Hepatologist & Therapeutic Endoscopist @VCUHealth🏫| EBM snob |Coffee☕️ Afficionado| Views my own, not of my employer| https://xitter.cf/t.co/UPhrIJzRMK
Richmond, VA
Joined September 2009
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#EUS guided Transgastric Shunt Obliteration- a novel technique to block shunts for difficult to treat Hepatic Encephalopathy
Supplementary data out now, contains:
👉Video of the technique
👉Case details
👉EEG data
Video link:cdn-links.lww.com/permalink/…
#Endohepatology #GITwitter
🔥Hot off the press🔥
Excited 🤩to share our novel technique - EUS guided Transgastric Shunt Occlusion (#ETSO) is out now
An excellent alternative to BRTO for portosystemic shunts, ETSO is
👉 Faster
👉 Less expensive
👉 No need for fluoroscopy suite
doi.org/10.14309/ajg.0000000…
Sahaj Rathi MD, DM, MRCP retweeted
7 Pecados Médicos
(Publicados por Richard Asher en 1949)
Siguen vigentes :
1.- Obscuridad: (Utilizar lenguaje complicado y rebuscado)
Si no eres capaz de explicarlo de manera simple, quizá tú tampoco lo entiendas.
2.- Crueldad: (Realizar Procedimientos innecesarios)
3.- Malas Maneras (Falta de cortesía básica)
4.- Sobreespecializacion (centrarse en un solo órgano olvidando todo el paciente
5.- Amor por lo Raro (obsesionarse con casos raros)
6.- Estupides común (pensar en protocolos, algoritmos etc) no tener criterio propio ni juicio clínico
7.- Pereza (no esforzarse, no revisar, no profundizar)
Finally someone said something sensible about AI in medicine!
Tech bros have been jumping up and down about AI replacing physicians
Right now, it is years away from being a half-decent scribe or admin assistant
Let it manage my inbox, dig through charts, and reduce my burden of 500,000 clicks/day first
Let me make one correction to what I posted. AI will replace most doctors tasks!
Because most of their tasks are bullshit administrivia introduced by the huge HC conglomerates that serve no purpose.
Asking whether AI can replace doctors practicing medicine is the wrong question and approach to improving care
The question is whether there is anything middlemen like PBMs and ASOs and their subsidiaries do, that AI can’t replace ?
Doing so will give doctors far more time with patients and improve the quality of life for healthcare providers and patients.
And it will reduce the cost of healthcare dramatically
Replace the middlemen with AI
Brilliant work @ARPITSHASTRI_78 !
Proud to have been your mentor
A truly enriching experience at @IDDF_CUHK ! 😊It was wonderful meeting inspiring people and learning from experts.
🌟 Delighted to have won First Prize 🏆 in the JGH–IDDF Case/Video Championship 🌟
Sincere thanks to @SahajRathi🙌🏻 for his unwavering support, mentorship, and guidance.
Got to meet some wonderful people
@giri_gutnliver @AnandVKulkarni2 @uwais_ashraf
At #DDW2026? Interested in Gastric Varices and Portosystemic Shunts?
Swing by these halls. I shall try to cover the nuances of how #EUS can maage both these complications of portal hypertension! #EndoHepatology
Note the change in time:
10am, W181(ASGE)
EUS guided shunt modulation in cirrhosis
10.40am, W194(AGA)
EUS guided Gastric variceal obliteration
Biliary focus? Check this out:
11.45am, ASGE learning center
Cholangioperitoneoscopy in complex biliary injury
#GITwitter #Endoscopy
Sahaj Rathi MD, DM, MRCP retweeted
Looking forward to moderating tomorrow's @ASGEendoscopy endohepatology SIG-sponsored symposium titled "Endohepatology: Current Updates and Future Directions" alongside @AlyssaChoiMD . This has historically always been a packed room with audience. We have a great lineup tomorrow with outstanding speakers/talks. Hoping to see many of you there! @DDWMeeting
@allie_schulman @SahajRathi @BrettEFortuneMD @michaelandrewyu
Sahaj Rathi MD, DM, MRCP retweeted
30th Virginia Liver Symposium and Updates in Gastro by @VCUHealth:
@tariqraseen discussing managing IBS in IBD
📌 IBS like symptoms common in IBD remission
🚫 Exclude ongoing inflammation (FC, CRP)
🧀 Food is most common trigger of IBS: dairy, gluten, wheat, high FODMAP, ☕️, 🍻
💊 Treat with IBS related pain: antispasmodics, peppermint oil
🔍 Recognising IBS-IBD overlap avoids escalation of biologics
@VCU_Liver @AmCollegeGastro @AmerGastroAssn @CrohnsColitisFn
Sahaj Rathi MD, DM, MRCP retweeted
Prof @RichSterlingMD with pro-tips for non-invasive liver disease assessment (NILDA) tools at @VCUHealth Liver Symposium
🩸Blood based NILDA good at ruling out advanced fibrosis (FIB-4, ELF, APRI etc)
👎 However they’re suboptimal at identifying F2-F3
📌 Up to half of those who need Rx (F2-F3) missed if you use FIB-4<1.3 to decide who needs Rx
➕ Use combination of NILDA for assessment (blood based+imaging)
📌 in age>65, use FIB-4 threshold of 2 (instead of 1.3)
@VCU_Liver @AmCollegeGastro @AmerGastroAssn @AASLDtweets @EASLedu @INASL_Liver @LiverFellow
Sahaj Rathi MD, DM, MRCP retweeted
Prof @juanpabloarab shedding light on ALD at @VCUHealth Liver Symposium
🥃 Risk of liver decompensation ALD>MASLD for same fibrosis stage
☠️ Alc-hepatitis 3-month mortality is 40%
💊 Best benefit for steroids in alc-hep with MELD 25-39. MELD outperforms MDF for steroid response
👍 Acamprosate NNT for AUD is 12 (for reference, NNT with PPI for PUD bleeding is 15)
@VCU_Liver @AASLDtweets @liverUSA @AmCollegeGastro @AmerGastroAssn @EASLedu @INASL_Liver @ASRG_Liver @LiverFellow
Sahaj Rathi MD, DM, MRCP retweeted
All eyes on the screen for @SahajRathi giving us a glimpse into the realm of endohepatology at @VCUHealth Liver Symposium and GI updates!
Gastric variceal management…Shunt obliteration…Gall bladder drainage…Liver bx…Tumor ablation…Abscess and cyst drainage…nasobiliary drainage…
Skill + innovation 👏
@VCU_Liver @ASGEendoscopy @AmCollegeGastro @AmerGastroAssn @AASLDtweets @EASLedu @LiverFellow @INASL_Liver
#POCUS for HPB medicine/therapeutic endoscopy
Quick and effective focused assessment for key 🔑 clinical questions
A Tweetorial 📹🧵
#GITwitter #endoscopy #ERCP #EUS
5⃣ Is there a bleed? Assessing hepatogastric interface after EUS liver biopsy
Especially if
❗️Cirrhotic liver
❗️Suboptimal coag profile
❗️>1 pass
I personally feel reassured assessing this at 3-4hr mark.
This is where a hematoma would show up
xitter.cf/i/status/1816821793681…
Cirrhosis - Identifying irregular liver outline on ultrasound
I believe all GI units should have at least one bedside ultrasound
Trainees should try to learn #POCUS and use it as an extension of their clinical evaluation
Views #LiverTwitter #GITwitter?
That’s a wrap!
There are multiple other nifty applications of #POCUS in therapeutic endoscopy, but these are the ones I find most useful
Any other uses #GITwitter?
Sahaj Rathi MD, DM, MRCP retweeted
🌟 Exciting 4 days at ISGCON 2025, Amritsar wrapped up 🌟
👉🏻 Power-packed academic sessions & brilliantly delivered lectures
👉🏻Excellent clinical discussions
👉🏻Strong focus on DM/DNrB training challenges and changing landscape of women in GI 🔥
Won 🏆 in Endoscopy clinics 🙌🏻
@ajay_duseja @DrMaheshgoenka @drsuniltaneja @docMPK @drnipunverma @doc_arka @RoyAHep @HepatologyPGI @DrHarpreet20210
