Evidence-Based GI Doc @EBGIdoc
Philip Schoenfeld, MD, MSEd, MSc (Epi). Gastroenterologist. Evidence-Based GI #EBGI Joined April 2022-
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@LindaNguyenMD @ScrubsNHeels @DCharabaty @IBD_Afzali @kehutchins77 @MN_GIMD @MccutchenDr @drfolamay @AasmaShaukatMD @JChristieMD …. Is your “husband” part of the package, too 😱
An award that represents the labour of love for science, perseverance and belief, plus the bonus of a dream team.
🌟 Prof. Siew Ng wins BOCHK Science & Tech Innovation Prize 2024! Her groundbreaking work in human microbiome research was recognized at the Bank of China ceremony. A proud moment celebrating excellence in science! 🏆🎉 @Siew_C_Ng @WendyZHANG_CUHK @QiSu_123 @CUHKMedicine
In #EBGI: On-Demand Vonoprazan for Non-Erosive Reflux Disease Symptoms: A New Option Reviewer: Christopher Vélez, MD 📖 bit.ly/4fDjtB3 🔊 bit.ly/4fDS3er @AmCollegeGastro @Chris_Velez_MD
@aferoz19 @umer446 @ScopingSundays @ACG_EBGI @CamilleLupianez @AmCollegeGastro @BilalMohammadMD @AhmadBazarbashi @RobertoSimonsMD @vaibhav_manu @rmulkimd @LizzieAbyMD @AdvaniRashmiMD @AimenKhanMD @MouhandMD @DavidDiehlMD @SanchezLunaMD @AdamKichlerDO @sachdevmd @SumantInamdar @ShyamTMD @QuinTheLiuMD @KKadkhodayan @MetabolicEndo @AmJGastro @rjsealock @EndoscopyOthman @d21loren @tberzin @Boston_Endo @MSawhneyMD @abdul_kouanda @SriGaddamMD @shailsingh @NorioFukamiMD Other database studies showing that PPIs are "ASSOCIATED" with different disorders (e.g. dementia) are really simply demonstrating that "sicker" people are more likely to be prescribed PPI (for whatever reason) compared to "healthier" people with fewer baseline medical problems
@aferoz19 @umer446 @ScopingSundays @ACG_EBGI @CamilleLupianez @AmCollegeGastro @BilalMohammadMD @AhmadBazarbashi @RobertoSimonsMD @vaibhav_manu @rmulkimd @LizzieAbyMD @AdvaniRashmiMD @AimenKhanMD @MouhandMD @DavidDiehlMD @SanchezLunaMD @AdamKichlerDO @sachdevmd @SumantInamdar @ShyamTMD @QuinTheLiuMD @KKadkhodayan @MetabolicEndo @AmJGastro @rjsealock @EndoscopyOthman @d21loren @tberzin @Boston_Endo @MSawhneyMD @abdul_kouanda @SriGaddamMD @shailsingh @NorioFukamiMD Personally, I rely on the COMPASS RCT, which is the only large (thousands of patients), double-blind, placebo-controlled RCT with 4 year + follow-up. Found that increase in enteric infections (e.coli diarrhea) was only increased adverse event vs placebo with PPIs
@aferoz19 @umer446 @ScopingSundays @ACG_EBGI @CamilleLupianez @AmCollegeGastro @BilalMohammadMD @AhmadBazarbashi @RobertoSimonsMD @vaibhav_manu @rmulkimd @LizzieAbyMD @AdvaniRashmiMD @AimenKhanMD @MouhandMD @DavidDiehlMD @SanchezLunaMD @AdamKichlerDO @sachdevmd @SumantInamdar @ShyamTMD @QuinTheLiuMD @KKadkhodayan @MetabolicEndo @AmJGastro @rjsealock @EndoscopyOthman @d21loren @tberzin @Boston_Endo @MSawhneyMD @abdul_kouanda @SriGaddamMD @shailsingh @NorioFukamiMD No increase in side effects vs placebo in RCTs. Per prescribing info provided with meds, the list of POSSIBLE safety concerns is same as PPIs. Important to remember-those PPI safety concerns come from epidemiologic database studies that can't fully account for confounders
@AimenKhanMD @CamilleLupianez @ScopingSundays @ACG_EBGI @umer446 @AmCollegeGastro @BilalMohammadMD @AhmadBazarbashi @RobertoSimonsMD @vaibhav_manu @rmulkimd @LizzieAbyMD @AdvaniRashmiMD @MouhandMD Unfortunately, this varies a LOT. Key is that your faculty should be working with pharmacy to make sure vonoprazan is available. Situation is similar to 1989 when PPIs first became available and some hospitals lagged and only provided H2RAs for a couple of years
@CamilleLupianez @umer446 @ScopingSundays @ACG_EBGI @AmCollegeGastro @BilalMohammadMD @AhmadBazarbashi @RobertoSimonsMD @vaibhav_manu @rmulkimd @LizzieAbyMD @AdvaniRashmiMD @AimenKhanMD @MouhandMD @DavidDiehlMD @SanchezLunaMD @AdamKichlerDO @sachdevmd @SumantInamdar @ShyamTMD @QuinTheLiuMD @KKadkhodayan @MetabolicEndo @AmJGastro @rjsealock @EndoscopyOthman @d21loren @tberzin @Boston_Endo @MSawhneyMD @abdul_kouanda @SriGaddamMD @shailsingh @NorioFukamiMD @amitbhattMD @SiddikiGI @JohnVargoMD @drsethinyc @ColonDocUMMH @AlysonMJohnson @AnotherPatelMD @NCosgroveMD @DennisYangMD @MItaniMD @clivejmiranda Esophageal testing will definitively distinguish inadequate acid suppression vs functional heartburn, but availability of esophageal testing is limited in many areas of US.
@CamilleLupianez @umer446 @ScopingSundays @ACG_EBGI @AmCollegeGastro @BilalMohammadMD @AhmadBazarbashi @RobertoSimonsMD @vaibhav_manu @rmulkimd @LizzieAbyMD @AdvaniRashmiMD @AimenKhanMD @MouhandMD @DavidDiehlMD @SanchezLunaMD @AdamKichlerDO @sachdevmd @SumantInamdar @ShyamTMD @QuinTheLiuMD @KKadkhodayan @MetabolicEndo @AmJGastro @rjsealock @EndoscopyOthman @d21loren @tberzin @Boston_Endo @MSawhneyMD @abdul_kouanda @SriGaddamMD @shailsingh @NorioFukamiMD @amitbhattMD @SiddikiGI @JohnVargoMD @drsethinyc @ColonDocUMMH @AlysonMJohnson @AnotherPatelMD @NCosgroveMD @DennisYangMD @MItaniMD @clivejmiranda Dilemma is because you differentiate between inadequate acid suppression and functional heartburn with: (a) empiric trial of vonoprazan, which greatly minimizes acid production-much better than PPI bid; or (b) do Bravo/manometry/24hr pH testing?
@CamilleLupianez @umer446 @ScopingSundays @ACG_EBGI @AmCollegeGastro @BilalMohammadMD @AhmadBazarbashi @RobertoSimonsMD @vaibhav_manu @rmulkimd @LizzieAbyMD @AdvaniRashmiMD @AimenKhanMD @MouhandMD @DavidDiehlMD @SanchezLunaMD @AdamKichlerDO @sachdevmd @SumantInamdar @ShyamTMD @QuinTheLiuMD @KKadkhodayan @MetabolicEndo @AmJGastro @rjsealock @EndoscopyOthman @d21loren @tberzin @Boston_Endo @MSawhneyMD @abdul_kouanda @SriGaddamMD @shailsingh @NorioFukamiMD @amitbhattMD @SiddikiGI @JohnVargoMD @drsethinyc @ColonDocUMMH @AlysonMJohnson @AnotherPatelMD @NCosgroveMD @DennisYangMD @MItaniMD @clivejmiranda Or is inadequate therapeutic response to PPI because patient has functional heartburn (hypersensitive esophagus due to brain-gut dysfunction) and would be better treated with low-dose tri-cyclic antidepressants?
@CamilleLupianez @umer446 @ScopingSundays @ACG_EBGI @AmCollegeGastro @BilalMohammadMD @AhmadBazarbashi @RobertoSimonsMD @vaibhav_manu @rmulkimd @LizzieAbyMD @AdvaniRashmiMD @AimenKhanMD @MouhandMD @DavidDiehlMD @SanchezLunaMD @AdamKichlerDO @sachdevmd @SumantInamdar @ShyamTMD @QuinTheLiuMD @KKadkhodayan @MetabolicEndo @AmJGastro @rjsealock @EndoscopyOthman @d21loren @tberzin @Boston_Endo @MSawhneyMD @abdul_kouanda @SriGaddamMD @shailsingh @NorioFukamiMD @amitbhattMD @SiddikiGI @JohnVargoMD @drsethinyc @ColonDocUMMH @AlysonMJohnson @AnotherPatelMD @NCosgroveMD @DennisYangMD @MItaniMD @clivejmiranda Vonoprazan is FDA-approved for NERD. Presents a very interesting dilemma when patient has heartburn symptoms and EGD shows normal esophagus and patient gets only partial/sub-therapeutic improvement with PPI. Is inadequate response due to inadequate acid suppression?
@CamilleLupianez @ScopingSundays @ACG_EBGI @umer446 @AmCollegeGastro @BilalMohammadMD @AhmadBazarbashi @RobertoSimonsMD @vaibhav_manu @rmulkimd @LizzieAbyMD @AdvaniRashmiMD @AimenKhanMD @MouhandMD This is not FDA-approved use of vonoprazan, but will be much easier (in the future) if we simply give 20mg oral vonoprazan to ED patients with melena as opposed to starting IV PPI bolus + IV PPI continuous infusion
@CamilleLupianez @ScopingSundays @ACG_EBGI @umer446 @AmCollegeGastro @BilalMohammadMD @AhmadBazarbashi @RobertoSimonsMD @vaibhav_manu @rmulkimd @LizzieAbyMD @AdvaniRashmiMD @AimenKhanMD @MouhandMD Although no head-to-head comparisons in healthy individuals (much less patients with gi bleeds), 20 mg vonoprazon oral is likely more potent at increasing gastric pH and would do it more rapidly based on pharmacology.
@CamilleLupianez @ScopingSundays @ACG_EBGI @umer446 @AmCollegeGastro @BilalMohammadMD @AhmadBazarbashi @RobertoSimonsMD @vaibhav_manu @rmulkimd @LizzieAbyMD @AdvaniRashmiMD @AimenKhanMD @MouhandMD This raises gastric pH which minimizes conversion of pepsinogen to pepsin and may help platelet function if pH increases enough. Facilitates clot integrity and reduces recurrent bleeding
@CamilleLupianez @ScopingSundays @ACG_EBGI @umer446 @AmCollegeGastro @BilalMohammadMD @AhmadBazarbashi @RobertoSimonsMD @vaibhav_manu @rmulkimd @LizzieAbyMD @AdvaniRashmiMD @AimenKhanMD @MouhandMD At time of EGD, if clean-based ulcer, then stop IV PPI. If adherent clot or visible vessel/active bleeding requiring hemostasis, then continue IV PPI
@CamilleLupianez @ScopingSundays @ACG_EBGI @umer446 @AmCollegeGastro @BilalMohammadMD @AhmadBazarbashi @RobertoSimonsMD @vaibhav_manu @rmulkimd @LizzieAbyMD @AdvaniRashmiMD @AimenKhanMD @MouhandMD When patient presents with melena or hemetemesis (especially if no reason to suspect esophageal varices), standard is to start 80mg pantoprazole iv bolus + 8mg/hr pantoprazole continuous infusion. This reduces recurrent bleeding if adherent clot has already formed.
@umer446 @ScopingSundays @ACG_EBGI @CamilleLupianez @AmCollegeGastro @BilalMohammadMD @AhmadBazarbashi @RobertoSimonsMD @vaibhav_manu @rmulkimd @LizzieAbyMD @AdvaniRashmiMD @AimenKhanMD @MouhandMD @lukens_f @LionelSDSouza @PeterDraganov @doumitb @SkipKrafftMD @AliAbbasMD @neilRsharmaMD @sushilahlawat1 @iGUT_Houston @tr_levin @SultanMahmoodMD @KiwanGIDoc @clivejmiranda @HarshitKharaMD @JennPhanMD @drKumarGI @NikhilKumtaMD @waqmd @alhaddad_mo @gastrowala @gurutrikumd @RajeshKris @ReemSharaiha Although this has been helpful in the past, it's now a bit outdated based on new ACG Guideline on H.pylori tx (sept 2024). Clarithromycin-resistance has increased throughout the US. Don't use clarithromycin-based tx unless you have antibiotic sensitivities
@umer446 @ScopingSundays @ACG_EBGI @CamilleLupianez @AmCollegeGastro @BilalMohammadMD @AhmadBazarbashi @RobertoSimonsMD @vaibhav_manu @rmulkimd @LizzieAbyMD @AdvaniRashmiMD @AimenKhanMD @MouhandMD Remember-the new ACG Guideline on H.pylori treatment recommends AGAINST using any clarithromycin-based therapy UNLESS you have PCR of h.pylori strain with specific antibiotic sensitivities (which is rarely done). Bottom Line: stay away from clarithromycin-based tx.
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25K Followers 2K Following Professor GI @MayoClinic | Vice Dean Practice & CPXO | ACG Past President | Past IM Chair & PD | Runner | Momx3 |#WomenInMedicine #WomenInGI #BOOM💥 RTs mine
Joseph Sleiman, MD, F... @JosephHabibi_MD
6K Followers 2K Following 🏳️🌈🇱🇧 IBD @ClevelandClinic, ex-@PittGILiverNutr, #SoMe Editor @ACG_EBGI ➡️ @AGA_CGH🧵 #CGH4ALL #IBDAlgorithm @MondayNightIBD @EBMedGI @YOGI_IBD @MenaGastro
Anita Afzali MD, MPH,... @IBD_Afzali
10K Followers 944 Following Interim Chair of Medicine @UCincyMedicine |Physician Operations Executive POE @UC_Health |Secretary General @WorldGastroOrg |Entrepreneur 🇦🇫🇺🇲 T/RT=mine
Michelle Baliss, DO @BalissMichelle
2K Followers 1K Following Interventional Endoscopist @WashUMedGastro
Sophie Balzora, MD, F... @SophieBalzoraMD
8K Followers 910 Following GI doc. ABGH Prez. #DiversityinGI cofounder. #DEI Cmte Chair, ACG. Alum @Princeton|@GWSMHS|@ColumbiaMed|@nyugrossman. Mom|Wife|🇭🇹|Marathoner. #BlackinGastro
Mariam Naveed, MD @MN_GIMD
6K Followers 3K Following Prog Dir GI Fellowship; ADIO GME @adventhealthCFL | Alumnus: @UKYMedicine | @dukemedicine | @UTSWGI | 👦🏻👦🏻 mom; Tweets my own & 🚫 advice #MedEd #WomenInGI
American Gastroentero... @AmerGastroAssn
42K Followers 4K Following Our mission is to empower clinicians and researchers to improve digestive health. Also follow @AGA_Gastro @AGA_CGH @AGA_CMGH @AGA_TIGE @AGA_GHAdvances @AGA_GIHN
Neena S Abraham MD MA... @NeenaSAbrahamMD
8K Followers 834 Following Professor of Medicine | #CardioGI | MD Peer Coach | https://t.co/sPx6AmD3AH | 3OD Physician Career Control Reset | views mine
#ScopingSundays @ScopingSundays
12K Followers 4 Following Endoscopy and Advanced Endoscopy education, discussion, tips & tricks! Every Third Sunday of the Month- learn, connect & return - #ScopingSundays RTs/Ts≠Endors.
Aasma Shaukat MD MPH @AasmaShaukatMD
8K Followers 2K Following Robert M. and Mary H. Glickman Professor of Medicine and Population Health, Director GI outcomes Research, NYU and Harbor VA; Researcher colon cancer prevention
Romy Chamoun, MD @RomyChamoun
1K Followers 978 Following Gastroenterology Fellow @GW_Gastro | Wifey of @RoyTaoutel 💍 #WomenInMedicine 🌍 🇱🇧
Katie Hutchins, MD @kehutchins77
2K Followers 702 Following Asst Prof @UNMC_GIHEP | PD GI Fellowship | #IBD @CrohnsColitisFn NE-IA Board Member | #WomenInGI | Mom to 👧🏼👧🏼👧🏼 | Wife to @GrantHutchins70 = GI^2
ASGE GI Endoscopy @ASGEendoscopy
26K Followers 1K Following The American Society for Gastrointestinal Endoscopy is a professional membership organization dedicated to promoting excellence and innovation in endoscopy.
Fola May, MD PhD @drfolamay
7K Followers 4K Following GI Medicine| Cancer Research| Global Health @UCLAHealth @DeptVetAffairs @Seed_Global | 👩🏾🎓@Yale @Harvardmed @Cambridge_uni @MGHmedicine @UCLAfsph
Dr Jennifer Christie @JChristieMD
2K Followers 508 Following University of Colorado Division Director for Gastroenterology & Hepatology, ASGE Past President, Professor, Wife, Mother, Friend, Learner
Dr. Aja Mccutchen @MccutchenDr
1K Followers 833 Following Exited Founder | GI Physician Executive HealthTech, AI, Health Equity | Medical Correspondent Mom. Wife.
Wayne State/DMC GI Fe... @WayneDMC_Gastro
94 Followers 34 Following Official Account for the WSU/DMC Gastroenterology Fellowship Program | Serving the Metro Detroit Population
Gastro Girl @gastrogirl
7K Followers 7K Following Digestive health education powered by expert knowledge + AI. Podcasts, resources & Ask Gastro Girl®. Official Patient Education Partner @AmCollegeGastro
Mark Pimentel MD @MarkPimentelMD
14K Followers 1K Following Executive Director, @MASTprogram. A program finding solutions to diseases of the human #microbiome such as #SIBO, #IBS, #Metabolicdisorders @CedarsSinai
SandraQuezadaMD @SandraQuezadaMD
1K Followers 288 Following Professor of Medicine in Gastroenterology; IBD specialist centering access to high quality care, excellence and humanism in medicine Opinions = own
Anoushka Dua, MD @anoushkaduaMD
983 Followers 519 Following Gastroenterologist @UCIrvineHealth | interest in 🧬Hereditary GI cancer genetics & CRC prevention | former @ACG_EBGI & @ScrubsNHeels ambassador | views = my own
Katie Dunleavy @dunleavy_katie
2K Followers 2K Following #IBD Physician, Massachusetts General Hospital @MGH_GI | Fellowship @mayoclinicGIHep | Residency @MountSinaiNYC | Alum:🍀@RCSI_Irl @Middlebury (she/her)👩🏼⚕️
Saad Javed, MD @SaadJavedMD
494 Followers 326 Following Director GI,Neurogastroenterology & Motility @AHNGastro. Asst. Prof @DrexelMedicine. Ex-NGM fellow @PennMedicine. GI & IM @LaheyHospital @bethisraellahey
Mark B. Pochapin, MD @MarkPochapin
7K Followers 777 Following Director, Division of Gastroenterology and Hepatology @NYULangone | Past President, American College of Gastroenterology |@NYUDocs Doctor Radio Host
Jordan Shapiro, MD, M... @drjshapiro
2K Followers 2K Following WI-OH-TX. 💩doc. AYA, IBS, IBD, pelvic floor, eating disorders, trauma. White chaiwallah. Tweets are 100% my own and are not medical advice. https://t.co/oVSdYrgg4f.
Carl Kay, MD @CarlKayMD
6K Followers 679 Following Army GI @CRDAMC | Asst Prof of Med @USUhealthsci Husband | Girl Dad x2 | Interests: 26.2, QI, & #MedEd via @SAUSHEC_GI @IUMedSchool & @WheatonCollege
Devika Gandhi, MD @DevikaGandhiMD
1K Followers 917 Following Advanced Endoscopy // Trained around the country to find my way back to Ohio // #IMProud 🩺, 🌱 based, @NatlParkService 🥾 lover, & sad Cleveland sports fan 🏀
Jeff Lee @JeffLeeMD
213 Followers 58 Following Gastroenterologist | Clinical Epidemiologist | Passionate about Colorectal Cancer Prevention | Views my own
Loren Laine @LorenLaine2
645 Followers 57 Following Professor of Medicine, Chief, Section of Digestive Diseases, Yale School of Medicine; 2018 AGA Julius Friedenwald Medal Awardee; Past President AGA
NEJM Evidence @NEJMEvidence
31K Followers 2K Following NEJM Evidence, a journal from NEJM Group, presents innovative Original Research and fresh, bold ideas in Clinical Trial design and clinical decision-making.
Lauren Feld @LaurenFeldMD
2K Followers 1K Following Assistant Professor of Hepatology & Gastroenterology @UMassGI | Passionate about workforce equity, medical ethics and women's health in liver disease. She/her.
Alan Barkun @alan_barkun
724 Followers 223 Following Gastroenterologist, therapeutic endoscopist, and clinical epidemiologist at MCGill University and the MCGill University Health Centre #mcgillmed
World Gastroenterolog... @WorldGastroOrg
6K Followers 282 Following The World Gastroenterology Organisation focuses on the improvement of standards in gastroenterology. WGO Foundation is the philanthropic arm of the WGO.
ABGH @blackingastro
3K Followers 712 Following Black communities are in need of increased access to gut health as well as gastroenterologists, hepatologists & scientists. We're here for that. #BlackinGastro
Liver Fellow Network @LiverFellow
11K Followers 268 Following Collaborative online learning for trainees interested in hepatology | Founded by @hershshroff @LizzieAbyMD @paritapatelmd @adam_c_winters @alexsvogel | #MedEd
Aileen Bui @aileenbui
984 Followers 561 Following Interventional GI @cityofhope | Alumni AEF @Stanford_GI, GI @USC_KeckGILiver | Interests: GI Onc, Therapeutic EUS, 3rd Space | ❤️ adventures on a 🚲.🐱 mom.
CrushingGIBoards @CrushingGIBoard
3K Followers 671 Following THE Go-To #Tweetorial 📄 to LEARN, ENGAGE, & EDUCATE in #Gastroenterology | ⭐️ New case qMonday | #MedEd | #GIBoards #GIRecert • Created by @AdvaniRashmiMD
Yara Sarkis, MD @yaransarkis
2K Followers 952 Following PGY-5 GI Fellow @CooperhealthNJ 👩🏻⚕️!! @IUIntMed & @USJLiban Alumnus||Trilingual 🇱🇧 🌎 || #WomenInMedicine || Weekly #OneMinuteofGI ‼️🩺 Views are my own⚠️
The Colon Club @TheColonClub
4K Followers 647 Following Educating about the risk factors and symptoms of colorectal cancer. Produces On the Rise magazine (formerly known as the Colondar). DMs are open.
Mayo Clinic @MayoClinic
1.9M Followers 2K Following An integrated clinical practice, education and research institution specializing in treating patients. Account maintained by @MayoClinic.
Gastroenterology @AGA_Gastro
30K Followers 543 Following The flagship journal of the @AmerGastroAssn, Gastroenterology is a premiere journal for original research in the field of GI disease. Impact Factor: 25.1Gastroenterology & En... @gastroendonews
15K Followers 3K Following No. 1–rated independent monthly newspaper providing news and information for 23,000 gastroenterologists, colorectal surgeons, hepatologists, PAs and NPs.
CGH @AGA_CGH
14K Followers 518 Following Clinical Gastroenterology and Hepatology (CGH) is the official clinical practice journal of the @AmerGastroAssn. Impact Factor: 12.0
Women In Endoscopy | ... @WomeninEndo
3K Followers 453 Following WIE aims to create a self-limited global organization to facilitate professional growth and promotion in leadership of women in GI. Creator of #WomenInEndo.
Nikki Duong, M.D. @doctornikkid
5K Followers 1K Following @Stanford_GI GI/Hepatologist. VCU trained. @AASLDtweets Liver Scholar 🏳️🌈 @Rainbowingastro CoExec Director/CoFounder @AGA_GHAdvances SoMe Editor @ACG_EBGI AE
Jane Lim @GIJANE_MD
1K Followers 796 Following GI Motility Specialist @CedarsSinai | GI motility @CedarsSinai ‘23 | @UTSWGI ‘21 | IM @CedarsSinai ‘18 | @GWtweets Med ‘15 |🧘🏻♀️♥️🏄🏻♀️🥗
Jasmohan Bajaj @JasmohanBajaj
7K Followers 3K Following Liver specialist at Virginia Commonwealth University and Richmond VAMC . Interested in the brain liver gut axis. Co-EIC of Am J Gastro. Tweets are personal.






