JOSFER @JOSFER2011
Medico Especialista en Medicina Interna y en Gastroenterologia Fellowship Oncologia Digestiva Ecografía Abdominal.Apasionado por la EII. Papá de Aurora y Matias Joined August 2009-
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JOSFER retweeted
🧵 Íleo y pseudo-obstrucción: lo que el cirujano debe saber. El íleo no es solo “el intestino dormido después de cirugía”. Es la detención del tránsito intestinal sin obstrucción mecánica. Engloba: • Íleo postoperatorio (POI) • Pseudo-obstrucción colónica aguda…
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JOSFER retweeted
✅ Biopsies in suspected microscopic colitis 👉🏻 In this article Virine et al convincingly show that a diagnosis of microscopic colitis is always reached when evaluating biopsies of the ascending AND descending colon. cghjournal.org/action/ showPdf? pii=S1542-3565%2820%2930206-8
JOSFER retweeted
🖤 Acute Oesophageal Necrosis (AEN) — or “black esophagus” — may be rare, but it’s a serious GI emergency. New in @FrontGastro_BMJ: a concise review of how to recognize, stabilize, and treat this life-threatening condition. From diagnostic endoscopy to innovative therapies like…
JOSFER retweeted
#EVideo: Coaxial Plastic Stent Within LAMS Prevents Pancreatic Fluid Recurrence Find the full text and video here: doi.org/10.1055/a-2587… Akihisa Kato et al.
JOSFER retweeted
Original | @REEDigestivas_ 📖Rectal sensory-motor alterations — A clinical perspective on anorectal disorders. The correlation between rectal sensation and motility in different anorectal diseases 🔗 reed.es/rectal-sensory… 🔓#OpenAccess
JOSFER retweeted
De acuerdo con la más reciente revisión sobre enfermedad ulcerosa péptica publicada en 2024 por @TheLancet (Almadi et al, doi.org/10.1016/S0140-…) la escala más recomendada para evaluar la gravedad y la necesidad de hospitalización en pacientes con sangrado digestivo alto NO…
JOSFER retweeted
Role of Gut Microbiota in Inflammation. A very complex relationship #ElisabettaBretto @gasclinicbcn @hospitalclinic @GutMicrobiotaWW
JOSFER retweeted
AGA guidelines on gastroparesis 🆕 ✅ 1st line: Metoclopramide / erythromycin ✅ Metoclopramide ok for long term use: Start at 5mg TDS + drug holidays ✅ Dx with gastric emptying study ✅ Workup for G-POEM if refractory + >6-12 months of symptoms 📸: gastrojournal.org/article/S0016-…
JOSFER retweeted
Signo de “cielo estrellado” en ultrasonido hepático, típico en #hepatitis agudas de cualquier etiología. Sucede por aumento en la ecogenicidad de las tríadas portales asociado al proceso inflamatorio, que contrastan con el fondo oscuro del #hígado. #livertwitter #GITwitter…
JOSFER retweeted
Online now in GIE’s Articles in Press: "Top tips for endoscopic-guided nasojejunal tube placement (with video)" by Nonthalee Pausawasdi. giejournal.org/article/S0016-… #GITwitter
JOSFER retweeted
🔥Manejo Enfermedad Reflujo GastroEsofágico (ERGE)🔥 🔎Gastroscopia si: ⚠️Señales alerta en ERGE: disfagia, odinofagia, anemia, perdida peso ⚠️No mejoría tras IBP 8 semanas ⚠️Señales de alerta de la dispepsia ✅> 50% ERGE son no erosivo y endoscopia normal 🌏Fuente @ambossmed
JOSFER retweeted
‼️𝗛𝗲𝗺𝗼𝗿𝗿𝗮𝗴𝗶𝗮 / 𝗛𝗲𝗺𝗼𝗿𝗿𝗼𝗶𝗱𝗲𝘀🛑 ⬇️⬇️⬇️⬇️ 👉 𝙃𝙚𝙢𝙤𝙧𝙧𝙤𝙞𝙙𝙚𝙨 𝙞𝙣𝙩𝙚𝙧𝙣𝙖𝙨: Sangrado indoloro, prolapsan con la evacuación, clasificadas en 4 grados. 👉 𝙃𝙚𝙢𝙤𝙧𝙧𝙤𝙞𝙙𝙚𝙨 𝙚𝙭𝙩𝙚𝙧𝙣𝙖𝙨 𝙩𝙧𝙤𝙢𝙗𝙤𝙨𝙖𝙙𝙖𝙨: Dolor agudo + masa azulada. 🩺…
JOSFER retweeted
Today is #InternationalPBCDay PBC (Primary Biliary Cholangitis) is a chronic autoimmune liver condition affecting approximately 25,000 people in the UK. ℹ️ About PBC: britishlivertrust.org.uk/information-an… ❤️ Support: britishlivertrust.org.uk/information-an… 📖 Stories: britishlivertrust.org.uk/stories-catego…
JOSFER retweeted
🎯Recomendaciones sobre anticoagulación en pacientes con cirrosis hepática: Digestive Diseases and Sciences (2023) 68:2237–2246. researchgate.net/publication/36….
JOSFER retweeted
🚨 Case Report Alert: Bleeding beyond cirrhosis! 👩⚕️ 54F with 6️⃣ years of GI bleeds ⚠️ Initially diagnosed: variceal bleed from cirrhosis 🔁 Multiple scopes, embolisation, even TIPS… 🩸 But bleeding persisted 🧠 Final Dx: Gastroduodenal artery–SMV fistula 🧰 Treated with…
JOSFER retweeted
Small Bowel Tuberculosis
JOSFER retweeted
🚨 New Case Report in FrontGastro_BMJ 🧓 83M with anaemia & haematochezia ➡️ terminal ileum bleed 🔍 Initial scopes = non-diagnostic 🎥 Capsule endoscopy → active bleeding 🧠 Final Dx: AL #Amyloidosis + CMV ileitis 🧵Rare cause, missed on mucosal biopsy – Congo Red saves the…
JOSFER retweeted
🥼Pancreatic exocrine insufficiency (#PEI) is not uncommon in #CeliacDisease (CeD) Meta-analysis: 🔸Prevalence 13.5% 🔸Children 14.2% | Adults 12.8% 💊 Consider PEI in CeD with persistent symptoms despite gluten-free diet 📖 #OpenAccess 👉 bit.ly/4nnnywO
JOSFER retweeted
➡️ For all enthusiasts in ENDOSCOPIC ULTRASOUND 👁️ The European EUS Congress is on Sep. 19-20 - Live and online 👩💻 👍🏻 We thank Prof. Claudio De Angelis 🇮🇹 for his generous support by donating 30 conference spots to members of @EndoCollabcom en.stand-art.hu/urlap/EGEUS202…
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