Juan José Chaves

In med school, I proposed to a professor to write a letter to the NEJM. He said, "We are not doctors for those journals, let other people do it." With my most fantastic mentor (my dad), we had a dream ... An honor that a case from Colombia is published in the NEJM

The OLGIMA system for gastric cancer risk assessment. A useful method based on the histological Sydney consensus onlinelibrary.wiley.com/doi/10.1111/hi… #GIpath

Alcohol associated hepatitis - check out this review (along with others) in the 🆓 @WorldGastroOrg newsletter 👇 1️⃣ Title page with diagnostic criteria ⚙️ 2️⃣ Management guidelines 💊 3️⃣ Potential upcoming therapies 🔮 📸: worldgastroenterology.org/UserFiles/file…

Hemostasis Dilemma: A visible vessel is seen which matches the size of the 10Fr bipolar probe. Burn or no burn? Alternative ?

🇨🇦Choosing Wisely: Hepatology 1️⃣Say no to Ammonia 2️⃣no FFP, Vit K, or plt for EGD/para 3️⃣No HFE based on ferritin alone 4️⃣no CT/MRI to monitor benign liver lesions 5️⃣no repeat HCV pcr outside treatment sciencedirect.com/science/articl…

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Today is #WorldDiabetesDay. #Diabetes can affect anyone, at any stage of life. Support at home, school, work and during pregnancy makes a real difference. Listen, learn and show up for those living with diabetes. More info 🔗bit.ly/4hUOjY0

Congratulations to Dr. William D. Chey on becoming President of the American College of Gastroenterology (#ACG)!🎉 A global leader in gut–brain research, Dr. Chey has authored 500+ papers and major clinical guidelines. Learn more about his vision: healio.com/news/gastroent…

A2 was finally published!😍😍. Some considerations: 1. It is the first POSITIVE trial among dozens of big negative ones in septic shock. 2. The stats process is largely explained in the SAP paper published 2 years ago. 3. A2 was preceded by almost 2 decades of epidemiological,

Among patients with early #SepticShock, a personalized hemodynamic resuscitation protocol targeting capillary refill time was superior to usual care for the primary composite outcome, primarily driven by a lower duration of vital support. #LIVES2025 @ESICM ja.ma/4hv22Vc

What a week at #ACG2025! 🙌 Amazing science, even better company — friends, colleagues, and my dad by my side. And… I won Outstanding Poster Presenter! 🏅 #ACG2025 #Research @NHIMresidents

Take Home Messages Managing Active Bleeding and Risk of Thrombosis in the Hospital by Dr. Neena Abraham #ACG2025

Octreotide pearls 1. When a patient comes in with upper GI bleeding, you do NOT need a PPI with octreotide because “it may be an ulcer”. Both drugs raise the gastric pH to the same amount 2. Octreotide stops working after 3-6 days.

💡Endoscopic screening for #GastricCancer (GC) is promising in intermediate-risk countries 32-study meta-analysis 🔸Precancerous detection 25.5% 🔸Early-stage GC 91.6% 🔸Mortality ↓26% 💰Cost-effective w/ colorectal screening 📖 #OpenAccess 👉 bit.ly/3KPIxdI

After a hectic month, during my last discharge conversation with patient, her daughter told me “thank you for choosing to be a doctor.” It was a good recharge for what's coming. @Medtwitteer #MedTwitter #MedEd

Thank you Dr Rorat for this review on pain medications in cirrhosis and specifically for this section on Tramadont

One of the clinical challenges I often face is ALTERED MENTAL STATUS in a patient with alcohol-related cirrhosis who is still drinking. 👉 The cause is not always hepatic encephalopathy. Think broad. Here’s a quick guide to the differential ⬇️

🚨 New study alert! How should we test for #Hpylori in patients already on #PPIs? Though guidelines recommend stopping PPIs before testing, #realworld patients often can’t. Study from PGIMER, India compares Double-site #BIOHIT RUT vs. Histopathology. 🧵 link.springer.com/article/10.100…

Caring for patients is a profound privilege. It’s also hard, complex, & emotionally challenging. Thank you for doing this work.

@drkeithsiau another worm in the wrong place

@ebtapper I would add @rabataller for ALD

Somebody asked grok about hepatologists on Twitter and this was the answer