#GERD & esophageal dysfunction ➡️ worse lung transplant outcomes. Our new study in ACG_CTG found <40% of UNOS 🫁transplant centers routinely obtain any esophageal testing

🔥Standardized guidelines needed for GERD/esophageal eval of lung transplant pts

🔗doi.org/10.14309/ctg.0…

📣 24th Annual Harvard Course in Neurogastroenterology & Motility

Live stream on Nov 4, 2023 (Sat)

Earn up to 9.25 AMA PRA category 1 credits, ABIM MOC points, Nursing Contact Hours (including GI hours)!

#HarvardMotility2023

Info/Register: bit.ly/HarvardMotilit… or QR code👇

What are the roles of #GERD & reflux testing in lung transplant pts w/ cystic fibrosis?

Our study showed:
⭐️~60% w/ ⬆️reflux on pre-transplant testing
⭐️Reflux testing less often done in #CF vs other 🫁diseases
⭐️⬇️CLAD in pts w/ pre-transplant testing

🔗dx.doi.org/10.5500/wjt.v1…

#GERD has been associated w/ worse 🫁 transplant outcomes, but what about esophageal #dysmotility ?

Our new study found that 🫁 transplant pts w/ ineffective esophageal motility ( #IEM ) on manometry had ⬆️ allograft rejection risk independent of reflux

🔗dx.doi.org/10.3748/wjg.v2…

Congrats Livia Guadagnoli, PhD and team! So proud of you!

Looking forward to it! #gerd #reflux #lungtransplant Brigham and Women's GI #BWHmotility

Excited for a fun discussion on reflux and lung transplant at 6/23 EVC, you won't want to miss!

See you there! 3p.m. PST via Zoom

Priya Kathpalia David Leiman, MD, MSHP Walter Chan, MD, MPH Amit Patel, MD, AGAF, FACG Joshua A. Sloan, DO Dan Patel, MD Ijlal Ali, MD Thomas Runge, MD MPH Prakash Gatta MD FACS

You are worthy of the time it takes to:

Go to the dentist
Get regular check-ups
Get your cancer screenings
Go to therapy

You deserve the health you strive so hard to give to others.

Looking at waist-circumference-height ratio as a risk factor for #fecalincontinence . Congrats to Brent Hiramoto, MD for a terrific presentation, and masterful responses to audience questions, great interest in the topic!💩 #DDW2023 #BWHmotility Brigham and Women's GI

#DDW2023 vs #DDW2022 with GI Sonal Kumar, MD MPH … let’s see how many years we can keep this up! DC in #DDW2024 ? #cofellowsforlife Brigham and Women's GI

More P-CABs! Now moving on to tegoprazan to rapidly treat erosive #esophagitis from Dr Shin and colleagues - slightly better than lansoprazole at 2 weeks, much better at 4 weeks, and also for severe esophagitis #gerd #reflux #DDW2023

The P-CAPs are coming: linaprazan is effective to treat erosive #esophagitis from Dr Sharma and colleagues #gerd #reflux #esophagus #DDW2023

Interested to learn more about esophageal acid sensitivity testing to help distinguish #PPI response among patients with #reflux hypersensitivity vs functional #heartburn from Dr Wong and colleagues. #DDW2023 #gerd

Pulmonary decline in restrictive #lung diseases are associated with proximal reflux metrics, and pathologic #reflux was seen in the absence of symptoms. Great work from Drew Jenkins, MD Walter Chan, MD, MPH Brigham and Women's GI #BWHmotility #DDW2023

Dr Visaggi and colleagues presented data suggesting LA Grade B #esophagitis had characteristics more similar to LA Grade C/ high grade esophagitis vs LA Grade A. Grade B may contribute to a diagnosis of pathologic #reflux . #DDW2023 #gerd

Lots of potential for predictive score model to diagnose #LPR from Drs Krause / Rena Yadlapati UC San Diego Health, awaiting further validation and treatment associated data. #DDW2023 #reflux #esophagus

Another opportunity to discuss #esophagus function in #lungtransplant today! #BWHmotility #DDW2023

Excellent talk from Brigham and Women's GI fellow Mayssan Muftah, MD, MPH on multiple rapid swallows to evaluate #LPR : esophageal contractile reserve is associated with improved objective reflux metrics and may be a tool for further evaluation. #BWHmotility #DDW2023

Please swing by Su1275 and Su1276 today to discuss further strategies for risk reduction in #lungtransplant with #esophagus function testing and #gerd #reflux management, demonstrated by differences in pre- and post-transplant results. #DDW2023 Brigham and Women's GI #BWHmotility