🆕European guidelines on fecal incontinence, which affects about 8️⃣% of people. 💩

#MedTwitter #medicine #GITwitter #GI #Surgery #SurgeryTwitter

@my_ueg
🔑
Evaluation of symptoms, diagnosis and classification
First line treatment
Diagnostic tests prior to second line treatment
Second line: non-surgical interventions
Second line: surgical interventions
Special situations
Developing and other treatments

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More from @john_damianosMD

Mar 20
🌬️ Breath testing for #SIBO: everything you need to know! 🎈 😮‍💨 💩 🦠 🐄 📈

#MedTwitter #medicine #science #GITwitter #GI #microbiome #IBS #diet #nutrition

cghjournal.org/article/S1542-…
To kick things off: how do you diagnose #SIBO?
#SIBO is a disorder characterized by excessive colonization of the small intestine by organisms usually found in the colon, especially Gram-negative bacteria.

(NB: the more we learn, it seems the *type* of bacteria is more important than the *number!*) Image
Read 26 tweets
Dec 10, 2021
🥊 #HitMeWithYourBestShot: Reguiero vs Siegel

@MRegueiroMD➕anti-TNFs "Why wouldn't we use anti-TNF as first line #IBD therapy?!"

#AIBD2021 @IBDConference @DrCoreySiegel ImageImageImageImage
Anti-TNFs are EFFECTIVE ImageImageImageImage
We know a LOT about #TDM in anti-TNFs ImageImageImageImage
Read 23 tweets
Oct 24, 2021
Evidence-based approach to #IBS (C and D) from @LinChangMD at @AmCollegeGastro #ACG2021

#GITwitter Image
FGIDs ▶️ DGBIs 🧠 Image
#IBS diagnosis Image
Read 25 tweets
Oct 24, 2021
LFD studies are not great (small n, high bias, heterogeneity), but all the studies do suggest that the LFD is a good treatment option for #IBS and can improve global symptoms, pain, and bloating
App-based low-FODMAP #diet was found to be more effective (71%) than antispasmodic therapy (61%) in #IBS, even 6 months out
Read 12 tweets
Oct 24, 2021
Functional abdominal pain (centrally mediated abdominal pain syndrome) by Dr. Brian Lacy at @AmCollegeGastro #ACG2021

#GITwitter #GI #FGID #DGBI
A common scenario!
Definitions
Read 23 tweets
Oct 24, 2021
Rationale for #TDM

All TDM should be performed in the context of the clinical disease activity and severity -@IBDMD
Philosophy of #TDM
Read 23 tweets

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