luis cortes @lucorga79
Zaragoza, España Joined January 2012-
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#FDA: Liver Stiffness Measurement #LSM =accepted surrogate endpoint in MASLD #MASH🔗t.ly/kXUFU LSM predicts liver-related events #LRE =LBX Regression to LSM<10kPa -75% risk Progression to LSM≥10kPa +400% risk @BavenoCoop Rule-of-5⃣ in cACLD ±20% LSM 🔀 ±50% risk
🧵 ALT vs AST :- Significance of zonation in interpreting patterns of enzyme elevations A thread 🧵-
Struggling with esophageal intubation? Come back to the basics 👇 ▪️Hold scope at 30 cm mark ▪️Rehearse up/down controls ▪️Pass tip through bite block & over tongue ▪️Angle “up” across tongue ▪️Switch eyes → monitor ▪️Stay in midline (raphe is your guide) #GITwitter
Differentiate ascites 1️⃣Diuretic-intolerant ➡️ hyponatremia, hypotension 2️⃣Diuretic-refractory ➡️ max spironolactone + furosemide = no natriuresis Urine Na/K check 🧪 ▪️Na > K + ↓ wt → sensitive ▪️Na < K + ↑/↔ wt → resistant ▪️Na > K + ↑/↔ wt → sensitive, poor diet
📊 How to interpret PEth blood levels for recent alcohol intake? Here’s a concise & practical table to guide you.
Diagnostic criteria for MASLD and progression to cirrhosis - check out this 🆕 NEJM review ⭐️💡 📸: nejm.org/doi/full/10.10…
De 21 a 9, tras 13h trabajando seguidas: 📝Rotura 🫀(20-23) 📝EAP (02-03) 📝Código Infarto (06-09) 📝Box vital (01) 📝1 TX🫀 en insuficiencia 🫁 (22-03) 📝8 🛏️ de críticos llenas, incluyendo ECMO 🎯He dormido 2,5h 💰408€ brutos 🙋🏻♂️Aquí uno que se baja del 🚤: PENÚLTIMA GUARDIA
Is this a gamechanger in acute pancreatitis? This new RCT has just dropped in @Gut_BMJ 💥 📸: gut.bmj.com/content/74/9/1…
🚨Long-term use of low-dose prednisone was associated with higher recurrence Primary Sclerosing Cholangitis recurrence after liver transplantation‼️ #LiverX @AEEHLiver @sepdigestiva
@ebtapper @LancetGastroHep @ReibergerThomas Thank you @ebtapper Share Link: authors.elsevier.com/c/1lYt08nByrGW…
🧵 CRP vs Procalcitonin – Inflammation vs Infection? Both rise in systemic illness. But they don’t speak the same language. Let’s break down when to use CRP, when to trust Procalcitonin—and when both lie. 👇 @IhabFathiSulima @DrAkhilX @Janetbirdope @emcrit @andrewsuleh…
New guidance on using Phosphatidylethanol (PEth) as a biomarker for alcohol use over the past 2–4 weeks. PEth complements self-reported alcohol intake and AUDIT scores, 👉classifying patients within the spectrum of Steatotic liver disease! sciencedirect.com/science/articl…
Anytime a patient is referred to me with decompensated cirrhosis for transplant evaluation, I ask myself: is it possible to recompensate it by treating the cause so a transplant can be avoided? All you need to know about this: @NatRevGastroHep 👉 thelancet.com/journals/langa…
Congrats to the authors! Pre-emptive TIPS for gastric variceal bleeding in patients with cirrhosis (GAVAPROSEC): an open-label randomised clinical trial . p-TIPS reduced the risk of rebleeding or death. It can certainly be considered first-line therapy thelancet.com/journals/langa…
The anti-inflammatory power of semaglutide (Ozempic) seen by its normalization to healthy of a 72 protein signature tied to MASH liver disease nature.com/articles/s4159… @NatureMedicine
Two common modes - #ERBE Endocut Q & Forced Coag ⭐️ Forced Coag is a high-voltage, pulsed waveform electrosurgical mode designed to rapidly desiccate tissue and coagulate blood vessels. ✅ for cutting through vascular tissue and achieving hemostasis during snare resection.…
With deep sadness, we share the passing of Dr. Jaime Bosch — a visionary researcher, passionate physician, and cherished friend. Widely regarded as the father of portal hypertension, the Liver Unit of Barcelona will always be indebted to his immense legacy.
📝 New blog alert from @FrontGastro_BMJ! GLP-1s, tirzepatide & MASLD: A new frontier for gastroenterologists How should we respond to the rise of weight-loss pharmacotherapy in liver disease care? 📚 This blog explores: – Where GLP-1s fit in MASLD management – The shifting…

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