Early feeding in post-ERCP pancreatitis

🤔PEP: We all dread it, and treating it makes us nervous.

👍Trial supporting early feeding, within 24 hours. Shorter hospital stays

This already increasingly supported and accepted. ACG and other guidelines.

#GIsky #Medsky #IMsky

Wenn Schnappatmung oder keine Atmung vorliegt macht man mit HDM nichts falsch.

Genau. Therapieziele definieren und nicht einzelne Maßnahmen diskutieren. Für eine Maßnahme müssen zwei Dinge vorliegen, Indikation muss stimmen UND Patient*in muss einverstanden sein.
Das Einverständnis alleine rechtfertigt keine nicht indizierte Maßnahme.

Effect of invitation to colonoscopy versus faecal immunochemical test screening on colorectal cancer mortality (COLONPREV): a pragmatic, randomised, controlled, non-inferiority trial Participation in screening was higher among individuals invited to faecal immunochemical test screening than colonoscopy screening. On the basis of participation observed in this study, a faecal immun...

New at @thelancet.bsky.social - Effect of invitation to colonoscopy versus faecal immunochemical test screening on colorectal cancer mortality (COLONPREV): a pragmatic, randomised, controlled, non-inferiority trial

www.thelancet.com/journals/lan...

#GastroSky #MedSky #OncSky

🤔 Which patients with #PVT should get AC?

🤔Do you band first?

🤔What is data behind DOAC for PVT?

🚨🚨AGA Clinical Practice Update on PVT Mgmt

www.gastrojournal.org/article/S001...

pragmatic review for busy GI with helpful algorithm 👀⬇️

#liversky #gisky #medsky

I agree that anticoagulation should be avoided in the acute phase in most cases. However, since 1/3-50% of septic-induced atrial fibrillation recurs after recovery, long-term anticoagulation should at least be considered in every patient.

Chronic pancreatitis Chronic pancreatitis is a progressive fibroinflammatory disease primarily caused by a complex interplay of environmental and genetic risk factors. It might result in pancreatic exocrine and endocrine insufficiency, chronic pain, reduced quality of life, and increased mortality. The diagnosis is based on the presence of typical symptoms and multiple morphological manifestations of the pancreas, including pancreatic duct stones and strictures, parenchymal calcifications, and pseudocysts. Management of chronic pancreatitis consists of prevention and treatment of complications, requiring a multidisciplinary approach focusing on lifestyle modifications, exocrine insufficiency, nutritional status, bone health, endocrine insufficiency, pain management, and psychological care.

#GastroEdPick New Seminar on chronic #pancreatitis in @thelancet.bsky.social

www.thelancet.com/journals/lan...

#GastroSky #MedSky #pancsky

I’ve been reading the Dr. Smith ECG blog for years and so I would guess that the original OMI-manifesto is about 10 years old. But now bigshots Bob Harrington, CM Gibson and John Mandrola have all promoted it. So maybe finally time for a paradigm shift in STEMI?

doi.org/10.1016/j.ja...

Weil die das Risiko unter Metamizol deutlich höher ist

Andersohn F, Konzen C, Garbe E. Systematic review: agranulocytosis induced by nonchemotherapy drugs. Ann Intern Med. 2007 May 1

#EndoscopySky: Post-ERCP pancreatitis incidence unchanged despite 23 years of advancements

Adverse Events Associated with Endoscopic Retrograde Cholangiopancreatography: Systematic Review and Meta-analysis
@aga-gastro.bsky.social
@amergastroassn.bsky.social

🔗 www.gastrojournal.org/article/S001...

Wouldn't a 5-day course of beta-lactam therapy be sufficient for pyelonephritis if there is a good response to the therapy?

On call weekend cholangitis…
How would you manage this papilla?
Try regular cannulation or straight to precut?
#EndoscopySky #GastroSky #GISky
#Gastroenterology