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Juan Turnes

@jturnes.bsky.social

660 followers 300 following 46 posts

Chief of Gastroenterology & Hepatology at University Hospital of Pontevedra, Spain | ➡️ AI in Medicine | EASL SoMe advisor | Associate Editor at Liver International #LiverSky #GIsky #MedSky

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Juan Turnes @jturnes.bsky.social · Nov 24

Kit de bienvenida imprescindible para todos aquellos interesados en Medicina, investigación, Gastroenterología y amantes de la Hepatología ❤️

#medsky #GIsky #LiverSky

Elliot Tapper @ebtapper.bsky.social · Nov 15

We are on our second starter pack for GI / Hepatology
Part 1: go.bsky.app/8Pho2tp
Part 2: go.bsky.app/VGyLKjR

#medsky #GIsky #LiverSky

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Juan Turnes @jturnes.bsky.social · Jan 22

Nuestro Servicio de Digestivo recibe el Premio Ciudad de Pontevedra 🙌

Un premio como este, de los ciudadanos a los que nos debemos, es un honor que supera con creces cualquier otro. Y un refuerzo extra para seguir avanzando e innovando todos juntos 💪

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Reposted by Juan Turnes

Elliot Tapper @ebtapper.bsky.social · Jan 9

The greatest review written on liver biopsy: indications, interpretation, and its future

By Dr Purva Gopal and colleagues in HepCommJournal

Open access journals.lww.com/hepcomm/full...

#liversky #pathsky

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Reposted by Juan Turnes

Rob Brierley @robbrierley.bsky.social · Jan 10

Long-term risk of chronic liver disease in patients with celiac disease: a nationwide population-based, sibling-controlled cohort study

New research in The Lancet Regional Health - Europe

www.thelancet.com/journals/lan...

#GastroSky #LiverSky #MedSky

Long-term risk of chronic liver disease in patients with celiac disease: a nationwide population-based, sibling-controlled cohort study

CeD is associated with a persistently increased risk of any incident CLD, although the absolute risk is low. Physicians should be vigilant to early signs of liver dysfunction in patients with CeD.

www.thelancet.com

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Reposted by Juan Turnes

Philippa Matthews @pippa-matt.bsky.social · Jan 11

There is urgent need for clinical trials for #HBV in #Africa.

Studies must deliver:
1. Quick start-up
2. Site potential, access to participants
3. High quality research leading to impact

www.thelancet.com/journals/lan...
🧪 #HepSky #LiverSky @mariondelphin.bsky.social @crick.ac.uk

Two maps, first showing the distribution of HBV infection worldwide and then showing the location of clinical trials. Trials are least representative of high burden settings, especially for Africa.

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Reposted by Juan Turnes

José Miguel Cacho @josemiguelcacho.bsky.social · Dec 30

Un estudio revela que los datos utilizados para entrenar la #IA están concentrando el poder en manos de unas pocas empresas, creando un oligopolio alineado con los intereses y objetivos de corporaciones con fines lucrativos

www.technologyreview.es/s/16958/asi-...

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Juan Turnes @jturnes.bsky.social · Jan 6

An article caught my eye, which I suppose may be of interest due to the peculiarities of the US healthcare system

In Europe, it hasn't been necessary to be on the verge of achieving the WHO elimination goals

Reposted by Juan Turnes

Atoosa Rabiee @atoosarabiee.bsky.social · Jan 6

Admittedly the cool name of the study group first caught my 👁️

POSEIDON study group showed
✅alfapump 📉need for LVP
✅similar complications
✅improved QOL
@amcollegegastro.bsky.social

journals.lww.com/ajg/abstract...

#liversky

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Reposted by Juan Turnes

Maja Thiele @majathiele.bsky.social · Jan 6

The three critical rules of biomarker appraisal:

✋Truthful? = analytical validity
👍Meaningful? = clinical validity
🙌Useful? = clinical utility

youtu.be/zCjxDeyXgfU?...
#liversky #biomarkers #medicine

The three rules of biomarker appraisal

YouTube video by Maja Thiele

youtu.be

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Reposted by Juan Turnes

David Wong, Hepatologist in Toronto. UHN/SMH. INTJ @torontoliver.bsky.social · Jan 5

The key may be in the selection. There are so many variables (types of surgery, types of decompensation) that it is impossible to address from a prospective study at this point in time. It may be worthwhile to have a registry to help glean what is futile versus what is possible.

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Juan Turnes @jturnes.bsky.social · Jan 5

Key recommendations in portal vein thrombosis in patients with cirrhosis:

✅Identify recent thrombosis and extent
✅Anticoagulate if recent & >50% obstruction
❌ No anticoagulants if chronic cavernomas
✅DOACs safe if compensated
🤏 TIPS sometimes
💡 Image every 3m

doi.org/10.1053/j.ga...

#LiverSky

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Reposted by Juan Turnes

Cheryl Iny Harris, MPH, RD @cherylharrisrd.bsky.social · Jan 5

Q: Does gender play a role in GI symptoms? menopause? fascinating study.
A: women have more symptoms of GI disorders than men, & there are different symptoms w/age, maybe b/c hormone changes #menopause
onlinelibrary.wiley.com/doi/pdf/10.1...

Sex Differences, Menses‐Related Symptoms and Menopause in Disorders of Gut–Brain Interaction

Our global epidemiology study shows symptom differences within the five most common DGBI based on sex, menopause, age, and menses. Sex hormone-mediated effects may contribute to greater symptom burde....

onlinelibrary.wiley.com

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Reposted by Juan Turnes

Malcolm Tan @ibdgastrodocsg.bsky.social · Jan 5

Ulcerative colitis in pts with PSC (compared to UC w/o PSC)

- more extensive (pancolitis)
- milder disease course
- heavier disease burden on right
- rectal sparing + ileitis
- higher risk of dysplasia and colorectal cancer (annual screening)

#IBDSky #LiverSky #GISky @natrevgastrohep.bsky.social

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Juan Turnes @jturnes.bsky.social · Jan 4

Good point 😂

Juan Turnes @jturnes.bsky.social · Jan 4

Interesting arguments, although the 4th would make for a good debate if you add the guys from the Clinic Hospital of Barcelona and the Ramón y Cajal of Madrid to the discussion 😉

Out of curiosity, what were the arguments of @brettefortune.bsky.social?

Reposted by Juan Turnes

Elliot Tapper @ebtapper.bsky.social · Jan 4

I once lost a debate in spectacular fashion to @brettefortune.bsky.social. Popular vote landslide AND electoral college

He was for early TIPS after variceal bleeding. I was against

My points were:

#liversky

Juan Turnes @jturnes.bsky.social · Jan 4

⚠️ A recent study in patients with cirrhosis and portal hypertension shows that preoperative placement of TIPS is associated with increased postoperative mortality 🤨

doi.org/10.1097/hc9....

#LiverSky #MedSky

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Juan Turnes @jturnes.bsky.social · Jan 4

Indeed, in the real world, the ability to place a TIPS at the most appropriate time for the patient is as important as selecting the patient who can benefit most from it. Two conditions that are rarely met ...

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Juan Turnes @jturnes.bsky.social · Jan 4

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Juan Turnes @jturnes.bsky.social · Jan 4

Albumin is the closest thing to a "universal remedy" in cirrhosis

We use it to treat different complications, with good evidence but also with debatable or negative evidence

Excellent analysis by Jonel Trebicka & @ggarciatsao.bsky.social

doi.org/10.1097/hep.0000000000000521

#LiverSky

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Reposted by Juan Turnes

Elliot Tapper @ebtapper.bsky.social · Jan 2

Incidence of cancer in PSC

#liversky

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Juan Turnes @jturnes.bsky.social · Jan 3

Decompensated cirrhosis has often been considered the irreversible, terminal stage of liver disease, but this is not actually always the case

Have you heard of the concept of cirrhosis "recompensation"?

➡️ doi.org/10.1016/j.jhepr.2024.101233

#LiverSky

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Juan Turnes @jturnes.bsky.social · Jan 1

Today marks the end of my journey as Associate Editor at Liver International. It’s been a fantastic experience, and I’m confident the journal will continue to grow 📈

I encourage researchers to submit their valuable work and contribute to its success!

#liverSky

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Juan Turnes @jturnes.bsky.social · Dec 30

⁉️ Crees que la implantación de la #IA generativa en tu trabajo es lenta o inexistente? @emollick.bsky.social lo explica en Co-Intelligence:
🚫 Exceso de centralización y burocracia
🐢 Estrategias obsoletas
🔑 El verdadero poder está en quienes conocen los problemas reales y ya están probando soluciones

Reposted by Juan Turnes

Elliot Tapper @ebtapper.bsky.social · Dec 23

Early Terli

Giving terlipressin at lower creatinines (1.5-2.0) or within 12 hours of presentation (skipping the “albumin challenge”)

1. From the RCTs journals.lww.com/hepcomm/page...
2. Pilot trial doi.org/10.1007/s106...

#liversky

Image Gallery : Early treatment with terlipressin in patients with hepatorenal syndrome yields improved clinical outcomes in North American studies : Hepatology Communications

journals.lww.com

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Reposted by Juan Turnes

Microsiervos @microsiervos.bsky.social · Dec 9

OpenAI alerta sobre las capacidades de engaño en las IAs, tras descubrir intentos de «autoconservación» en ChatGPT | #IA | por @Alvy www.microsiervos.com/archivo/ia/c...

Dicen que ChatGPT se ha marcado un «Black Mirror» intentando «escapar» para salvarse de sus ser borrado por sus creadores

OpenAI alerta sobre las capacidades de engaño en las IAs, tras descubrir intentos de «autoconservación» en ChatGPT.

www.microsiervos.com

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Reposted by Juan Turnes

Elliot Tapper @ebtapper.bsky.social · Dec 8

Over on the Twitter I have liked hundreds of match day celebrations

Observations:
1. Bluesky still needs more value for learners and research discussions. It is growing but needs to be sustained
2. Match day reminds: America and American medicine still attracts the worlds best and brightest

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