SMH ❤ Frío, café, libros, Taylor Swift y Endoscopia Gastrointestinal 🏥
Joined July 2011
- Tweets2.8K
- Following150
- Followers40
- Likes13.2K
Brenda Navarro retweeted
I have been tasked with improving the quality of bowel preparation for colonoscopy in Cornwall.
If you had to share one top tip, what would it be? Thanks in advance 🙏
Brenda Navarro retweeted
Do you really know what happens when you cut & coagulate?
In the latest ESGE Academy issue, we break down how electrosurgical current works, & how to choose the right settings for EMR, ESD, & beyond
Understand your generator. Use it better. Watch now.
🎥academy.esge.com/en/video/jo…
Brenda Navarro retweeted
Many clinicians still follow the old 2017 flowchart for GB polyps. ≥10mm = surgery.
Current evidence: We are performing TOO MANY cholecystectomies.
>95% of <15mm are pseudopolyps (cholesterolosis), not true adenomas.
1/5 🧵
#Surgery #MedTwitter #GallbladderPolyp
Brenda Navarro retweeted
USMSTF follow-up after colonoscopy, average-risk adults.
Normal: 10 years. 1-2 tubular adenomas under 10 mm: 7-10 years. 3-4 under 10 mm: 3-5 years. Adenoma 10 mm or larger: 3 years. Piecemeal resection of 20 mm or larger: 6 months.
Assumes a high-quality exam. Not for hereditary syndromes, IBD or CRC history.
Adapted from Gupta et al. 2020, US Multi-Society Task Force.
Brenda Navarro retweeted
Prevención en pacientes con Cirrosis, Guía de la ACG (American College of Gastroenterology) 2026. Puntos clave:
🔵 Para várices esofágicas de alto riesgo o hipertensión portal clínicamente significativa: Carvedilol es superior a Propranolol. Inicia a 12.5 mg/día, sin titular a frecuencia cardiaca (su efecto no depende de ella).
🔵 En sangrado de tubo digestivo variceal: las guías recomiendan antibiótico profiláctico por 2–3 días (no 5-7). Misma mortalidad, aunque más riesgo de infección (15%)
🔵 En Encefalopatía hepática mínima: lactulosa. La rifaximina se reserva para prevención secundaria, no de primera instancia.
🔵 Vacunas vacunas: Hepatitis A, influenza, SARS-CoV-2 y VSR desde los 50 años. VHB también, aunque su respuesta es del 50% (confirma con anti-HBs).
🔵 Aumentar la Proteína a 1.2–1.5 g/kg/día y calorías 30–35 kcal/kg. Pero siempre con ejercicio de resistencia (suplementar sin ejercicio no mejoró masa muscular). Mito: Las varices contraindican bifosfonatos orales.
Voy a actualizar Cirrosis en Accio y Memodi. Link abajo.
Brenda Navarro retweeted
🚨 ¡Nueva Guía ESGE para el Manejo de las Estenosis Biliares! 🚨
@SEEDendoscopia te lo cuenta 🤫
🪡Abrimos hilo🧶
Brenda Navarro retweeted
MBA SIAPA PUN KAMU… KAMU BIKIN AKU KEREPOTAN NIH‼️😭🫵🏻
GARA-GARA RESEP INI, TIAP PAGI JADI DITAGIH TORTILLA SANDWICH TERUSSS 😭🤌🏻 Anak-anak sampai lebih milih ini daripada roti biasa! Isinya telur, tomat, gurihnya butter, plus bumbu rahasia yang bikin rasanya makin nampol 🤤❤️
Brenda Navarro retweeted
New PBC guideline is here!
Our new joint guideline with @AASLDtweets covers:
💊 Newer second-line therapies
🔬 Diagnosis
📈 Risk assessment
🩺 PBC-related itching
➡ ow.ly/RPPy50ZZHJC
@AGA_Gastro @DrCynthiaLevy @AparnaGoelMD @SedkiMD @SultanShazi
Brenda Navarro retweeted
JNET Classification, Types 1, 2A, 2B and 3.
Adapted from Sano Y, Tanaka S, Kudo SE, et al: Dig Endosc 2016;28:526-33 / Iwatate M, Sano Y, Tanaka S, et al: Dig Endosc 2018;30:642-651 / Sano Y, Hirata D, Saito Y. Dig Endosc 2018;30:543-545.
Brenda Navarro retweeted
Specifically, what surgery did this patient undergo? Do not just say, "fundoplication." This is a rare operation.
#gitwitter #surgery
Brenda Navarro retweeted
STRIDE-III is out, with key calprotectin + IUS updates for #IBD care:
FC <200 μg/g = acceptable range; actionable at 4-6 mo
FC <100 μg/g = transmural remission in CD (histologic in UC)
100-200 = grey zone; repeat before acting
1/3 #IBD #T2T #PedsIBD
thelancet.com/journals/langa…
Brenda Navarro retweeted
1️⃣ Squats – 4 sets × 12 reps
2️⃣ Lunges – 4 sets × 12 reps per leg
3️⃣ Deadlifts – 4 sets × 8 reps
4️⃣ Dumbbell Rows – 4 sets × 10 reps
5️⃣ Shoulder Press – 4 sets × 10 reps
6️⃣ Lateral Raises – 4 sets × 12 reps
7️⃣ Dumbbell Chest Press – 4 sets × 10 reps
Brenda Navarro retweeted
🔥 Excellent session on Emergencies in Upper GI at #UEGWeek2026!
Great practical insights on managing refractory and recurrent GI bleeding and where OTSC fits in the algorithm. 🩸📎
@my_UEG #MedTwitter #Endoscopy #GIbleeding
🤖 Made with AI
Brenda Navarro retweeted
🔥 What has changed in #diverticulitis management from 2018 → 2026?
Less routine antibiotics, more individualized care, and important changes in recurrent disease and post-abscess management. 📚🔄
Great guideline update at #UEGWeek2026! 👏
@my_UEG #MedTwitter #Guidelines
🤖 Made with AI
Brenda Navarro retweeted
STRIDE 3 presented and published in @LancetGastroHep
Congratulations to all @DignassAxel
Pragmatic and time dependent 👏
Full paper thelancet.com/journals/langa…
Brenda Navarro retweeted
如果你已经35岁、40岁，甚至50岁了，觉得自己的人生基本定型了，我强烈建议你试试这个。
Youtube油管大神Dan Koe 提出了一个很有意思的人生升级模型：Human 3.0。
他把人生分成四个维度：
① 心智：你的认知、思维方式和学习能力
② 身体：你的健康、精力和生活习惯
③ 精神：你的价值观、人生意义和人际关系
④ 事业：你的技能、收入和创造价值的能力
最有意思的是，你可以把这套框架交给 AI，让它像一个人生教练一样，不断向你提问，分析你目前处于什么状态，以及下一步应该如何提升。
以前我们用 AI 写邮件、做PPT、查资料。
现在，你甚至可以让 AI 帮你重新审视整个人生。
我特别建议那些想转型、想提高收入、又不知道从哪里开始的人试一次。
你可能会发现，限制你的不是年龄，而是过去几十年形成的思维方式。
原文在下面，建议收藏，找个周末认真做一次。
Brenda Navarro retweeted
The eagerly awaited STRIDE-3 updated treatment targets in IBD, unveiled by Alex Dignass at #UEGWeek 🚨🆕
1. Evidence summary
2. Treatment targets in IBD
3. Time to target in IBD
4. Changes and conclusions
📸: thelancet.com/journals/langa…
Brenda Navarro retweeted
most people spend their whole lives searching for happiness, only to realize that most of it comes from the same things they enjoyed since childhood
there is a clear connection between your past and where you are now... yet most never think about it
