❓Non-selective beta-blockers #nsbb after TIPS-insertion?
Anja Tiede presents her findings on the impact of NSBB on hepatic decompensation and survival after portal pressure reduction via TIPS today at #EASLCongress 📍SAT-551 Anja Tiede #livertwitter
Exciting presentation at #EASL2023 !
Our #IPD #metaanalysis on #SpleenStiffnessMeasurament on CSPH diagnosis is now accepted in The Lancet Gastroenterology & Hepatology 🔜
✅ @BavenoVII➕SSM can identify patients should be treated with #NSBB
#LiverTwitter #EASLCongress
Happy Friday! Is answer time ⏲️
Brought to you by CrushingGIBoards Board Member Maria Camila Fonseca, MD and Contributor Ali Khalifa, MD MSc (c)
Hepatic Sarcoidosis!!
🔥Question #1: Test ▶️ EGD
🔥Question #2: Treatment ▶️ NSBB + UDCA
Explanations 👇
🆕 Interesting meta-analysis on primary prevention of esophageal variceal bleeding in #cirrhosis patients:
⁉️ Which is better: NSBB, ligation (EVL), or both?
✳️ Better=survival
✳️ n=1400
✳️ Overall survival: NSBB=EVL
🔑 Survival in compensated cirrhosis: NSBB better than EVL
‼️…
Updates on interventional treatment of portal HTN by Juan G Abraldes
🔺First review pic 👇🏼
🔺start TIPS at 8 mmHg with goal below 12 (between PV and IVC)
🔺if pressure not below 12 with dilation to 10 mm, add NSBB
🔺see table 👇🏼for contraindications
#TLM23 #livertwitter …
Great discussion on the use on NSBB in cirrhosis and The Baveno Cooperation: an EASL Consortium guidelines today in Veldhoven!!! Thanks Minneke Coenraad Raoel Maan for the invitation 😊
🤩We summarized the existing pharmacological therapies for #portalhtn in #cirrhosis Juan G Abraldes
🗝️Etiological tx
✅NSBB
✅Vasoactive agents
✅Statin & metformin
In Press here: shorturl.at/iGKRW
#Livertwitter #GITwitter #MedTwitter #medstudenttwitter
They gave beta-blockers to people and determined response by HVPG and then looked at hemodynamics using fancy MRI
pubmed.ncbi.nlm.nih.gov/37387503/
Tons of gold in here
1️⃣62% NSBB response
2️⃣response (⬇️hvpg) is unrelated to changes in systemic hemodynamics #
#LiverTwitter
🙂Always amazed from what you can learn from Juan G Abraldes
✅No specific MELD cut-off for pTIPS in AVB (clinical context matter)
✅Very low rebleed risk 6w post AVB after variceal eradication
#livertwitter AASLD #CLM24 Cirrhosis Care Alberta #nsbb #tips The Baveno Cooperation: an EASL Consortium
1/ Paradigm shift in the use of NSBB❗️ by Guadalupe GarciaTsao 🙌🏻
1️⃣ NSBB (preferably carvedilol) should be considered for cACLD w/ CSPH to prevent decompensation
#TLM23 #LiverTwitter AASLD
Great #PortalHTN morning session! #TLM23 AASLD AASLD Foundation
- Decomp/HCC risk/yr w >25kPa 👉🏼19%/4.1%. - NSBB: Carvedilol is the way to go! (α, β1- and β2 blockade)
- ⬇️ PHTN: 🍾cessation, nutrition, 🏋🏻♀️, viral hep Tx