GiT Updates and More

Beta blockers in cirrhosis

barrett's esophagus

Gastric Intestinal Metaplasia

putting it all together for UC therapies

Biopsy protocol for ruling out eosinophilic esophagitis

Small bowel vasculitis

ASGE guideline on the diagnosis and management of GERD. February 2025

🔆How to take duodenal biopsies for coeliac disease: ✅ 4x D2 biopsies ✅ 2x D1 biopsies ✅ D1 biopsy from 9 and 12 o’clock ✅ Single bites (less distortion) ✅ Separate pots - D1 has more Brunner’s glands and shorter villi ✅ Should be on gluten From this prospective cohort study of 77 patients. “There is no obvious explanation as to why villous atrophy is more severe in the 9- and 12-o'clock positions of the duodenal bulb; however, a plausible argument could be that these sites are the most exposed areas subjected to gluten because food traverses the duodenal bulb into the second part of the duodenum”

Lifestyle Intervention Effects on Blood Pressure 1️⃣ Regular exercise: 4/8mmHg 2️⃣ Reduced alcohol intake: 4mmHg 3️⃣ Weight loss: 5mmHg 4️⃣ Reduced sodium intake: 5/6mmHg 5️⃣ Increased potassium intake: 3/4mmHg These lifestyle changes led to: 1) 15% reduction in all-cause mortality 2) 25% reduction in stroke risk 3) 30% reduction in heart failure risk

Most Common Malignant Small Bowel Tumors.

Management of Resistant Hypertension