Sign in

Elliot Tapper

@ebtapper.bsky.social
2.6K followers 439 following 502 posts

Hepatologist. #LiverSky / LiverLand. #MedSky. #cirrhosis Academic Chief of Hepatology at University of Michigan. Editor, Hepatology Communications. Kid Chauffeur

PostsRepliesMedia
Elliot Tapper @ebtapper.bsky.social · 30/08/2025
1 in 5 Greek puppies with chronic kidney disease have advanced liver disease and it is the liver disease that is most linked to poor quality of life
250
Reposted by Elliot Tapper
Rob Brierley @robbrierley.bsky.social · 28/08/2025
New at The Lancet Public Health - Targeting alcohol use in high-risk population groups: a US microsimulation study of beverage-specific pricing policies www.thelancet.com/journals/lan... #alcohol #LiverSky #MedSky
thelancet.com
Targeting alcohol use in high-risk population groups: a US microsimulation study of beverage-specific pricing policies
Disproportionate increases in retail prices for the cheapest beverages, beer and spirits, might lead to a greater decline in consumption among high-risk groups. Pricing policies could thus be used as ...
013
Reposted by Elliot Tapper
Pierre Gholam MD @livermd.bsky.social · 18/08/2025
More #efruxifermin data this time in #MASH F2/F3 fibrosis @ 96 weeks ✅ Efficacy w/ dose dependent response (sort of) and NITs consistent ↔️ not crazy about mITT though it is mentioned no paired bx= non responders ⬇️ dose dependent reduction in bone mineral density #liversky
051
Reposted by Elliot Tapper
AASLD @aasldnews.bsky.social · 19/08/2025
New hope for #liverhealth: FDA recently approved Wegovy as the 1st #GLP1 therapy for adults with serious #liverdisease. Research presented at TLM ‘24 demonstrated the groundbreaking treatment potential. Learn more: bit.ly/45phv4R
123
Elliot Tapper @ebtapper.bsky.social · 20/08/2025
journals.lww.com/hepcomm/full...
journals.lww.com
Endohepatology: Current perspectives and future directions : Hepatology Communications
field known as endoscopic hepatology or “endohepatology.” This domain integrates endoscopic diagnostic and therapeutic techniques, particularly those which are endoscopic ultrasound–based, into hepato...
031
Elliot Tapper @ebtapper.bsky.social · 06/08/2025
When did I start rounding?
4100
Reposted by Elliot Tapper
thecurbsiders.bsky.social @thecurbsiders.bsky.social · 04/08/2025
🥾A reboot with endless pearls! #452 NAFLD/MASLD! Expand your NAFLD/MASLD knowledge! Expert guest @ebtapper.bsky.social shares his framework for approaching NAFLD/MASLD and the treatment tools he recommends including lifestyle modifications and medications. www.thecurbsiders.com
051
Reposted by Elliot Tapper
josh farkas 💊 @pulmcrit.bsky.social · 31/07/2025
my take on procal: 1. zero role in ED, shouldn't be used to start ABX 2. CAN be super helpful in first 24 hr after ICU admit to help disprove sepsis in complex cases (eg aspiration pneumonitis or atelectasis masquerading as PNA). helps stop ABX & redirect. 3. not helpful in limiting ABX duration
2141
Reposted by Elliot Tapper
thecurbsiders.bsky.social @thecurbsiders.bsky.social · 16/07/2025
🚨 High Yield Infographic Alert! Elevated PTT? Think bleeding history. 🟢 Non-bleeders: APS, contact factor deficiencies, heparin. 🔴 Bleeders: Hemophilias, vWD, factor VIII inhibitors. Not all prolonged PTTs mean bleeding risk. #MedEd #Hematology #FOAMed #ElevatedPTT #TheCurbsiders
131
Reposted by Elliot Tapper
GarciaPagan @juanc60.bsky.social · 20/07/2025
Another piece of evidence about the role of anticoagulants in cirrhosis. Results of a multicenter effort. The cirroxaban study. @hospitalclinic.bsky.social @idibaps.bsky.social @jhepatology.bsky.social kwnsfk27.r.eu-west-1.awstrack.me/L0/https:%2F...
kwnsfk27.r.eu-west-1.awstrack.me
ScienceDirect.com | Science, health and medical journals, full text articles and books.
042
Reposted by Elliot Tapper
Pierre Gholam MD @livermd.bsky.social · 17/07/2025
Jaume Bosch No one, and I mean no one, made more seminal contributions to the measurement, interpretation & clinical applications of HVPG, the prognostic impact of CSPH and its rx. Truly in the pantheon of all time greatest hepatologists and a kind, generous person on top. RIP #liversky
062
Elliot Tapper @ebtapper.bsky.social · 19/07/2025
Ask my kids what my goals are - though I am consistent, they will tell you the order is reversed
100
Elliot Tapper @ebtapper.bsky.social · 19/07/2025
LIFE GOALS 1. Raise happy children 2. Be old dude at grand rounds who falls asleep
2245
Elliot Tapper @ebtapper.bsky.social · 19/07/2025
Daughter wearing a Jean jacket for our day trip to Canada
000
Reposted by Elliot Tapper
GarciaPagan @juanc60.bsky.social · 15/07/2025
I am very sad. My mentor and friend, Jaume Bosch, just has passed away. Thanks for everything, I will miss you. I would always remember our last day together celebrating a journey we begin together @hospitalclinic.bsky.social @idibaps.bsky.social
2155
Elliot Tapper @ebtapper.bsky.social · 14/07/2025
doi:10.1001/jamanetworkopen.2025.19426
130
Elliot Tapper @ebtapper.bsky.social · 13/07/2025
160
Elliot Tapper @ebtapper.bsky.social · 09/07/2025
Wake up new cause of liver enzyme elevation just dropped
1114
Elliot Tapper @ebtapper.bsky.social · 28/06/2025
They are establishing upper limits of normal for ammonia in pets Thank you for your attention to this matter!
020
Elliot Tapper @ebtapper.bsky.social · 25/06/2025
podcasts.apple.com/us/podcast/l... Gideon is the best of us. Truly infectious enthusiasm for hepatology 👇 management of pbc 👇 clinical philosophy 👇 how to build a research career
podcasts.apple.com
The Latest in PBC with Gideon Hirschfield
Podcast Episode · Liver Talks: The Liver Fellow Network Podcast · 06/17/2025 · 35m
020
Reposted by Elliot Tapper
Critical Care Notes @criticalcarenotes.bsky.social · 18/06/2025
Recently had @ebtapper.bsky.social on the Critical Care Scenarios podcast talking GI and this topic came up. icuscenarios.com/lightning-ro...
icuscenarios.com
Lightning rounds 53: GI Q&A with Elliot Tapper – Critical Care Scenarios
011
Elliot Tapper @ebtapper.bsky.social · 15/06/2025
Cardiovascular risk estimates miss the mark in people with MASH Heart disease is the most important risk for patients with MASH but the commonly used risk equations just don’t work New paper in the red journal @amcollegegastro.bsky.social journals.lww.com/ajg/abstract...
journals.lww.com
Cardiovascular risk assessment tools are insufficient for... : Official journal of the American College of Gastroenterology | ACG
tudy sought to determine the accuracy of the FRS, PCE, and PREVENT in a real-world cohort of patients with MASLD. Methods: This analysis included US adults ≥ age 30 with MASLD in the TARGET-NASH st...
071
Elliot Tapper @ebtapper.bsky.social · 14/06/2025
Dear FreelyFiltered I am a listener of the podcast. I listen for the humans. And their input. I think the AI podcast on the NephJC was a nice as a way for me to hear about a trial and trial discussion I would have missed but the info didnt stick for this adult learner @kidneyboy.bsky.social
182
Elliot Tapper @ebtapper.bsky.social · 14/06/2025
Hepatic encephalopathy is horrible It can present as disorientation and coma. But often causes poor quality of life, falls, and other trauma We want to prevent it. How can we predict it?
141
Reposted by Elliot Tapper
The Clinical Problem Solvers @cpsolvers.bsky.social · 12/06/2025
🚨Interested in Hepatology?🧑‍⚕️ Join us tomorrow at 10:30AM PST/1:30PM EST for a Hepatology VMR with the chief of Hepatology at U Michigan, Dr.Tapper (@ebtapper.bsky.social ) ! ✨🩺 We hope to see you there! ➡️ clinicalproblemsolving.com/learn-live/ #MedSky#ClinicalReasoning #Hepatology #MedEd
031
Elliot Tapper @ebtapper.bsky.social · 05/06/2025
DDAVP for bleeding with incisions. Meh pubmed.ncbi.nlm.nih.gov/3513867/
010
Elliot Tapper @ebtapper.bsky.social · 01/06/2025
Big meetings should provide real-time translation for at least the conferences centerpieces - named lectures, presidential plenaries.
030
Reposted by Elliot Tapper
Pedro Ochoa-Allemant @ochoaallemantmd.bsky.social · 29/05/2025
🚨Check out our new study in @jhepatology.bsky.social ❗️ Using natural language processing to identify >350,000 patients with #steatosis, we demonstrated that cause-specific mortality differs between #MASLD #MetALD and #ALD www.journal-of-hepatology.eu/article/S016...
journal-of-hepatology.eu
Cause-specific mortality in patients with steatotic liver disease in the United States
Causes of death across steatotic liver disease (SLD) subtypes remain incompletely characterized in routine clinical practice. We aimed to quantify and compare cause-specific mortality in SLD.
152
Reposted by Elliot Tapper
Tarek Aridi, MD @tarekaridimd.bsky.social · 29/05/2025
🚨 Hot off the press! Our study is the first to define meaningful score differences (MSDs) for PROMIS, CLDQ & SF-36 in CLD - key to making PROMs clinically actionable! 🔗 journals.lww.com/hepcomm/Full... #LiverSky #GastroSky @aasldnews.bsky.social
011
Elliot Tapper @ebtapper.bsky.social · 29/05/2025
There are two articles in NEJM this year that say naltrexone is 'contraindicated for cirrhosis'. This saddens me. It is not supported by an evidence. Alcohol is 'contraindicated for cirrhosis'. That is supported by evidence
Another review article on AUD
0163
Reposted by Elliot Tapper
Hanna Blaney, MD, MPH @blaneymd.medsky.social · 29/05/2025
An important message on naltrexone in patients with liver disease: ✅Naltrexone can help reduce alcohol use without harming the liver. 🚫Alcohol DOES harm the liver. We do not need any more barriers to treat patients with AUD➕ALD! @nejm.org @ebtapper.bsky.social www.nejm.org/doi/full/10....
0114
Reposted by Elliot Tapper
GarciaPagan @juanc60.bsky.social · 23/05/2025
Science and fun @hospitalclinic.bsky.social @idibaps.bsky.social @ebtapper.bsky.social @rbataller.bsky.social
131
Reposted by Elliot Tapper
Jonathan G. Stine, MD MSc, FACP @jonathanstinemd.bsky.social · 23/05/2025
It was an absolute delight to contribute to this high-impact work with @tom-marjot.bsky.social and @mattarmstrong95.bsky.social in which we review all things #MASLD and #Muscle! If you're looking for holiday weekend reading, look no further: journals.lww.com/hepcomm/page... @ebtapper.bsky.social
journals.lww.com
Skeletal muscle and MASLD: Mechanistic and clinical insights : Hepatology Communications
, which all converge on the liver to drive disease progression and adverse patient outcomes. This review explores the mechanistic links between skeletal muscle and MASLD, including the role of abnorma...
082
Elliot Tapper @ebtapper.bsky.social · 20/05/2025
050
Elliot Tapper @ebtapper.bsky.social · 18/05/2025
See you at the liver meeting
050
Reposted by Elliot Tapper
Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 12/05/2025
There you have it: BEDMED published in @jama.com jamanetwork.com/journals/jam... h/t @drjmluther.bsky.social No difference in bedtime versus morning BP meds - as expected #NephSky #Hypertension 1/
Figure of survival curve showing no difference
25628
Elliot Tapper @ebtapper.bsky.social · 15/05/2025
A patient with cirrhosis doubled their bowling score after starting lactulose #CovertHE
292
Elliot Tapper @ebtapper.bsky.social · 07/05/2025
We have work to do!!! journals.lww.com/hepcomm/full...
000
Reposted by Elliot Tapper
A-TANGO Project @a-tango.bsky.social · 25/04/2025
Feel free to follow the new A-TANGO Consortium + #hepatology Starter Pack go.bsky.app/Tc8YSWq #LiverSky #LiverResearch #LiverDisease #hepatitis #cirrhosis #ACLF #HepatologyJournals @rajivjalan.bsky.social @europeliver.bsky.social @easlnews.bsky.social @jhepatology.bsky.social @ebtapper.bsky.social
087
Reposted by Elliot Tapper
Heather @heathernp.bsky.social · 19/04/2025
Important things to teach our patients (and each other!) #foodismedicine #worldliverday
031
Reposted by Elliot Tapper
Grace Su @gsu888.bsky.social · 19/04/2025
Celebrating #worldliverday with high protein bagel breakfast sandwich @heathernp.bsky.social @ebtapper.bsky.social @orenfix.bsky.social @aasldnews.bsky.social
022
Reposted by Elliot Tapper
Oliver Tavabie @otavabie.bsky.social · 16/04/2025
Fantastic to see the updated BSG/BASL decompensated cirrhosis admission bundle in print at FG - practical guidance to improve care in the first 24 hours as well as implementation strategy - congrats Stuart McPherson for driving this! #livertwitter fg.bmj.com/content/earl...
fg.bmj.com
Decompensated cirrhosis: an update of the BSG/BASL admission care bundle
Acute decompensated cirrhosis (DC) and acute-on-chronic liver failure are common reasons for hospital admission that have a high in-hospital mortality rate (10%–20%). Patients require a detailed asses...
0116
Reposted by Elliot Tapper
Hanna Blaney, MD, MPH @blaneymd.medsky.social · 17/04/2025
This trend is *very* concerning given that alcohol damages the liver of females at 2x the rate of males. We are seeing so many young females (20s and 30s) who get very sick and often die from🍸🍷🍻-associated liver disease! We need to work on strategies to 📉 alcohol use in this population! #liversky
154
Elliot Tapper @ebtapper.bsky.social · 12/04/2025
A pharmacist told a patient they don’t make acamprosate any more and I need to find an alternative Another pharmacy says it is on back order What is the deal? Anyone else seeing this?
210
Elliot Tapper @ebtapper.bsky.social · 12/04/2025
A study by Perez-campuzano and @juanc60.bsky.social that randomizes patients with portal hypertension to two terlipressin strategies and octreotide and shows no significant change in portal pressure #liversky
082
Elliot Tapper @ebtapper.bsky.social · 12/04/2025
Management of ascites by a bunch of radiologists and my friend @brettefortune.bsky.social doi.org/10.2214/ajr.... #liversky
doi.org
Management of Ascites: AJR Expert Panel Narrative Review | AJR
Ascites can develop in the setting of a variety of pathologies. The approach to treatment depends on accurate determination of the underlying cause, for which fluid analysis plays a central role. In p...
031
Reposted by Elliot Tapper
Jeffrey V Lazarus @jvlazarus.bsky.social · 05/04/2025
"Food is Medicine" -But for whom? The accessibility problem in nutrition and liver health: worldliverday.org/food-is-medi... #WorldLiverDay #SLDthinktank #LiverSky @easlnews.bsky.social @ebtapper.bsky.social @aleksanderkrag.bsky.social @debbieshawcross.bsky.social @melinamanolas.bsky.social
worldliverday.org
051
Elliot Tapper @ebtapper.bsky.social · 04/04/2025
❤️
050
Elliot Tapper @ebtapper.bsky.social · 04/04/2025
Everything you need to know about terlipressin journals.lww.com/hepcomm/full...
journals.lww.com
The current applications and future directions of... : Hepatology Communications
sion-based administration compared to bolus dosing. We discuss previously reported adverse effects of terlipressin and evidence-based strategies to maximize the safety of administration. We also revie...
151