A #tweetorial on proton pump inhibitors (PPIs)

Just for fun, which drug class is archetypal of a gastroenterologist? 😉

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PPIs would be my pick!

The advent of these potent and effective acid suppression medications led to a paradigm shift in the mx of many GI conditions

The market for PPIs is MASSIVE! Just the projected 5 year growth from 2018 - 2023 estimated to be $3.24 billion!

A #tweetorial on non-variceal upper gastrointestinal bleeding #NVUGIB

And an overview of why we do what we do

To warm up, which of the following is the most common cause of NVUGIB?

#gitwitter #livertwitter #medtwitter #MedEd

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PUD it is...

Btw wt do we mean by "upper"?

This is defined as a bleeding source proximal to the Ligament of Treitz, also known as the suspensory muscle of duodenum, the landmark that separates the duodenum & jejunum

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Ever wonder if all #DOACs were created equal? #GITwitter #livertwitter #MedTwitter

Let's start with a poll followed by a #tweetorial on direct oral anticoagulants. First things first, which is your go-to choice of #DOAC ? (COI: none): 2/
These agents work "directly" to anti-coagulate and since they are hardly "new' anymore the term #NOAC has become obsolete. Dabigatran is a direct thrombin inhibitor (factor IIa), whereas the others are factor Xa inhibitors (note the Xa in their names)

https://twitter.com/drkeithsiau/status/1372897308921233414?s=20

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Sharing of measures observed at my institution in #HongKong currently in place for #COVID19 and some personal practice I have adopted, not exhaustive:

#endoscopy #medtwitter #gitwitter #bettersafethansorry #weareinthistogether #fighting 2/
Departmental
1. Cut all elective cases (only GI bleeds, cholangitis, OJ left; cancer cases reviewed case-by-case)
2. FTOCC +ve should be deferred if possible
3. Full PPE (hair net, face shield/goggles, N95, gowns, gloves etc) as appropriate per local guidance