Dr John O'Donohue
@TheBottomDoc
Gastroenterologist. Shining a light on bowel cancer. Inspector of endoscopy units, stomachs & bile ducts too. Some tweets my own.
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🧵1/6 🚨 New from the British Society of Gastroenterology: We analysed all UK colonoscopies from the National Endoscopy Database (2019–2020). That’s over 592,000 procedures. Findings below 👇 (📄 Free article link (limited time): authors.elsevier.com/c/1ktHw3mGpvWkI)
Well, what sort of farewell cake did you expect at an upper GI surgeon’s retirement party? @LG_NHS Saying happy retirement to Mr Alek Uzkalnis!
How to identify the ‘sensory phenotype’ in bloating, and how to treat it: Duloxetine, not SSRI, is best if diet and diaphragmatic breathing isn’t enough and pharmaceutical treatment needed Kyle Staller, Mass General @DDWMeeting
Practical guide to management of bloating - all in one slide - Kyle Staller, Mass General Hosptial @DDWMeeting
Management of reflux @DDWMeeting - hierarchy of management - where to use PCABS for PPI-refractory reflux -who are good candidates for an anti-reflux procedure
Not all FODMAPs are equal! Can we simplify FODMAP restriction in IBS-D? Prashant Singh, Un of Michigan @DDWMeeting FODMAP restriction difficult and can result in micronutrient malnutrition In reintroduction phase, most symptoms due to fructans & galacto-oligosaccharides
Heather Patton, VA San Diego, CA @DDWMeeting All patients with compensated cirrhosis should be subclassified as with or without Clinically Significant Portal Hypertension (CSPH) - and pharmacotherapy used (eg carvedilol) to lower portal pressure Note NEW terminology!
Don’t need endoscopy to screen for varices in patients with cirrhosis any more - Dr Willscott Naugler, Portland, ON @DDWMeeting Concept of ‘Clinically significant Portal Hypertension’ - if > 10 mm Hg elevation is present, start on beta blockers to prevent varices, ascites
EIGHT mistakes doctors make in treating IBD - AVOID THESE! David T Rubin, University of Chicago @DDWMeeting
Pouchitis @DDWMeeting Major Takeaways from @AGA_Gastro Pouchitis Guidelines - Ed Barnes, Chapel Hill Probiotics, antibiotics, or immunomodulation for ‘Crohn’s’?
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