GiT Updates and More
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Gi doctor with interests in endoscopy, gut health, liver & medicine in general.
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❇️ Nutrition in IBD patients:
✅ improve patients with CD.
⛔️ lack of evidence in UC patients .
PDF 👇
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Mexican consensus on the approach to and treatment of acute variceal bleeding.
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Mexican consensus on the approach to and treatment
of acute variceal bleeding.
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❇️ In Acute HBV infection:
▫️More than 95% of immunocompetent individuals with acute infection will achieve seroconversion with appearance of antibody to hepatitis B surface antigen in the absence of treatment. Therefore, supportive care is usually all that is needed in most patients.
👉 Initiate antiviral therapy in patients with acute liver failure or in those who have a severe, protracted course (i.e., total bilirubin level >51.3 micromoles/L (>3 mg/dL), international normalised ratio >1.5, encephalopathy, or ascites).
▫️Simultaneously, assess the patient for the need for liver transplantation.
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❇️ The new Lancet Commission obesity definitions show dramatic differences in risk:
🏈 Athlete, BMI 32—WHO called it class I obesity; now “no obesity”
👵 Older woman, BMI 27+diabetes—WHO overweight; now stage 2 clinical obesity.
👩 Woman, BMI 33+prediabetes—WHO class I; now stage 1 preclinical obesity.
👨 Man, BMI 35+heart failure—WHO class II; now stage 3 clinical obesity
Obesity staging reveals deeper health insights than BMI alone.
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Risk of Malignancy with IBD therapies and what to do if the patient developed malignancy while on IBD therapy
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ECCO consensus on management of Inflammatory Bowel Disease in low-and middle-income countries.
European Crohn’s and Colitis Organisation. May 2025
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💇♀️ Hair loss in IBD — what’s going on?
Many patients with Crohn’s disease or ulcerative colitis notice hair thinning, and it can be distressing. The good news: most of the time, it’s multifactorial and reversible.
🔹 Disease-related inflammation & stress
🔹 Nutritional deficiencies (iron, zinc, vitamin D, B12, protein)
🔹 Medications (thiopurines, methotrexate, steroids)
🔹 Stress, surgery, autoimmune overlap (alopecia areata)
✨ The key: identify and treat the underlying cause.
✅ Most cases are diffuse, non-scarring, and improve once triggers are addressed.
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Management of Mild to moderate Crohn’s , Ulcerative colitis and approach to patient losing response to ANTI-TNF
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❇️ Clinical #Pearls : Other than colorectal cancer, the most common cancer associated with hereditary nonpolyposis colorectal cancer (Lynch syndrome) is endometrial cancer.
