Juanita Perez

New insights on assessing LIVER FIBROSIS with NON-INVASIVE TESTS, just released by @NEJM: - Key techniques & thresholds. - Practical algorithms & actionable steps. shorturl.at/amz1p

Artículo de revisión Tratamiento médico de la colangitis esclerosante primaria: qué hemos aprendido y hacia dónde nos dirigimos Karlsen et al. #LiverX shorturl.at/dzdlb

The infamous “Rule of 5” of non-invasive testing presented at #ACG2025 ▪️LSM cutoffs: 5–10–15–20 kPa ▪️<10 kPa excludes; ≥15 kPa = cACLD ▪️≥20 kPa ± Plt <150k → CSPH risk ▪️Skip EGD if <20 kPa & Plt ≥150k ▪️Repeat q1y or q3–5 yrs if mild disease 🙏Nancy Reau

#HEP_highlights: A new voice in diagnosing and predicting hepatic encephalopathy. Automated speech analysis predicted MHE —comparable to animal naming. Adding age & MELD-Na improved accuracy (AUC 0.82). The HEAR-MHE model predicted overt HE risk. tinyurl.com/ymzt6bme

Hepatic hypoxia in donation after circulatory death: Physiology, clinical relevance, & future directions journals.lww.com/lt/abstract/99…

Management of obesity in liver transplant candidates & recipients: Rethinking the false dichotomy between pharmacotherapy and surgical intervention journals.lww.com/lt/abstract/99…

People often ask me: do you recommend NON-ALCOHOLIC BEER to patients that continue to drink regular beer? Although it can be a practical solution, it has two risks: - It predicts returning to alcoholic beverages. - This paper shows that its sugar content is metabolically bad.

📣New data on cirrhosis recompensation in @JHepatology ✅Only 7% meets strict Baveno VII criteria ✅Expanded criteria capture ~38% with similar low mortality risk Recompensation: ⬇️systemic inflammation🔥 👍 improved hemodynamic ⬆️improved survival doi.org/10.1016/j.jhep…

@makrina_la Es verdad, he tenido malísima experiencia con @MetLifeMx . Para empezar darte de alta como proveedor en su plataforma es una odisea. Sin duda no lo recomiendo a nadie de mis pacientes.

Nunca acepten pagos de honorarios con @MetLifeMx , son unos miserables. Saludos.

Approach to liver decompensation

@Eirace @HuertaAline Gracias!!!

@escope35 @HuertaAline Congrats 🎉

The traditional Mesoamerican diet, commonly called the “Dieta de la milpa” (Milpa Diet), is based on fresh and unprocessed local crops. It could represent a viable dietary alternative to mitigate the effects of MASLD. #MASLD #Milpadiet Review article available at: mdpi.com/2075-1729/15/5…

Diagnosis tools for MASLD in the management of obesity. sciencedirect.com/science/articl…

NEW ACG Clinical Guideline: Malnutrition and Nutritional Recommendations in Liver Disease Singal & Wong, et al.   📕 bit.ly/acg-guideline-… @singal_ashwani @Robert_J_Wong @JasmohanBajaj @MLongMD

All Hepatitis types in one slide. 📌

Imperdible! @alehlatam @sebas_marciano @jturnesv

Do we need to treat cirrhotic PVT, and how? – #EASL2025 🗣️ @jcgarciapagan 📍 LT candidate → anticoagulate if >25% 🚫 No LT → consider if >50% 🔍 Anticoagulation may help beyond recanalization 🛠️ Radiological Rx: for LT candidates not responding or with refractory CSPH

Young Hepatologist #EASLCongress 2025 @issacvargas Sharig opportunities and challenges of hepatology training in México @alehlatam @incmnszmx Congratulations