GI-Hep Fellow @tulanegastro | @BIDMC_GI | @UFIMRes | @MSMEdu | @USC | Golden State Warriors
New Orleans, LA
Joined March 2021
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Dreams came true this week. Matched my #1 for GI fellowship. Thanks to everyone who has helped me get here! Roll Green Wave! @tulanegastro
Devika Dixit retweeted
Just two hardworking @BIDMC_GI hepatology fellows celebrating their successful match with massages and good food in this cozy weather @DevikaDixit3 – at Cambridge, MA
Devika Dixit retweeted
Dr @KavishPatidar11 kicks off the meeting talking about AUD &ALD: Evolving Definitions, Diagnosis and Epidemiology:
✅ Words matter: Alcohol use disorder, not alcoholism; Alcohol-associated, not alcoholic
✅ Thresholds of alcohol consumption varies according to different experts/societies
✅ Increasing mortality in younger people and women
✅ Severe AH defined by MELD >20
✅ Moderate AH has a 12% mortality at 90 days (not benign!)
✅ Recurrent AH: correlated with poor prognosis (Protective factors: Being married and use of MAUD)
✅ Medications for AUD are underutilized
✅ Naltrexone is safe in pts with cirrhosis
Devika Dixit retweeted
#WedGastroGuide💩
Transjugular Intrahepatic Portosystemic Shunt (TIPS)
- @AASLD 2023 Guidance
TIPS Main Indications⁉️
🔸Variceal bleed refractory to 💊or endoscopic management
🔸Ascites refractory to Na-restriction and 💊 (Spironolactone 400 mg/day + Furosemide 160 mg/day)
🔸Budd-Chiarri
🔸Others
TIPS Contraindications⁉️
🔸Absolute: congestive HF, severe TR, severe pulmonary HTN, severe uncontrolled HE, systemic infection
‼️Higher MELD score -> higher mortality with TIPS. No clear cutoff but ~18
Pre-TIPS Workup⁉️
🔸CT scan (for mapping), TTE, MELD score, and others
Hepatic venous-portal gradient (HPVG)⁉️
🔸1-5 mm Hg➡️Normal✅
🔸> 5 mm Hg ➡️ portal hypertension
🔸> 10 mm Hg ➡️clinically significant portal hypertension
🔸> 12 mm Hg ➡️increased risk of variceal bleeding🩸
TIPS for Variceal Bleeding⁉️
‼️Variceal bleeding ➡️ goal HVPG < 12 mm Hg or >50% reduction from baseline.
‼️Dilate stent starting at 8 mm and up to 10 mm to achieve gradient goals
‼️If unable to reach HVPG <12 mm Hg➡️add non-selective beta blockers
Complications⁉️
🔸Procedure-related (e.g. vessel injury)
🔸TIPS dysfunction
🔸Hepatic Encephalopathy (higher risk with lower post-TIPS HVPG)
🔸Worsening of liver function
🔸Cardiac overload
AASLD Guideline journals.lww.com/hep/fulltex…
TIPS Liver Fellow Network @LiverFellow
aasld.org/liver-fellow-netwo…
#MedTwitter #MedEd #GITwitter #LiverTwitter
ALT AASLD Guideline https://journals.lww.com/hep/fulltext/2024/01000/aasld_practice_guidance_on_the_use_of_tips,.23.aspx
LIVER LOVERS!! Come to #ACG2024 to learn about misdiagnosis of liver sarcoidosis and a new predictive score for post-LTx outcomes: MELD-Psoas! Thanks @NimyJohn ,@The__Liver for your guidance!
Devika Dixit retweeted
Excited to share our latest research on the use of stigmatizing language on liver transplant center websites for Alcohol Associated Liver Disease. Our findings highlight the need for more patient-centered language to reduce stigma and improve care.
Liver transplant websites have high use of stigmatizing language about alcohol-associated liver disease, despite recommendations for patient-centered languages. This highlights the need for non-stigmatizing language for patient care. ja.ma/42C18ib
The best things happen unexpectedly.
I am happy to announce that I be starting the Advanced Hepatology Fellowship Training program at Harvard’s BIDMC! Look forward to joining @BIDMC_GI!
Devika Dixit retweeted
Diagnosis and management of cirrhosis - don't miss this blockbuster review by @ebtapper @NDP1001 #4KMedEd #LiverTwitter
1️⃣ Pathogenesis ⚙️
2️⃣ Natural history ⏳
3️⃣ Risk of complications ⚠️
4️⃣ Treatments 💊
(Via @QxMD in @JAMA_current)
jamanetwork.com/journals/jam…
Devika Dixit retweeted
Can’t wait for you to see my @AppleTV original #UnderratedFilm on July 21 where I take you down memory lane
apple.co/underratedfilm
Devika Dixit retweeted
The number of liver transplants is ⬆️ due in large part to an increase in alcohol-related liver disease in the past few years. #DDW2023 @AASLDTweets
Devika Dixit retweeted
“You have to see a physical manifestation of your dream” - Viola Davis
#HereforDDW #DDW2023 #twitterless Dr. Renelus @YakiraDavid @taiwofolaajose @DevikaDixit3
Devika Dixit retweeted
Wonderful to run into these amazing #WomeninGI at the @AmerGastroAssn meet-up today (and former @MSMEDU alumni)! Don’t miss the chance to attend the other great meet-ups over the next few days! See you at 10 am tomorrow! #AGAGastroSquad
Thankful for @UFMedicine for giving me opportunity to present on Grand Rounds! Had fun discussing Pseudoachalasia and teaching about EndoFLIP! Thank you Dr. David Estores for your mentorship! – at Gainesville, FL
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Devika Dixit retweeted
Proud of our @UFHealth transplant research team’s work selected for the @AST_info #CEOT2023 Transplant Visionary Challenge. Winning second place among so many amazing other presentations was a great honor. Even more since it was an audience vote! youtu.be/7r3yweiY2eM
Come and learn about EtOH relapse among Liver Transplants for Alcohol-Related Liver Disease @ #DDW2023 @AASLDtweets @DDWMeeting! Thanks for a wonderful team, Andreas Zori, MD, Media Ismael, MD, Steve Shen, MD and Roniel Cabrera, MD! – at Gainesville, FL
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Thank you ACG #ACG2022 for letting me present my first findings in GI and Addiction! Had a blast presenting on smoking and IBD! @AmCollegeGastro @AmerGastroAssn @CrohnsColitisFn #GITwitter – at Charlotte, NC
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Devika Dixit retweeted
What can I say 🤯🔥 one of the best days, meeting old friends and making new 🤝 adding more flags as Dr. @Tabibian_MDPhD wished 😄 good luck to everyone in their journey!! 🙏🏼 🇪🇬🇱🇧🇵🇰🇵🇸🇮🇳🇸🇩 🇶🇦🇲🇽🇨🇲🇯🇴🇺🇸
@AmCollegeGastro
@ScrubsNHeels
#ACG2022IRL
#GITwitter
#DiversityinGI – at Charlotte, NC
