Brett E Fortune's Avatar

Brett E Fortune

@brettefortune.bsky.social

Chief Medical Officer, Miami Transplant Institute, Transplant Hepatologist, likes interventional hepatology, cirrhosis, portal hypertension #LiverSky #JacksonHealth

511 Followers  |  399 Following  |  4 Posts  |  Joined: 23.11.2024  |  1.8076

Latest posts by brettefortune.bsky.social on Bluesky

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πŸš€ Attention #AASLD members!

Do you have a passion for clinical informatics & digital health? Or interested in learning more about how this new field can improve hepatology patient care and research? A new Special Interest Group (SIG) may be on the horizon… πŸ‘€

17.08.2025 19:48 β€” πŸ‘ 3    πŸ” 2    πŸ’¬ 0    πŸ“Œ 0

We’re proposing a Clinical Informatics & Digital Health SIG to bring together members interested in EHR optimization, AI, clinical decision support, data science, mentorship & more.

πŸ‘‰ If the SIG is approved, would you join? Send me a chat for details!

#AASLD

17.08.2025 19:49 β€” πŸ‘ 3    πŸ” 3    πŸ’¬ 0    πŸ“Œ 0

Exploring further the agreement between HVPG and EUS-PPG a collaborative study with Leuven. www.jhep-reports.eu/article/S258... @idibaps.bsky.social @hospitalclinic.bsky.social

12.07.2025 06:51 β€” πŸ‘ 2    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0

Congratulations!!!

09.07.2025 00:24 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

πŸ†•CPG in press❕

EASL Clinical Practice Guidelines on extrahepatic abdominal surgery in patients with cirrhosis and advanced chronic liver disease

Find it hereπŸ‘‰https://bit.ly/3GM9EEB

#LiverSky
@easlnews.bsky.social

10.05.2025 06:05 β€” πŸ‘ 9    πŸ” 7    πŸ’¬ 1    πŸ“Œ 2
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Highlights of @docberza.bsky.social talk on NITs @easlnews.bsky.social #easlcongress
We need to use @bavenocoop.bsky.social
dual stiffness cutoffs more often and u suspect this is the way of the future.
#liversky

09.05.2025 15:11 β€” πŸ‘ 5    πŸ” 3    πŸ’¬ 0    πŸ“Œ 0
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That’s a wrap on #EASLCongress2025! πŸ’™ Thanks to all 7,742 attendees from 119 countries and all those who made this event possible! 🌍

See you in Barcelona on 27–30 May 2026!

Look back at the unforgettable moments easl.smugmug.com/EASL-Congres...
Best of slide decks: easlcampus.eu/Documents/be...

10.05.2025 13:06 β€” πŸ‘ 11    πŸ” 5    πŸ’¬ 0    πŸ“Œ 0
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πŸ“ƒ 5 new EASL CPGs released today at
#EASLCongress!

βœ… Make sure to attend the much awaited sessions listed below!

10.05.2025 06:51 β€” πŸ‘ 5    πŸ” 3    πŸ’¬ 0    πŸ“Œ 0
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One need not worry about bleeding when banding varices in patients with low platelets

I am not sure why this study excluded people with platelets less than 30

Nevertheless … doi.org/10.3390/dise...

#liversky

02.03.2025 17:12 β€” πŸ‘ 16    πŸ” 5    πŸ’¬ 0    πŸ“Œ 0
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Trends in authorship in GI and Hepatology journals

From Tsai et al in Hep Comm

journals.lww.com/hepcomm/full...

@brettefortune.bsky.social

27.02.2025 23:29 β€” πŸ‘ 11    πŸ” 3    πŸ’¬ 1    πŸ“Œ 0
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This paper from @neeharparikh.bsky.social rocked

He asked patients what they want most in a liver cancer screening test using a discrete choice-based conjoint survey

pubmed.ncbi.nlm.nih.gov/33618022/
#liversky

17.02.2025 01:35 β€” πŸ‘ 11    πŸ” 3    πŸ’¬ 0    πŸ“Œ 0

The rates and reasons for ethics consultation in cirrhosis care

0.2% incidence
Mainly due to issues of surrogate decision making and miscommunication

#liversky

trebuchet.public.springernature.app/get_content/...

08.02.2025 23:57 β€” πŸ‘ 3    πŸ” 1    πŸ’¬ 1    πŸ“Œ 1
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pdfs.journals.lww.com/hepcomm/2025...

The causes of SBP in todays patients

#liversky

06.02.2025 01:11 β€” πŸ‘ 5    πŸ” 2    πŸ’¬ 0    πŸ“Œ 0
Image Gallery : Early treatment with terlipressin in patients with hepatorenal syndrome yields improved clinical outcomes in North American studies : Hepatology Communications

Early Terli

Giving terlipressin at lower creatinines (1.5-2.0) or within 12 hours of presentation (skipping the β€œalbumin challenge”)

1. From the RCTs journals.lww.com/hepcomm/page...
2. Pilot trial doi.org/10.1007/s106...

#liversky

23.12.2024 00:15 β€” πŸ‘ 18    πŸ” 7    πŸ’¬ 2    πŸ“Œ 0
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Ebola Outbreak Response in the DRC with rVSV-ZEBOV-GP Ring Vaccination | NEJM At the beginning of the 2018–2020 outbreak of Ebola virus disease (EVD) in eastern Democratic Republic of Congo (DRC), no vaccine had been licensed. However, cluster-randomized evidence from Guinea...

Amid recurrent outbreaks of Ebola virus disease, the role of ring vaccination with the rVSV-ZEBOVGP vaccine during the 2018–2020 outbreak in Democratic Republic of Congo offers evidence of efficacy. Full study results: nej.md/4iFCWTL

#MedSky #IDSky

21.12.2024 20:06 β€” πŸ‘ 39    πŸ” 14    πŸ’¬ 0    πŸ“Œ 0
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PPAR agonists for the treatment of cholestatic liver... : Hepatology Communications and the risk of progression to cirrhosis and liver failure. First-line therapy for PBC is ursodeoxycholic acid, although up to 40% of treated individuals are incomplete responders, and there is no eff...

Fibrates and other PPAR agonists are so hot right now

Here is a review of how they work, the evidence of benefit, and the bright future of this pathway in improving liver health

journals.lww.com/hepcomm/full...

20.12.2024 01:13 β€” πŸ‘ 15    πŸ” 5    πŸ’¬ 1    πŸ“Œ 0
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Updated HCC management guidelines by @easlnews.bsky.social

Must read πŸ‘‡πŸΌπŸ‘‡πŸΌπŸ‘‡πŸΌ

www.journal-of-hepatology.eu/article/S016...

#Liversky

17.12.2024 12:47 β€” πŸ‘ 27    πŸ” 15    πŸ’¬ 0    πŸ“Œ 0
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Development, validation, and prognostic evaluation of LiverPRO for the prediction of significant liver fibrosis in primary care: a prospective cohort study Clinically significant liver fibrosis is associated with future adverse events in patients with steatotic liver disease. We designed a software tool f…


Brilliant test developed by Professor Maja Thiele

LiverPRO identifies
βœ…clinically significant liver fibrosis
βœ… ⬆️ liver stiffness
βœ…predicts risk of liver-related events

based on age and biochemical variables

#liversky
www.sciencedirect.com/science/arti...

12.12.2024 23:49 β€” πŸ‘ 7    πŸ” 2    πŸ’¬ 1    πŸ“Œ 0

🧡 Combination Therapy for Chronic HBV Infection (a thread)

Chronic hepatitis B virus (HBV) affects more than 3% of the world population and is responsible for approximately 1.1 million deaths annually.

Full article: nej.md/49nfu9F 1/15

#MedSky

09.12.2024 19:43 β€” πŸ‘ 30    πŸ” 14    πŸ’¬ 2    πŸ“Œ 0
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Portal hypertension and the development of varices

If only there was a way to block the alpha and beta adrenergic pathways to offset these changes

IF ONLY!!!!

#medsky #liversky

27.11.2024 21:57 β€” πŸ‘ 36    πŸ” 9    πŸ’¬ 2    πŸ“Œ 0
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Management of Muscle Cramps in Patients With Cirrhosis: A Systematic Review of Randomised Controlled Trials Despite the prevalence and quality of life impact cramps have on patients with cirrhosis, no widely used clinical practice guidelines on management exist. Our systematic review, focusing only on rand...

I recommend this review on muscle cramps in #cirrhosis

Cramps are common and are the number one symptom priority for many patients

doi.org/10.1111/apt....

But ….

24.11.2024 21:32 β€” πŸ‘ 23    πŸ” 6    πŸ’¬ 2    πŸ“Œ 0
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🎨 In case anyone need…

The NIH BioArt Source is an awesome library of *free* professionally drawn illustrations for scientific presentations or figures. Downloadable in HD. Thank you NIH for this invaluable tool πŸ™!

Check it out πŸ‘‡
bioart.niaid.nih.gov

23.11.2024 15:49 β€” πŸ‘ 1207    πŸ” 494    πŸ’¬ 44    πŸ“Œ 28

πŸ’Š New exciting multi-centre RCT (BALANCE) in NEJM supporting that an antibiotic duration of 7 days is non-inferior to 14 days in patients with uncomplicated bacteremia (excluding S. aureus). #MedSky #IMsky #IDsky

24.11.2024 00:55 β€” πŸ‘ 22    πŸ” 7    πŸ’¬ 1    πŸ“Œ 1
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#LiverSky: Performing early diagnostic paracentesis within 12 hours of admission may offer the greatest survival benefit.

Share your thoughts on implementing this into practice!

The American Journal of Gastroenterology #RedJournal
@amcollegegastro.bsky.social

πŸ”— journals.lww.com/ajg/pages/ar...

23.11.2024 18:22 β€” πŸ‘ 25    πŸ” 7    πŸ’¬ 0    πŸ“Œ 1
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Alcohol-associated liver diseaseβ€”Global epidemiology : Hepatology ty-adjusted life-years attributed to ALD, particularly pronounced in the United States, are alarming. Projections suggest that the economic impact of ALD, as seen in the United States, could potential...

Thanks to HEPATOLOGY journal for this special issue on alcohol-associated liver disease & the chance to review this alarming global crisis 🚨🌎: >11M life-years lost annually, leading cause of liver Tx, and rising impact on young people
πŸ™ Amazing author team⭐️
journals.lww.com/hep/fulltext...

17.11.2024 18:04 β€” πŸ‘ 16    πŸ” 5    πŸ’¬ 2    πŸ“Œ 0
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a man with long hair and a beard is smiling and saying thank you . ALT: a man with long hair and a beard is smiling and saying thank you .
24.11.2024 00:17 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

Super helpful!! Thanks #LiverSky @ebtapper.bsky.social

24.11.2024 00:08 β€” πŸ‘ 6    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

The Hepatologist’s Google is here

Added to the starter pack

23.11.2024 16:08 β€” πŸ‘ 6    πŸ” 2    πŸ’¬ 0    πŸ“Œ 0

We are on our second starter pack for GI / Hepatology
Part 1: go.bsky.app/8Pho2tp
Part 2: go.bsky.app/VGyLKjR

#medsky #GIsky #LiverSky

15.11.2024 15:17 β€” πŸ‘ 99    πŸ” 32    πŸ’¬ 23    πŸ“Œ 11

Hello BlueSky world, i am here!! #liversky

23.11.2024 23:56 β€” πŸ‘ 11    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

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