Study finds no loss of efficacy or safety in #children switching from #infliximab originator to #biosimilar for #IBD treatment. Significant cost savings observed.

Ross Maltz, MD

bit.ly/49F4WRT

#CME

Such an interesting case from my time in Atlanta! Thank you Benjamin Gold and Jose M Garza !!

#pedsgi

5-year-old with abdominal pain and CT showing two colonic masses and stomach debris undergoes colonoscopy, resulting in post-procedure pneumoperitoneum.

What led to the perforations?

Eduardo Castillo-Leon Jose M Garza Benjamin Gold

bit.ly/48ivJTe

#quickpoll

A 3️⃣🔄1️⃣ representation gap
(Latino patients to physicians)🚩

Likely even larger within GI

Happy #NLPD !
Let's bridge the gap together

Sticking with the colonic perspective at the #PNM2023 and refractory constipation - Dr Karla Val comprehensively reviewed - The Secretagogues, are they better than their predecessors?

Dr. Jose M Garza at #PNM2023 w review of EndoFLIP and it’s use in children.

➡️ Screen for dysmotility (but doesn’t replace HREM)
➡️ Clarify achalasia/EGJOO - esp for younger kids where HREM is challenging
➡️ Guide dilation/LHM/POEM
➡️ But anesthesia, technique matter

ANMS

How many Labor Day picnics did you go to this weekend? 🍉 ☀️
Check out our #PedsGI fellows at the annual summer picnic hosted by the division chief, Dr. Di Lorenzo!

Will modification of your gut #microbiota carbohydrate metabolism meaningfully improve #insulin resistance and human health? @nature nature.com/articles/s4158…

🚨Have you seen our recent publication in Academic Peds Assoc ?

We explored the evidence behind #TELEhealth in pediatric care for families who speak languages other than English.

It is the latest in our efforts to advance #Health #equity for all children!

gutsandgrowth.com/2023/05/25/how…

Children who receive a liver transplant from a living donor have better outcomes, but Black and Hispanic children are HALF as likely to undergo living donor liver transplant. For this reason, I am passionate about improving access to living donors for children!

#PPI versus potassium-competitive acid blocker (vonoprazan) in 💊 of eros. esophagitis. A game changer?👇👇
gastrojournal.org/article/S0016-…
#UEGambassador #GITwitter #LiverTwitter #MedTwitter #MedEd #gastroenterology #endoscopy #medical
my_UEG GI Journal Club Liver Fellow Network American Gastroenterological Association (AGA)

So proud of Morehouse School of Medicine! This work is so necessary and important.

A study on pediatric IBD related costs:
- Indirect and out of pocket costs are substantial
- Families of children with #inflammatoryboweldisease in remote communities are likely to incur higher costs

bit.ly/3BVg3XT

Autoimmune Hepatitis: Safety of Low Dose Steroids and Utility of Aminotransferases gutsandgrowth.com/2022/09/29/aut…

The End of the Vitamin D Epidemic (VITAL Study) gutsandgrowth.com/2022/08/24/the…

Peppermint oil for irritable bowel syndrome

I loved this treatment when I was a fellow. And now a meta-analysis by Ingrosso and friends in roypounder.apt

NNT for symptom relief: 4
Tradeoff, possible GERD, dyspepsia
onlinelibrary.wiley.com/doi/epdf/10.11… #gitwitter

Lives are ruined by inappropriate use of food allergy tests.

These were never designed to be used as screening tests, yet they're often used as such.

It is backwards & incorrect to perform a panel, then make a diagnosis regardless of history.

I spend my days undoing this harm.

I am going to commit the ‘sin’ of over-communicating this one.

➡️MELD3.0 will soon replace the current version of MELD.

More work to be done - some will be presented at #TLM2022 , where we have 3 podium presentations. AASLD Allison Kwong

med.stanford.edu/news/all-news/…

Improved Outcomes with Living Donor Livers for Vulnerable Recipients gutsandgrowth.com/2022/07/09/imp…