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Aug 4 • 14 tweets • 5 min read
PSVD vs NCPH
For: Dr Christina Ripoll
Against: Dr Akash Shukla
@INASL_Liver #inasl2022
🔥🔥🔥
Hotly debated!
Whats PSVD?
Histopathology of PSVD
For: histopath included
Natural history
Are there presymptomatic stages? Is it a continuum?
Summary: For PSVD!
Against PSVD
Summary: Against PSVD
Some expert thoughts!
✓Prof CE Eapen: NCPH an "Indian" ds. NCPH isn't strictly a sinusoidal pathology
✓Prof Dhiman: Earlier studies HPE non mandatory
✓Prof Acharya: Just semantic revision! Ehpvo NCPH nrh fnh are all diff entities
@ajay_duseja @drsuniltaneja @RoyAHep @doc_arka @RohitMehtaniDM @DrAnuraagJ @DharJahnvi @Rajatgastro @nipun29j
@ajay_duseja is it right to combine etiologies?
Again similar to nafld vs mafld conundrum
@crisripoll

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More from @DrArunKValsan

Maj (Dr) Arun Valsan MD DM DNB MNAMS Profile picture
Aug 5
HBV: Easy to understand, difficult to treat!😄
@norahterrault: Functional cure, novel therapies
@SengGeeLim1: qHBsAg for stopping NUCs
Goals of Rx Image
Preferred Rx Image
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Maj (Dr) Arun Valsan MD DM DNB MNAMS Profile picture
Aug 5
Who else but @ajay_duseja to deliberate on NASH pharmacotherapy
Brilliant as always!
🔥🔥🔥 Image
Who needs pharmacotherapy? Image
What is the standard of care? Image
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Maj (Dr) Arun Valsan MD DM DNB MNAMS Profile picture
Aug 4
SIG: INASL 2022
Thrombophilia evaluation: @drshalimar
Ac PVT: Dr Puneeta Tandon
Key takeaways
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Maj (Dr) Arun Valsan MD DM DNB MNAMS Profile picture
Aug 4
INASL 2022

Decompensation prevention: @JasmohanBajaj
Recompensation: Prof Yogesh Chawla
🔥🔥🔥
Key takeaways
✓ BB everyone without CI
✓Statin in all ex DC
✓Antibiotic prophylaxis
✓PPIs only if strong indications
✓Vaccinate all
Recompensation definition
Read 5 tweets
Maj (Dr) Arun Valsan MD DM DNB MNAMS Profile picture
Aug 4
INASL 2022!
I'll be summarising a few talks!
Who better than Prof SK Sarin to deliberate on new drug targets in Portal Hypertension!
🔥🔥🔥
New concepts in Portal Hypertension
Key takeaways!
✓Even steatosis can lead to PHTN without fibrosis
✓Lower cut off of HVPG >8
✓Endotoxins incr PHTN
✓Paneth Cell may drive LPS driven PHTN
Read 5 tweets
Maj (Dr) Arun Valsan MD DM DNB MNAMS Profile picture
Jun 9
Today is World NASH day!
A day to learn, educate and spread awareness about a disease that is assuming epidemic proportions.

A small tutorial 🧵on NAFLD/NASH for general public and primary care colleagues.
What is NAFLD/NASH?

Simply put, it is excessive accumulation of fat in ones liver. Over time, the fat causes and inflammation and liver cell death leading to NASH and ultimately liver heals by scarring and stiffening, leading to cirrhosis and liver cancer
What causes fatty liver disease?
There are multiple reasons including genetics, lifestyle, other associated metabolic diseases, unhealthy diet etc
Read 24 tweets

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