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gastrodoc
@AnilcheswinK
GI fellow @GMC Hyderabad. MD internal medicine @SPMC Bikaner.MBBS @SDUMC Kolar .⬆️ https://t.co/OOCPCtUhwi Farming . TTplayer. Travel 🧭,Explore 🇮🇳.
Sep 17 • 11 tweets • 4 min read
✨ APASL 2025 AVB Guidelines vs 2011 ✨

1️⃣ Refined definitions & risk stratification → “Home-to-door” 🏠➡️🏥, APASL Bleed Severity Score, HVPG, AI 🧠
2️⃣ Expanded rescue therapies → SEMS, early-TIPS, EUS-guided glue/thrombin, BRTO/CARTO/PARTO 💉
3️⃣ Personalized pharmacology → region-specific antibiotics 💊, tailored vasoactives
4️⃣ Standardized endoscopy → EVL = gold standard 👑 + anesthesia/risk guidance
5️⃣ Greater clinical focus → practical, Asia-Pacific-specific 🌏

👉 More precise, dynamic & practice-ready for better #AVB outcomes ✅

#Hepatology #GI #Liver #Cirrhosis #VaricealBleed #APASL2025 #Guidelines

link.springer.com/article/10.100…Image 📘 New APASL Definitions (2025)

🔴 Acute Variceal Bleeding (AVB):
➡️ Hematemesis within last 48h 🩸
➡️ Ongoing melena (last stool ≤24h) in suspected/known PHT

🔄 Re-bleeding (post AVB control):
⏰ Very early: 48–120h
🗓 Early: 120h – 42 days
📅 Late: >42 days Image