GiT Updates and More

Pregnancy and IBD -What Every Clinician Should Know?

Role of Serum Ammonia in ALF vs Cirrhosis

How to diagnose ALD and MetALD ?

Approach to Ascites

✳️Endoscopic Intermuscular Dissection (EID)- is an advanced endoscopic technique used to remove deeply invasive rectal cancers/rectal lesions with severe fibrosis. 📍Procedure- We separate the circular & longitudinal muscle layers of the rectal wall to achieve clear resection margins & complete tumor removal. ⛑️Use- Challenging rectal tumors that are not responsive to standard endoscopic resection, potentially avoiding the need for more extensive surgery. 👉This approach improves outcomes for patients with difficult\recurrent rectal lesions.

IBD therapies Guide

🚨 New RCT: Among refractory IBS/FD patients, ~20% had nonceliac wheat sensitivity (NCWS) confirmed by DBPC “double-blind-placebo controlled” challenge. 🎯 Predictors: female sex, IBS-FD overlap, headache, fatigue, anxiety. ✅Gluten-free diet improved quality of life.