/ 📢Welcome to this @iridiumCE & @Global_CME 🆓#CME #tweetorial: iridiumce.com 🗣️ Lets talk patho, s/sx, & dx in #PBC w/ @KowdleyMd @SonalKumarMD @rajVuppaLanchi Supported by an edu grant from @InterceptPharma Where are you in your career?
63%Hepato/Gastro MD
32%Hepato/Gastro Res/Fellow
0%Primary Care Provider
5%Other, NP/PA, PharmD, RN
19 votes • Final results
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14/ Thanks🙏for checking out this #PBC #tweetorial! 🏆Don't leave your 🆓 #CME behind 👉: iridiumce.com/pbcmedicalminu… ✍️Complete the posttest & evaluation 👀Check out Part 2 on 6/29 re: #PBC monitoring & tx! 👋Follow @IridiumContEd for more 🆓 CME
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13/ 🗝️Points ✔️#PBC prevalence⬆️ but incidence stable ✔️ ♀️ dx 9x more than ♂️ ✔️People of color ⬆️ disease severity & mortality ✔️Pathogen: loss of tolerance to E2 subunit of PDC-E2 via AMAs ✔️AMAs present in 95% pts w/ PBC ✔️Early recognition & diagnosis critical👍outcomes
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12/ When #PBC suspected, clinical Hx, exam, & imaging can be used for diff dx 🚫Rule Out🚫 Biliary tract obstruction/pathology Drug-induced Liver Injury Primary Sclerosing Cholangitis Progressive Familial Intrahepatic Cholestasis Benign Recurrent Intrahepatic Cholestasis
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11/ If you chose test for AMA, you are correct! 🎉 🚩95% of those w/ #PBC 👉AMAs 🧩Pts lacking AMA 👉look for other PBC-specific antinuclear antibodies (ANAs) 🔎Dx of asymptomatic pts begins w/ incidental detection of abnormal liver values, esp ALP ⛔Typically dx w/o biopsy
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10/ 🤔What would you do? Amanda 👉 49yo Hispanic♀️ w/ family hx of #PBC & clinical hx of fibromyalgia & major depressive disorder. She reports no PBC sx. at appt today, but bloodwork shows ⬆️ ALP. 🔎Which of the following would be the best next step?
100%Test for AMA
0%Liver biopsy
0%Follow up 6-mos
0%Follow up 1-yr
17 votes • Final results
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