Gastroenterologist

Gold Coast, Queensland
Joined May 2015
1/3 Can Day 1 scores predict IV steroid failure in acute severe UC (#ASUC)? ๐Ÿฅ โ€‹Our new multicenter study in @JCrohnsColitis compares 3 admission scores (ROR, ADMIT-ASC, ACE) in 238 hospitalized patients. โ€‹All showed moderate discrimination (AUROC 0.66โ€“0.72; P=.17) ๐Ÿงต๐Ÿ‘‡
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2/3 Key trade-offs at published thresholds: โ€‹โ€ข ADMIT-ASC & ACE: High specificity (~90%) but low sensitivity (~22%) โ€” great to rule in high risk โ€ข ROR: Higher sensitivity (82%) with lower specificity (49%) โ€‹Performance was similar in biologic-naive vs exposed patients.
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Pradeep K Ramaswamy retweeted
๐Ÿ’ฉ Could a familiar GI biomarker help predict which patients with immune checkpoint inhibitor colitis won't respond to corticosteroids? ๐Ÿ’Š๐Ÿ”ฎ This research in @FrontGastro_BMJ examines faecal calprotectin as a predictor of corticosteroid non-responsiveness in patients with immune checkpoint inhibitor colitis. ๐Ÿ”ฌ๐Ÿ“Š Identifying non-response earlier could help inform treatment decisions in this increasingly important complication of cancer immunotherapy. ๐ŸŽฏ๐Ÿฉบ Explore the findings here ๐Ÿ‘‡ fg.bmj.com/content/early/202โ€ฆ #Immunotherapy #Colitis #FaecalCalprotectin #CancerTreatment #Gastroenterology #Oncology #MedicalResearch #GITwitter @BritSocGastro @my_UEG @AmCollegeGastro @DDWMeeting @ESGE_news @dr_aditi_kumar @OTavabie @DrJMKennedy @DunnePdj @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman
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Pradeep K Ramaswamy retweeted
Dr. Naresh Bhat delivered a remarkable lecture on "Four Decades of IBD in India." There could not have been anyone more apt to tell this storyโ€”having not only witnessed the journey but also played a pivotal role in shaping it. @Nareshbhat14 @drkrpradeep @ibdseb @vandana_midha @drvishal82 @sundar_s1955 @DrLakhtakia
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Pradeep K Ramaswamy retweeted
๐Ÿ’ฉ Could a stool test predict steroid failure in ICI colitis? Immune checkpoint inhibitor (ICI) colitis can be difficult to manage, with up to one-third of patients requiring escalation beyond corticosteroids. This study found: ๐Ÿ“ˆ Faecal calprotectin predicted steroid non-response ๐ŸŽฏ A threshold of >620 ฮผg/g identified patients more likely to require infliximab or vedolizumab ๐Ÿ”ฌ Endoscopic severity and histology were not predictive in this cohort ๐Ÿ”— fg.bmj.com/content/early/202โ€ฆ #FrontlineGastroenterology #IBD #Oncology #Immunotherapy #Calprotectin #MedEd @PhilSmithIsBack @OTavabie @dr_aditi_kumar @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman @BSGtrainees @WorldGastroOrg @ulstergastro @SEEDendoscopia @AmCollegeGastro @Aegastro @SAGES_updates @WAGE_media @my_UEG @amergastroassn @NASPGHAN @UHSEndoscopy @ESGE_news @amergastroassn @BritSocGastro @ASGEendoscopy
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Pradeep K Ramaswamy retweeted
Acute severe UC: can early markers predict who responds to second-line therapy? ๐Ÿšจ๐Ÿฉบ The RESCUE-ASC study in @FrontGastro_BMJ shows how endoscopic severity and C-reactive protein can help predict initial and 12-month outcomes after rescue medical therapy in acute severe ulcerative colitis. ๐Ÿ“Š๐Ÿ”Ž Essential reading for IBD teams managing high-stakes inpatient UC decisions. Read more: fg.bmj.com/content/early/202โ€ฆ #AcuteSevereUC #UlcerativeColitis #IBD #CRP #Endoscopy #FrontlineGastro #GItwitter #InflammatoryBowelDisease #IBDTreatment #ClinicalResearch @drkrpradeep @BritSocGastro @my_UEG @AmCollegeGastro @DDWMeeting @ESGE_news @dr_aditi_kumar @OTavabie @DrJMKennedy @DunnePdj @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman
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Pradeep K Ramaswamy retweeted
Subcutaneous infliximab monotherapy in IBD: does it persist in the real world? ๐Ÿ’‰๐Ÿ“Š In @FrontGastro_BMJ, this real-world study examines treatment persistence and efficacy of subcutaneous infliximab monotherapy in patients with inflammatory bowel disease. ๐Ÿง‘โ€โš•๏ธ๐Ÿ”ฌ Important data as IBD services consider convenience, adherence, drug levels and long-term treatment strategy. Read more: fg.bmj.com/content/early/202โ€ฆ #IBD #Infliximab #SubcutaneousInfliximab #CrohnsDisease #UlcerativeColitis #FrontlineGastro #GItwitter #InflammatoryBowelDisease #IBDTreatment #ClinicalResearch @BritSocGastro @my_UEG @AmCollegeGastro @DDWMeeting @ESGE_news @dr_aditi_kumar @OTavabie @DrJMKennedy @DunnePdj @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman
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Pradeep K Ramaswamy retweeted
A big shoutout to the winners of the ECCO-IBUS Research Grant 2025, announced during the IBUS Members Meeting in Stockholm, Sweden on Wednesday, February 18th โ€” Dr. Johanna Vos and Dr. Pradeep K. Ramaswamy ๐Ÿ‘๐Ÿป Congratulations on this well-deserved recognition! ๐Ÿš€๐Ÿ™Œ๐Ÿป
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Congratulations to Dr Subhaharan on the oral presentation at ECCO 2026,Stockholm! He presented our prospective study on Transperineal Ultrasound in identifying steroid non-response in ASUC - the TRANSPIRE study. @BowelUltrasound #ECCO2026 #ECCO26 #GItwitter #IBDtwitter
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Donโ€™t miss the IUS research from our IBUS members! Hereโ€™s the oral presentation details from tomorrow, Thursday, February 19th, 2026๐Ÿ‘‡๐Ÿป
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Pradeep K Ramaswamy retweeted
S/C IFX - A REAL WORLD EXPERIENCE โญ Original research - check out this retrospective observational cohort study! โญ ๐Ÿง 101 adult patients on SC-IFX monotherapy - 57 (56.4%) CD, 44 (43.6%) UC ๐Ÿ’‰ Treatment persistence at 12 months was 91.1% (92/101) with maintenance or improvement of clinical, biochemical and endoscopic outcomes at 12 months ๐Ÿ“‰ Multivariate regression analysis identified prior ileal resection as an independent predictor of treatment discontinuation at 12โ€‰months Check out the full paper here!! ๐Ÿ‘‡ ๐Ÿ‘‡ ๐Ÿ‘‡ fg.bmj.com/content/early/202โ€ฆ @PhilSmithIsBack @OTavabie @dr_aditi_kumar @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman @JonnyBlackwell @alenkabrooks @DCharabaty @jennie_clough @rachelcooney7 @DisneyBen @bealoquebea @jklimdi @wingyanjoyce @Jonathansegal85 #IBD #IBDTwitter #IBDAwareness #myIBD #IBDChat #inflammatoryboweldisease
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Pradeep K Ramaswamy retweeted
๐Ÿ’ฅ ASUC rescue therapy just got predictable. Second-line medical rescue therapy responders can be identified early with: ๐Ÿ”น UCEIS <6 ๐Ÿ”น CRP <22 mg/L on day 3 Near-zero colectomy risk in both cohorts. ๐Ÿ”“ Read the RESCUE-ASC study: fg.bmj.com/content/early/202โ€ฆ Led by @drkrpradeep #IBD #FGjournal #FGoriginalresearch #MedTwitter @CrohnsColitisUK @BritSocGastro @Y_ECCO_IBD @my_ueg @CrohnsColitisFn @CrohnsColitisR @PhilSmithIsBack @OTavabie @dr_aditi_kumar @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman
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Pradeep K Ramaswamy retweeted
๐Ÿฉธ@FrontGastro_BMJ: Patients with IBD have a 57% increased risk of venous thromboembolism (VTE) within 30 days post-discharge (OR 1.57). ๐Ÿ›Œ Risk after non-surgical admissions even higher (OR 1.70). ๐Ÿ’‰Should extended thromboprophylaxis be routine for our IBD patients? ๐Ÿ‘‰ fg.bmj.com/content/early/202โ€ฆ
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Pradeep K Ramaswamy retweeted
.Proud to see my young colleagues shine at CCFI Kochi.Congratulations Kayal , Harshad and Gayathri Shivakumar. Gratifying to see bowel ultrasound ( which we pioneered in Asia in 2017 ) now occupying centre stage @drkrpradeep @Kayalvn @drvishal82 @UmaMahadevanIBD @IBD_Houston
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Pradeep K Ramaswamy retweeted
Our new data highlights the usefulness of transperineal ultrasound as an immediate treatment target for ulcerative colitis! Early Reduction in Rectal Wall Thickness on Transperineal Ultrasound Predicts Mucosal Healing in Ulcerative Colitis academic.oup.com/ecco-jcc/arโ€ฆ
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The risk of VTE in hospitalized IBD patients extends up to 30 days after discharge. Our latest publication in @FrontGastro_BMJ Should we consider extended thromboprophylaxis in all hospitalized IBD patients? ๐Ÿ‘‰ bit.ly/3HiI0zC #IBD #GItwitter #IBDtwitter
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The risk of VTE in hospitalized IBD patients extends up to 30 days after discharge - 57% increased risk of VTE within 30 days post-discharge (OR 1.57). The risk is even higher in non-surgical admissions (OR 1.70). @Nareshbhat14 @Kayalvn @FrontGastro_BMJ @nagar_anu1972
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