John Damianos, M.D. Profile picture
Oct 23, 2022 19 tweets 9 min read Read on X
Defining #celiac disease and non-celiac gluten (more accurately, wheat) sensitivity
#Celiac disease is common
#Celiac associations
Most #celiac disease patients have "atypical" symptoms

Rarely can present with acute severe abdominal pain from intussusception or bowel edema
Pathogenesis of #celiac disease: T-cell mediated

💡Lots of potential treatment targets!
Diagnostics
🧬start with anti-TTG IgA

💡For serology and biopsy, need to be eating gluten to avoid false negative
Caveats with #celiac serology
Endoscopy in #celiac disease
Histology of #celiac disease
Villous blunting is NOT specific to #celiac disease! (This is why we need serology)
Do we need a biopsy to diagnose #celiac disease? Not necessarily...
HLA DQ2/DQ8

💡NOT diagnostic, since up to 40% of healthy population has; good for EXCLUDING #celiac disease
Diagnosing #celiac disease when already on a gluten-free diet
Management of #celiac disease: gluten-free diet
🦴osteopenia/osteoporosis
🧫cancer
☠️mortality
Disease monitoring
What about ongoing symptoms on a strict gluten-free diet?
#Celiac disease summary

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with John Damianos, M.D.

John Damianos, M.D. Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @john_damianosMD

Oct 27
Gastroparesis with @BMoshiree

#MedTwitter #GITwitter #ACG2024 @AmCollegeGastro Image
Prevalence of gastroparesis-like symptoms: 1.3% worldwide, 3.7% in the US Image
Working up gastroparesis-like symptoms Image
Read 21 tweets
Oct 26
Treatment of upper gastrointestinal bleeding

#MedTwitter #GITwitter #ACG2024 @AmCollegeGastro Image
✅Erythromycin
❌Metoclopramide Image
Image
Image
❓PPI Image
Image
Read 15 tweets
Mar 14
A master class on prokinetics from @NGMJournal! Here is a summary! 🧵👇

⚡️🎈〽️🪠🫀💩🚄🧠✳️🗯️💊📰🚽🔌🧪💡🧲📊🔎

#MedTwitter #GITwitter #motility #pharmacology

onlinelibrary.wiley.com/doi/full/10.11…
Image
Pyridostigmine & neostigmine
⚡️cholinesterase inhibitors
🧠pyrido should not cross the blood-brain barrier
🚽evidence in chronic idiopathic constipation and acute colonic pseudo-obstruction
🫄pregnancy class C; excreted in breastmilk
🫀cholinergic side effects, esp bradycardia Image
Acotiamide
⚡️inhibits cholinesterase and enhances ACh release via muscarinic receptors
🎈enhances gastric emptying and accommodation
🔥NERD & FD
🫄no safety data
💊side effects: nausea, abdominal distension, constipation Image
Read 20 tweets
Dec 15, 2022
I gave a talk on inpatient bowel regimens today for the @YaleMed @YaleIMed residents and students, with additional 💎s on outpatient #constipation. Here are the slides!

💩 💩 💩

#MedTwitter #GITwitter #motility #MedEd @YaleIM_Chiefs @MayoClinicGIHep
Most inpatients require a bowel regimen. Our patients typically have most of the risk factors for #constipation!
#Constipation is more about symptoms than frequency! 🚽

It’s also a *symptom* (like chest pain), so need to figure out what’s causing it and treat accordingly.
Read 20 tweets
Dec 13, 2022
💨The gut microbiota generates ~0.2L–1.5L of gas per day
💨>99%: hydrogen (H2), carbon dioxide (CO2), & methane (CH4)– *odorless*
💨foul smell of gas from <1%: sulfur–containing gases hydrogen sulfide (H2S), methanethiol (CH3SH), dimethyl sulfide [(CH3)2S] + volatile compounds
🦠bacteria in the colon ferment substrates that are not digested or absorbed in the upper GI tract (e.g. carbohydrates, proteins, fats)
🦠produce short-chain fatty acids, branched-chain fatty acids, ammonia, N-nitro compounds, phenolic and indolic compounds, and various gases
Read 15 tweets
Oct 23, 2022
Summarizing our learning at #ACG2022 today! 🧑‍🎓

@tinahamd @AmCollegeGastro #MedTwitter #GITwitter
💎 GI bleeding🩸
💎#IBD
Read 8 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Don't want to be a Premium member but still want to support us?

Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Or Donate anonymously using crypto!

Ethereum

0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy

Bitcoin

3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

Follow Us!

:(