GiT Updates and More

Algorithm for AIH diagnosis ~20% AIH pt may be seronegative Anti-soluble liver Ag (SLA) antibodies = highly specific for AIH! Note: Anti-LKM1 should be sent when there is concern for type 2 AIH (which presents in peds population)

Tranexamic Acid. Evidence summary.

review on the management strategies for IBS symptoms in IBD in remission

How to Take Biopsies of Duodenum for Celiac Eval ▪️Ideal # of biopsies = 6 ▪️Of 6 biopsies, 2 should be from bulb ▪️Highest yield at 9 & 12 o'clock ▪️>4 from post-bulbar duodenum ▪️1 bite per pass ▪️Single biopsy per pass forceps technique

Tissue transglutaminase (TTG) 💡 aka coeliac serology IgA against TTG = 98% sensitive Can be ⬇️ if IgA low (check IgA) or off gluten Role in coeliac: Diagnosis: if levels high (>10x upper limit) Flares: rules in gluten exposure Monitoring: guidelines recommend annual checks

Diagnostic algorithm in 2024 to differentiate intestinal tuberculosis from Crohn's disease

Chronic Kidney Disease and Risk Management: Standards of Care in Diabetes—2024