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Gastroenterology Advisor

@gastroadvisor.bsky.social
26 followers 4 following 348 posts

Trusted knowledge base of practical information and resources focused on gastroenterology medicine.

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Gastroenterology Advisor @gastroadvisor.bsky.social · 07/10/2026
Patients with locally advanced rectal cancer who receive short-course or long-course neoadjuvant radiation experience comparable overall survival outcomes, though nodal downstaging is more likely with long-course radiotherapy. Cc: @ascrs.bsky.social
gastroenterologyadvisor.com
Short- and Long-Course Radiotherapy Effective Options in Advanced Rectal Cancer
Short-course and long-course radiotherapy yield similar overall survival rates in patients treated for locally advanced rectal adenocarcinoma.
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Gastroenterology Advisor @gastroadvisor.bsky.social · 02/10/2026
Previous treatment with #adalimumab independently predicts lower #infliximab trough levels at the time of endoscopic remission in pediatric #Crohn disease patients. @crohnscolitisfdn.bsky.social www.gastroenterologyadvisor.com/new…
gastroenterologyadvisor.com
Prior Adalimumab Exposure Affects Infliximab Treatment in Pediatric Crohn Disease
Endoscopic remission in pediatric Crohn disease occurred at lower infliximab trough levels among patients with previous adalimumab exposure.
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Gastroenterology Advisor @gastroadvisor.bsky.social · 29/09/2026
Psyllium produces a beneficial clinical response among individuals with irritable bowel syndrome, investigators concluded in @aga-gastro.bsky.social. #IBS cc: @amergastroassn.bsky.social www.gastroenterologyadvisor.com/new…
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Gastroenterology Advisor @gastroadvisor.bsky.social · 23/09/2026
Xenobiotic liver injury nearly quadrupled over 25 years, with single-ingredient acetaminophen strongly linked to serious liver injury. @aga-cgh.bsky.social, @amergastroassn.bsky.social www.gastroenterologyadvisor.com/new…
gastroenterologyadvisor.com
Acetaminophen-Associated Liver Injury Events Increasing in the US
Xenobiotic-associated liver injury increased nearly 4-fold, with medications, specifically acetaminophen, driving most cases.
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Gastroenterology Advisor @gastroadvisor.bsky.social · 22/09/2026
In patients with #CrohnDisease, the presence of an intraoperative abscess alone does not neccessarily compromise the safety of primary anastomosis. (@crohnscolitisfdn.bsky.social) www.gastroenterologyadvisor.com/new…
gastroenterologyadvisor.com
Primary Anastomosis Is Safe in CD Despite Intraoperative Abscess
In patients with CD undergoing primary anastomosis, an intraoperative abscess alone does not predict increased risk for complications.
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Gastroenterology Advisor @gastroadvisor.bsky.social · 17/09/2026
Fewer than 12 lymph nodes examined remained associated with worse prognosis, making lymph node count a relevant metric after neoadjuvant therapy. Read more: www.gastroenterologyadvisor.com/new…
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Low Lymph Node Yield in Rectal Adenocarcinoma Predicts Worse Survival
Inadequate lymph node harvest in patients with rectal adenocarcinoma was linked to worse survival outcomes.
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Gastroenterology Advisor @gastroadvisor.bsky.social · 14/09/2026
Coffee's effects on conditions such as #GERD, #IBS, #IBD, and GI cancers are mixed, with associations varying by dose, age, diet, and more. Read more: www.gastroenterologyadvisor.com/fea…
gastroenterologyadvisor.com
Coffee and Gut Health: A Complex Relationship
Coffee's effect on gut health is nuanced. Some studies suggest favorability; others link coffee or caffeine to worse reflux or specific risks.
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Gastroenterology Advisor @gastroadvisor.bsky.social · 10/09/2026
Ultrasound-derived LIID and LSM may provide a noninvasive way to detect MASH and assess liver fibrosis, potentially reducing the need for liver biopsy. www.gastroenterologyadvisor.com/new…
gastroenterologyadvisor.com
LIID: a Novel Noninvasive Liver Fibrosis Assessment Tool
Ultrasound-derived LIID can invasively identify MASH, while LSM accurately detects liver fibrosis, potentially reducing the need for liver biopsy.
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Gastroenterology Advisor @gastroadvisor.bsky.social · 09/09/2026
In autoimmune #gastritis, IFA positivity is independently linked to #anemia, while H pylori infection is associated with a higher incidence of iron-deficiency anemia. Read more: www.gastroenterologyadvisor.com/new…
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Anemia Prevalent in Autoimmune Gastritis and IFA Positivity
Anemia is common in autoimmune gastritis and independently linked to IFA positivity, while iron-deficiency anemia is more frequent with H pylori.
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Gastroenterology Advisor @gastroadvisor.bsky.social · 04/09/2026
Thiopurines have the most consistent malignancy associations in #IBD, with the strongest lymphoma signal observed with anti-TNF plus thiopurine therapy. Read more: www.gastroenterologyadvisor.com/new…
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Gastroenterology Advisor @gastroadvisor.bsky.social · 04/09/2026
Proton pump inhibitors can improve nighttime heartburn and reflux-related sleep disturbances, particularly among patients with reflux-driven nocturnal #GERD symptoms. Read more: www.gastroenterologyadvisor.com/new…
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PPIs Aid Nighttime Heartburn, Sleep Disturbances in Nocturnal GERD
Proton pump inhibitors improve nighttime heartburn and GERD-related sleep disturbances.
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Gastroenterology Advisor @gastroadvisor.bsky.social · 01/09/2026
5-ASA intolerance is associated with difficult-to-treat #UlcerativeColitis and largely driven by acute intolerance syndrome, highlighting the need for phenotype-based risk stratification. www.gastroenterologyadvisor.com/new…
gastroenterologyadvisor.com
Difficult-to-Treat Risk in UC Associated With Acute 5-ASA Intolerance Syndrome
Acute intolerance symptoms was identified as a primary driver of developing difficult-to-treat ulcerative colitis.
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Gastroenterology Advisor @gastroadvisor.bsky.social · 28/08/2026
Laser hemorrhoidoplasty provides long-term outcomes close to excisional hemorroidectomy, with less postoperative pain and a shorter recovery. www.gastroenterologyadvisor.com/new…
gastroenterologyadvisor.com
Excisional Hemorrhoidectomy Best Surgical Option for Extended Symptom Relief
Five-year follow-up found excisional hemorrhoidectomy had the best outcomes, while laser hemorrhoidoplasty offered similar effectiveness with less postoperative pain.
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Gastroenterology Advisor @gastroadvisor.bsky.social · 26/08/2026
Fecal calprotectin shows high accuracy for colorectal inflammation and may help rule out significant colonoscopy abnormalities in chronic diarrhea. Read more: www.gastroenterologyadvisor.com/new…
gastroenterologyadvisor.com
CGICA-FC Test Is Accurate, Noninvasive Tool for Chronic Diarrhea
Fecal calprotectin accurately identified colorectal inflammation in chronic diarrhea, potentially reducing unnecessary colonoscopies.
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Gastroenterology Advisor @gastroadvisor.bsky.social · 26/08/2026
Prior decompensation identified patients with variceal #hemorrhage at higher risk for death, particularly those with prior ascites or encephalopathy. @aga-cgh.bsky.social www.gastroenterologyadvisor.com/new…
gastroenterologyadvisor.com
Could a History of Decompensation Be a New Indication for p-TIPS Placement?
Prior decompensation is linked to higher mortality and further decompensation after variceal hemorrhage, identifying a high-risk subgroup.
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Gastroenterology Advisor @gastroadvisor.bsky.social · 25/08/2026
Disorders of gut-brain interaction are common among children with #IBD and are associated with poorer quality of life and greater psychological burden. (@aga-gastro.bsky.social) www.gastroenterologyadvisor.com/new…
gastroenterologyadvisor.com
DGBI-Like Symptoms Linked to Worse Health-Related QOL in Pediatric IBD
Disorders of gut-brain interaction-like symptoms affect 34.4% of children with IBD and are linked to poorer QOL, higher anxiety, and maladaptive behavior.
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Gastroenterology Advisor @gastroadvisor.bsky.social · 24/08/2026
From @ngmjournal.bsky.social: Restrictive diets are prescribed to 16% of patients with eating disorders, highlighting a need for greater HCP education on dietary management. www.gastroenterologyadvisor.com/new…
gastroenterologyadvisor.com
Restrictive Diets Prescribed Despite Eating Disorder History in GI Care
Restrictive diets are prescribed to 16% of patients with eating disorder histories receiving gastroenterology care.
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Gastroenterology Advisor @gastroadvisor.bsky.social · 24/08/2026
#Risankizumab is more effective than #ustekinumab at reducing corticosteroid use and achieving corticosteroid-free outcomes in #CrohnDisease. cc: @crohnscolitisfdn.bsky.social www.gastroenterologyadvisor.com/new…
gastroenterologyadvisor.com
Risankizumab Superior to Ustekinumab for Corticosteroid-Sparing Effect in CD
Risankizumab achieves higher rates of corticosteroid-free clinical, endoscopic, and quality-of-life outcomes than ustekinumab among patients with moderate to severe CD.
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Gastroenterology Advisor @gastroadvisor.bsky.social · 19/08/2026
In patients with #psoriasis and #obesity, negative effects were noted for response to interleukin-17 and IL-12/23 inhibitors, but not for tumor necrosis factor-alpha or IL-23 inhibitors. www.dermatologyadvisor.com/news/obe…
dermatologyadvisor.com
Obesity Is Associated With Reduced Biologic Response in Psoriasis
Patients with psoriasis and obesity may experience a reduced response to biologics, though further research is needed to confirm these findings.
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Gastroenterology Advisor @gastroadvisor.bsky.social · 19/08/2026
Despite increased awareness of assessing bowel urgency symptoms in UC, there is room for improvement in collecting the information in clinical practice. (@crohnscolitisfdn.bsky.social) www.gastroenterologyadvisor.com/new…
gastroenterologyadvisor.com
Bowel Urgency Inconsistently Assessed in UC
Bowel urgency is inconsistently evaluated in a real-world setting of patients treated for ulcerative colitis.
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Gastroenterology Advisor @gastroadvisor.bsky.social · 19/08/2026
High nighttime light exposure is linked to lower #IBD risk and fewer health care visits and hospitalizations. cc: @crohnscolitisfdn.bsky.social Read more: www.gastroenterologyadvisor.com/new…
gastroenterologyadvisor.com
Artificial Light Exposure at Night May Lower IBD Risk
High outdoor artificial light at night was associated with lower odds of IBD and fewer outpatient visits and hospitalizations.
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Gastroenterology Advisor @gastroadvisor.bsky.social · 19/08/2026
Patients with type 2 #diabetes who received DPP-4 inhibitors are at greater risk of developing #PemphigusVulgaris, with the greatest risk observed among those who received linagliptin. www.dermatologyadvisor.com/news/dpp…
dermatologyadvisor.com
DPP-4 Inhibitor Use for Type 2 Diabetes May Increase Risk for Pemphigus Vulgaris
The risk for PV is greater in patients with type 2 diabetes who received DPP-4 inhibitors compared with those who received other medications.
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Gastroenterology Advisor @gastroadvisor.bsky.social · 18/08/2026
#CrohnDisease remains associated with excess mortality, while #UlcerativeColitis mortality is similar to matched control individuals despite advances in biologic therapy. Read more: www.gastroenterologyadvisor.com/new…
gastroenterologyadvisor.com
In Biologic Treatment Era, Mortality Risk Elevated in High-Risk CD Patients
Patients with CD have higher all-cause mortality than matched control individuals, while UC mortality remains comparable in the biologic era.
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Gastroenterology Advisor @gastroadvisor.bsky.social · 18/08/2026
Lean #MASLD prognosis varies by #BMI and cardiometabolic profiles, with underweight patients at the greatest risk for adverse liver and mortality outcomes. Read more: www.gastroenterologyadvisor.com/new…
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In Lean MASLD, Greater CMRF Burden Associated With Worse Disease Trajectory
Lean MASLD is not a uniform condition. Underweight status and greater cardiometabolic burden are linked to worse outcomes.
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Gastroenterology Advisor @gastroadvisor.bsky.social · 17/08/2026
CYP2C19 genotyping may help personalize PPI treatment in pediatric #EosinophilicEsophagitis by identifying children most likely to respond to high-dose therapy. Read more: www.gastroenterologyadvisor.com/new…
gastroenterologyadvisor.com
CYP2C19 Genotyping May Optimize PPI Therapy in Pediatric EoE
CYP2C19 genotype influences pediatric EoE response to PPIs, with intermediate/slow metabolizers showing the greatest benefit from high-dose therapy.
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Gastroenterology Advisor @gastroadvisor.bsky.social · 17/08/2026
Early-life #PFAS exposure is linked to greater childhood intestinal inflammation, supporting a potential role in #IBD risk. @aga-cgh.bsky.social @amergastroassn.bsky.social www.gastroenterologyadvisor.com/new…
gastroenterologyadvisor.com
Higher PFAS in Early Life Predicts Higher Fecal Calprotectin in Childhood
Early-life PFAS exposure is associated with higher fecal calprotectin levels throughout childhood.
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Gastroenterology Advisor @gastroadvisor.bsky.social · 12/08/2026
From @aga-cgh.bsky.social: Early resumption of antithrombotic therapy after GI bleeding reduces vascular events and mortality despite a modest increase in rebleeding. www.gastroenterologyadvisor.com/new…
gastroenterologyadvisor.com
Restarting Antithrombotic Therapy After a GI Bleed Linked to Better Outcomes
Restarting antiplatelet or anticoagulant therapy after GI bleeding lowers major vascular events and mortality despite a modest increase in recurrent bleeding.
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Gastroenterology Advisor @gastroadvisor.bsky.social · 12/08/2026
Excluding nonmelanoma skin cancer, #CrohnDisease is associated with only about 1 excess cancer case per 1000 person-years, regardless of treatment. Read more: www.gastroenterologyadvisor.com/new…
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Gastroenterology Advisor @gastroadvisor.bsky.social · 11/08/2026
Patients with #IBD frequently develop mild and moderate infections, highlighting the need for individualized risk assessment and closer monitoring during treatment. Read more: www.gastroenterologyadvisor.com/new…
gastroenterologyadvisor.com
Mild, Moderate Infections Common in IBD, With Steroids Doubling Infection Risk
Mild and moderate infections in IBD are common and linked to steroids, JAK inhibitors, anti-TNF therapy, smoking, female sex, and comorbidities.
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Gastroenterology Advisor @gastroadvisor.bsky.social · 11/08/2026
Most #IBD clinicians value sexual health discussions, but only 9% address them routinely. Cc: @crohnscolitisfdn.bsky.social www.gastroenterologyadvisor.com/new…
gastroenterologyadvisor.com
Survey Reveals Barriers to Sexual Health Discussions in IBD Clinics
Although most IBD clinicians recognize the importance of discussing sexual health, few do so routinely because of time constraints and other factors.
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Gastroenterology Advisor @gastroadvisor.bsky.social · 10/08/2026
Early anti-TNF therapy appears safe in pediatric penetrating #CrohnDisease and may improve remission while reducing operation with drainage. Read more: www.gastroenterologyadvisor.com/new…
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Early Anti-TNF Safe for Pediatric CD With Internally Penetrating Complications
Early anti-TNF therapy improves 1-year remission without increasing serious adverse events and reduces operation when combined with percutaneous drainage.
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Gastroenterology Advisor @gastroadvisor.bsky.social · 07/08/2026
The 2025 Dietary Guidelines for Americans may overlook key dietary factors that promote liver health, highlighting the need for more liver-specific nutritional guidance. Read more: www.gastroenterologyadvisor.com/new…
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2025 Dietary Guidelines for Americans May Exacerbate Liver Fibrosis
Plant-based foods and whole grains are linked to better liver health, while red meat, excess protein, and sodium are linked to worse liver outcomes.
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Gastroenterology Advisor @gastroadvisor.bsky.social · 07/08/2026
The @aasldnews.bsky.social released new guidance on the evaluation and selection of pediatric liver transplant candidates. More on the updated recommendations: www.gastroenterologyadvisor.com/fea…
gastroenterologyadvisor.com
AASLD AST NASPGHAN Guideline Update on Pediatric Liver Transplant Evaluation
New AASLD guidelines on evaluating and selecting pediatric liver transplant candidates focus on pre-transplant assessment, organ allocation, and more.
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Gastroenterology Advisor @gastroadvisor.bsky.social · 07/08/2026
Risk-based FIT screening may be more effective than universal screening for adults aged 45 to 49 years. #ColorectalCancer Read more: www.gastroenterologyadvisor.com/new…
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CRC Screening Has Lower Diagnostic Yield for Adults Aged 45 to 49 Years
Adults aged 45 to 49 years have higher FIT participation but lower neoplasia detection, supporting risk-stratified CRC screening.
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Gastroenterology Advisor @gastroadvisor.bsky.social · 04/08/2026
Individuals with overweight with any cardiometabolic risk factor should be considered for FIB-4 assessment to improve #MASLD detection and advanced #fibrosis. Read more: www.gastroenterologyadvisor.com/new…
gastroenterologyadvisor.com
Screening Adults With Overweight With Any Cardiometabolic Risk Factor Improves MASLD Detection
Among individuals with overweight, screening those with cardiometabolic risk factors identified 94% of MASLD cases.
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Gastroenterology Advisor @gastroadvisor.bsky.social · 03/08/2026
#Dupilumab achieves high clinicohistologic response rates and maintains a favorable safety profile among adolescents and adults with #EosinophilicEsophagitis. www.gastroenterologyadvisor.com/new…
gastroenterologyadvisor.com
Weekly, Semiweekly Dupilumab Induction Comparable for Managing EoE
Dupilumab is safe and highly efficacious for eosinophilic esophagitis, with weekly and semiweekly dosing producing comparable results.
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Gastroenterology Advisor @gastroadvisor.bsky.social · 03/08/2026
Repeat #colonoscopy with standard endoscopes should be the preferred method after incomplete colonoscopy, when feasible. Read more: www.gastroenterologyadvisor.com/new…
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High Cecal Intubation Rate Possible After Prior Failed Colonoscopy
Repeat colonoscopy achieves a 96.1% cecal intubation rate and detects lesions often missed by radiographic imaging.
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Gastroenterology Advisor @gastroadvisor.bsky.social · 31/07/2026
A simple 1-minute saline cooling step after #colorectal ESD significantly reduces PECS while maintaining procedural efficacy and safety. www.gastroenterologyadvisor.com/new…
gastroenterologyadvisor.com
Water Cooling Reduces PECS After Colorectal Endoscopic Submucosal Dissection
Water cooling after colorectal ESD halves PECS risk and shortens the procedure time without compromising resection success or safety.
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Gastroenterology Advisor @gastroadvisor.bsky.social · 29/07/2026
Right-sided #colectomy is linked to lower #dyslipidemia risk, supporting routine lipid monitoring after #ColonCancer operation. Read more: www.gastroenterologyadvisor.com/new…
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Colon Cancer Laterality Influences Postcolectomy Metabolic Risks
Right- vs left-sided colectomy lowers dyslipidemia risk by 20%, with no difference in diabetes or hypertension.
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Gastroenterology Advisor @gastroadvisor.bsky.social · 29/07/2026
Total integrated acidity exposure predicts PPI response better than acid exposure time, especially among patients with inconclusive #GERD findings. www.gastroenterologyadvisor.com/new…
gastroenterologyadvisor.com
Dose-Based Acidity Metrics Predict PPI Response in GERD
Total integrated acidity exposure outperformed acid exposure time in predicting PPI response and improved GERD patient stratification.
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Gastroenterology Advisor @gastroadvisor.bsky.social · 28/07/2026
A 4-week #stent retention strategy reduces the need for #endoscopic stent removal while maintaining safety after #ERCP, investigators concluded in @aga-cgh.bsky.social. www.gastroenterologyadvisor.com/new…
gastroenterologyadvisor.com
Longer Stent Retention Reduces Endoscopic Removal Rate in ERCP With PDS Placement
Four-week pancreatic duct stent retention after ERCP reduces the need for endoscopic stent removal without increasing pancreatitis or complications.
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Gastroenterology Advisor @gastroadvisor.bsky.social · 28/07/2026
End-to-side ileocolonic #anastomosis is a safe, simple technique associated with lower #endoscopic recurrence after #ileocecectomy. Read more: www.gastroenterologyadvisor.com/new…
gastroenterologyadvisor.com
End-to-Side Anastomosis Is Safe and Effective for Reducing Disease Recurrence in CD
End-to-side ileocolonic anastomosis is linked to lower Crohn disease recurrence, less blood loss, and shorter operative times.
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Gastroenterology Advisor @gastroadvisor.bsky.social · 27/07/2026
Sexual distress is common after #IPAA, particularly among women, highlighting the need for routine sexual and mental health assessment during follow-up. #UlcerativeColitis www.gastroenterologyadvisor.com/new…
gastroenterologyadvisor.com
Sexual Distress Common in Women Years After IPAA for Ulcerative Colitis
Sexual distress affects 39% of patients after ileal pouch-anal anastomosis for UC and is linked to bowel dysfunction, anxiety, and depression.
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Gastroenterology Advisor @gastroadvisor.bsky.social · 27/07/2026
Weight loss and reduced ultra-processed food intake, not diet type, lead to liver fat improvement in #MASLD, researchers concluded in @jhepatology.bsky.social. Read more: www.gastroenterologyadvisor.com/new…
gastroenterologyadvisor.com
Weight Loss, Reduced Ultra-Processed Food Intake Drive Liver Fat Decrease in MASLD
Weight loss and lower ultra-processed food intake — not diet type — improve liver fat among those with MASLD.
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Gastroenterology Advisor @gastroadvisor.bsky.social · 24/07/2026
Patient-level social risk predicts #ColorectalCancer treatment delays better than neighborhood-level deprivation measures. www.gastroenterologyadvisor.com/new…
gastroenterologyadvisor.com
Individual-Level Socioecological Burden Affects CRC Treatment Initiation
High socioecological burden delays colorectal cancer treatment, which supports patient-level social risk screening.
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Gastroenterology Advisor @gastroadvisor.bsky.social · 24/07/2026
#ChronicKidneyDisease is common in primary biliary #cholangitis and is driven by metabolic comorbidities and liver disease severity. Read more: www.gastroenterologyadvisor.com/new…
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Chronic Kidney Disease Increases Mortality Risk in Primary Biliary Cholangitis
One in 10 patients with primary biliary cholangitis has CKD, with hypertension, diabetes, and advanced liver disease increasing CKD risk and mortality.
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Gastroenterology Advisor @gastroadvisor.bsky.social · 22/07/2026
#Statin therapy is associated with significantly lower risk for #HCC, hepatic decompensation, and all-cause mortality in patients with #CLD. www.gastroenterologyadvisor.com/new…
gastroenterologyadvisor.com
Statins Linked to Lower HCC, Hepatic Decompensation Risk in Chronic Liver Disease
Statin use is associated with lower risk for HCC, hepatic decompensation, and all-cause mortality in chronic liver disease.
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Gastroenterology Advisor @gastroadvisor.bsky.social · 22/07/2026
Patients with #MASLD-related #cirrhosis experience similar 1-year survival and post-#TIPS complication rates as patients with alcohol- or viral-related cirrhosis. Read more: www.gastroenterologyadvisor.com/new…
gastroenterologyadvisor.com
Comparable Short-Term TIPS Outcomes in MASLD-Related Cirrhosis
Patients with MASLD-related cirrhosis have similar 1-year survival and post-TIPS complication rates as those with alcohol- or viral-related cirrhosis.
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Gastroenterology Advisor @gastroadvisor.bsky.social · 21/07/2026
From @amergastroassn.bsky.social: Pancreatic precursor #lesions, especially #PanIN, and family history are linked to increased risk for #PancreaticCancer. www.gastroenterologyadvisor.com/new…
gastroenterologyadvisor.com
Pancreatic Cancer Risk High for Patients With Precursor Lesions and Their Relatives
Those with pathologically confirmed pancreatic precursor lesions and their first-degree relatives have significantly higher risk for pancreatic cancer.
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Gastroenterology Advisor @gastroadvisor.bsky.social · 21/07/2026
Two rounds of annual #stool-based screening provides the greatest reduction in long-term #ColorectalCancer risk. www.gastroenterologyadvisor.com/new…
gastroenterologyadvisor.com
Repeat Stool Test Adherence Decreases Long-Term CRC Risk
Completing at least 2 rounds of annual stool testing reduces long-term colorectal cancer risk, with smaller benefits from additional rounds.
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