GiT Updates and More

Interpretation of abnormal liver blood tests

ACG Guidelines: Management of Irritable bowel syndrome (IBS)

Primary Biliary Cholangitis

✳️ Extra-hepatic Manifestations of Chronic HCV Infection 1. Mixed Cryoglobulinemia / Vasculitis 2. Non-Hodgkin B-cell Lymphoma 3. Insulin resistance / Type 2 Diabetes Mellitus 4. Membranoproliferative Glomerulonephritis 5. Sjӧgren’s syndrome and Sicca symptoms 6. Autoimmune thyroid disease 7. Porphyria cutanea tarda 8.Lichen planus / skin disorders 9. Hematologic disorders (e.g., thrombocytopenia) 10. Neuropathy / neurological disorders 11. Cardiovascular disease associations 12. Other autoimmune or rheumatologic conditions 13. Metabolic alterations (lipid abnormalities) ✳️ Extra-hepatic Manifestations of HBV Infection 1. Serum-sickness–like syndrome 2. Polyarteritis nodosa (PAN) 3. Membranous Glomerulonephritis/nephropathy 4. Cryoglobulinemic vasculitis (less consistent) 5. Non-rheumatoid arthritis / polyarthritis 6. Non-Hodgkin lymphoma (less common) 7. Aplastic anemia / hematologic abnormalities 8. Papular acrodermatitis (Gianotti-Crosti syndrome)

Real-World Indirect Treatment Comparison of Terlipressin vs Midodrine Plus Octreotide in Hepatorenal Syndrome-Acute Kidney Injury. (PDF 👇) ✳️ Conclusion: HRS-AKI treatment and outcomes differ between the United Kingdom and the United States, attributed to the historical standard of care MO in the United States. In adjusted analyses, real-world use of terlipressin was more effective than MO at improving kidney function and achieving HRS-AKI reversal.

✳️ #Pearls: HIV-negative wife should receive daily oral TDF/FTC PrEP starting at least 7 days before exposure and continued until the HIV-positive partner has sustained viral suppression for 6 months, then stopped 28 days after last exposure. Neonatal prophylaxis with zidovudine should be initiated within 6–12 hours of birth and continued for 4–6 weeks if the mother is HIV-positive.

Propranolol versus endoscopic variceal ligation for primary prophylaxis of esophageal varices in cirrhosis: a systematic review and meta‑analysis of randomized controlled trials 🔥Conclusion: EVL was superior in preventing esophageal variceal bleeding. Such results suggest that not all NSBBs provide equivalent efficacy in primary prophylaxis, reinforcing the need for further studies to confirm these findings.

Early infliximab (IFX) levels and clearance predict outcomes after IFX rescue in acute severe ulcerative colitis: Results from PREDICT-UC PDF 👇

AGA Gastroenterology 2026

🔥 Hot From the Press | Clinical Pearl Acute Severe UC: Early infliximab exposure matters. 🔹 Day-3 infliximab ≤57.9 µg/mL predicts: 🤜 Day-14 failure 🤜3-month colectomy 🔹 High infliximab clearance drives non-response — but can be overcome with intensified dosing (10 mg/kg). ⚠️ Limitations: • Real-world TDM turnaround may be delayed • Clearance not easily calculated at bedside • Observational PK analysis PDF 👇