Marc Pigrau

No heartburn ≠ no reflux—but also ≠ always GERD. Silent symptoms → test first OFF THERAPY, then treat. Avoid blind PPI use. Presented by Presented by Dr. Michael Vaezi @VUMChealth @DDWMeeting #ddw2026 @AmerGastroAssn

Up to 25–40% of IBS-D may actually be bile acid diarrhea (BAD). 🧪 Combining serum C4 + fecal bile acids improves screening accuracy → a practical, accessible approach to identify BAD early. Don’t miss a treatable cause. #IBS #DDW2026 presented by #DrCamilleri,@DDWMeeting

#DDW2026 is off to a great start! Incredible science presented today at the @ABEbariatric 11th Annual Course. NOVEL : 💡diabetic duodenopathy! 💡bypassing the duodenum with 🧲 —> 🛑 diabetes 💡ablating duodenal mucosa w/out surgery- no need for insulin!!

🩸 Your NEW hemostasis toolbox in GI bleeding, more options, better precision! From 🔥 thermal (bipolar, APC) to 🧷 mechanical clips, 💉 topical agents (TC-325, UI-EWD), 🔍 advanced diagnostics & suction tailor therapy to the 🩸 #GiTwitter #ddw2026 #Endoscopy @DDWMeeting

Quality colonoscopy is crucial for prevention of colon cancer. @SultanShazi shows how to improve our ADR @DDWMeeting. 2nd look in R colon is just as good as retroflexion in R colon. @AmerGastroAssn @ASGEendoscopy @ibdgijami @JElmunzer #PGCourse

Lower GI bleeding with a focus on prevention of post polypectomy with @DrBloodandGuts ✅Clip large defects ✅Clip stalks on pedunculated polyps prior to snare ✅Hot biopsy forceps for rapid hemostasis during a procedure

48 ensayos, 38.986 pacientes. Eso es lo que ha analizado Digestive Endoscopy en su meta-análisis de CADe en colonoscopia. Conclusión: ENDO-AID, CADEYE y GI Genius mejoran la ADR. Pero no todos los sistemas son iguales. doi.org/10.1111/den.70… #Colonoscopia #CADe #IAenMedicina

🎯🆕 Guías del Reino Unido sobre la toma de biopsias en la endoscopia digestiva alta @FrontGastro_BMJ 📸: fg.bmj.com/content/early/…

¿Diarrea tras cirugía bariátrica? Piensa en el páncreas. 📉 La insuficiencia pancreática exocrina (IPE) es una complicación infradiagnosticada tras cirugía metabólica (hasta el 75% en cruce duodenal). Un diagnóstico precoz con elastasa fecal cambia el manejo. 🔗 doi.org/10.1007/s10620… #Gastroenterologia #CirugiaBariatrica #Nutricion

Algoritmo pragmático para el manejo agudo del sangrado en pacientes que reciben terapia anticoagulante: European Heart Journal: Acute Cardiovascular Care 2026; DOI: doi.org/10.1093/ehjacc…

Latest #GUTScience paper by Sanchez et al related to barrier function entitled "Non-invasive measurement of intestinal barrier function in environmental enteropathy using transcutaneous fluorescence sensing" via bit.ly/3PQYtyN #BarrierFunction @druppygill

Prucalopride added to 2-L PEG improves bowel preparation quality and increases polyp detection compared with 2-L PEG alone. @JGHofficial doi.org/10.1111/jgh.70… #JGH #Colonoscopy

🧬🔎 Seronegative enteropathies: when coeliac serology is negative… what next? Villous atrophy without positive coeliac antibodies is a diagnostic minefield. This FG review walks through the differential diagnosis, structured investigation, and practical management of seronegative enteropathies — from autoimmune and drug-induced causes to infections and immunodeficiency. 📖 Read more: #CoeliacDisease #VillousAtrophy #Malabsorption #ClinicalReasoning #GastroTwitter #FrontlineGastro @PhilSmithIsBack @OTavabie @dr_aditi_kumar @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman @BASLedu @BSGtrainees @WorldGastroOrg @ulstergastro @SEEDendoscopia @EASLedu @AmCollegeGastro @Aegastro @SAGES_updates @WAGE_media @my_UEG @amergastroassn @NASPGHAN @UHSEndoscopy @ESGE_news @amergastroassn @BritSocGastro @ASGEendoscopy @ESPENorg @SENPE_ @ASPEN_nutrition @BAPENUK

Refractory constipation (AGA 2026): persistent symptoms despite optimal management (diet, medications, biofeedback). Before labeling as refractory: ➡️ Exclude secondary causes ➡️ Rule out defecatory disorders (ARM + BET) ➡️ Confirm slow colonic transit #MedTwitter #GITwitter

La hemorragia digestiva baja es ya más frecuente que la hemorragia digestiva alta. Nos ponemos al día en el curso #PérezMateo #AEG2026

⚡️Tips to improve lift for resection⚡️ AGA update on lifting agents: doi.org/10.1016/j.cgh.… 1. SSLs: No injection if margins are visible or < 20 mm 2. 10-30 mm lesions: central injection 3. Dominant lesions: start from accessible region 4. >30: inject, cut, repeat Agents:Fig

What's new in upper gastrointestinal pathology: Key updates and evolving challenges in 2026 sciencedirect.com/science/articl… #GIpath

Advances in the pathophysiology, diagnosis, and management of celiac disease bmj.com/content/391/bm… #GIpath #celiacdisease

Our state of the art review on upper GI bleeding - showcasing some of the key advances over the last 5 years 💡 📸: fg.bmj.com/content/early/…

🧵 ¿Manejando perforaciones, fugas o fístulas GI? 🚨 La ASGE ha publicado una excelente guía sobre dispositivos de cierre endoscópico. Un documento muy útil porque ordena el arsenal disponible y, sobre todo, ayuda a entender qué herramienta encaja mejor en cada escenario. Aquí resumimos sus claves: 👇