Yara Sarkis, MD @yaransarkis Twitter profile

Pinned Tweet

Yara Sarkis, MD

3 years

So i have decided to start #OneMinuteofGI every Sunday for all GI enthusiasts out there. Basically, i will be sharing a GI “did you know” for all the twitter community. Stay tuned for tomorrow’s info and please share your input🙆🏻‍♀️ #MedTwitter

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Yara Sarkis, MD

@yaransarkis

3 years

I MATCHED!!! #MatchDay2021

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Yara Sarkis, MD

@yaransarkis

6 months

So happy to announce that I will be Joining #CooperGI next year!! Super proud of my fiancé @aminesoueidy94 who matched @Jefferson for Cardiology. Like always, together we can aim for the moon 🍀 #PhillyBound #FellowshipMatch

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Yara Sarkis, MD

@yaransarkis

3 years

I will be an IM resident at @IUIntMed next year!! 😊😊 So proud and honored for the opportunity!

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Yara Sarkis, MD

@yaransarkis

11 months

Today is the day🤞🏻! #Match2024 Starting this ERAS Season with hope and gratitude 💫 #GIfellowship #GITwitter Excited to share this journey with my fiancé @aminesoueidy94 who will be the best 🫀🌟 #Cardiofellowship Wishing everyone the best of luck🍀!!

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Yara Sarkis, MD

@yaransarkis

1 year

4/5 first author abstracts accepted at #DDW2023 : one oral presentation and 3 posters!🎉🎊 Excited to contribute to the advances of GI! #Gitwitter !! Happy day #hereforDDW . Thank you Dr Dewitt, Dr @AdityaGutta and Dr @alhaddad_mo !! @IUGastro @IUIntMed @DDWMeeting

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Yara Sarkis, MD

@yaransarkis

2 years

Hello #Medtwitter , today at #OneMinuteOfGI : ⚠️ Fecal occult blood test 💩 should only be used in CRC screening settings! ❌There is No benefit in its use for diagnostic purposes!

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Yara Sarkis, MD

@yaransarkis

2 years

Proud to be the winner of the Resident Research Competition 2022 @IUIntMed with my research about Same day discharge after POEM. So grateful to my mentor Dr DeWitt and @IUIntMed @IUGastro #GITwitter

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Yara Sarkis, MD

@yaransarkis

2 years

Thank you #WIE #DDW2022 for reuniting me with my idol ⭐️ @DCharabaty

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Yara Sarkis, MD

@yaransarkis

2 years

So proud to announce that our research project about safe same-day discharge after POEM is now published✅ Grateful for my exceptional mentor Dr DeWitt and @IUGastro @IUIntMed . Follow the link👀 :

Safety of same-day discharge after peroral endoscopic myotomy - PubMed

There are limited data on the safety of same-day discharge (SDD) after peroral endoscopic myotomy (POEM). The aim of our study is to assess the frequency and relationship to POEM for emergency...

pubmed.ncbi.nlm.nih.gov

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Yara Sarkis, MD

@yaransarkis

2 years

Hello #Medtwitter , today at #OneMinuteOfGI : Cameron erosions: 🔹Rare cause of occult UGIB 🩸 🔹Linear gastric ulcers or erosions on mucosal folds at the level of diaphragmatic hiatus in pts with large hiatal hernia 🔹Endoscopy gold standard for diagnosis 🤗🌿Happy Palm Sunday!

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Yara Sarkis, MD

@yaransarkis

1 year

Congrats to everyone who matched into their dream fellowship #Match2022 !! Now it’s our turn ⭐️ will my fiancé @aminesoueidy94 ( #Cardiology ) and I ( #Gastroenterology ) be the next power couple? #CardioTwitter #GITwitter Would love tips and advices!!

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Yara Sarkis, MD

@yaransarkis

1 year

Officially registered for the ERAS 2024 fellowship Season #ERAS2024 #MATCH2024 #GIfellowship #Gastroenterology One step closer to my dreams!! 👠 👩🏻‍⚕️ So excited for this season 🤞🏻 Best of luck to everyone 🍀

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Yara Sarkis, MD

@yaransarkis

1 year

#DDW2023 would have not been the same without you @JosephHabibi_MD ! Thank you for all you do and all the effort you put to help everyone out! 🌟 What an amazing community #GItwitter #HereforDDW ! 🔥🔥🔥

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Yara Sarkis, MD

@yaransarkis

3 years

Hello #MedTwitter , today at #OneMinuteofGI : Incidental pancreatic cyst after pancreatitis ⁉️ Pseudocysts is the easy answer but ⚠️ A neoplasm can cause unexplained pancreatitis in up to 20% of pts over the age of 40 —> always R/O a cystic neoplasm first!

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Yara Sarkis, MD

@yaransarkis

2 years

Hello #Medtwitter , today at #OneMinuteOfGI : Suspect Zollinger-Ellison Syndrome if: 🔹Multiple or refractory peptic ulcers 🔹Ulcers distal to duodenum 🔹PUD with diarrhea 🔹Enlarged gastric folds 🔹MEN1

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Yara Sarkis, MD

@yaransarkis

7 months

Social determinants predict etoh relapse after transplant @AASLDtweets #TLM2023 @IUGastro @IUIntMed

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Yara Sarkis, MD

@yaransarkis

6 months

Hello #MedTwitter , today at #OneMinuteOfGI : PPIs: 🔹 Different potencies (see table) 🔗 🔹 Individuals metabolize PPI differently

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Yara Sarkis, MD

@yaransarkis

4 years

Proud to be the co-author of this recently published article @SpringerNature with the amazing @DCharabaty @joshsteinbergMD @KallusSam about IBD in the elderly !!! Read here:

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Yara Sarkis, MD

@yaransarkis

2 years

Hello #GItwitter ! Who else is excited for the #DDW2022 ? Excited to meet you all!

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Yara Sarkis, MD

@yaransarkis

2 years

So happy to be here! #DDW2022 👋🏻 #GItwitter , let’s meet in person! 😌

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Yara Sarkis, MD

@yaransarkis

3 years

Hello #MedTwitter , today at #OneMinuteOfGI : Autoimmune pancreatitis Type 1: - 🙆🏻‍♂️>🙆🏻‍♀️ -High serum IgG4 -Can be part of IgG4-related disease: sclerosing cholangitis,sclerosing sialadenitis,retroperitoneal fibrosis,tubulo-interstitial nephritis…

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Yara Sarkis, MD

@yaransarkis

3 years

Pleased to share my review on the newest therapies in cholangiocarcinoma 😊🤞🏻

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Yara Sarkis, MD

@yaransarkis

2 years

Hello #Medtwitter #GItwitter , today at #OneMinuteofGI : Los Angeles Grading of Esophagitis: 🔹 4 categories based on extent of mucosal breaks ‼️ 🔹Endoscopic classification 🩺 🔹 Treatment varies 💊 Refer to Picture ⬇️ from 10.1016/j.bpg.2010.09.008

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Yara Sarkis, MD

@yaransarkis

1 year

Day 1 #DDW2023 was awesome! ✅ Presented our work on EUS CYA injection in GV ✅ Met with some of #GITwitter super 🌟 ✅ Learned some tips and tricks in GI ✅ Had a wonderful time with my colleagues and friends 🤍 ✅ Had a great walk in a lovely weather ☀️ Can’t wait for Day 2!!

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Yara Sarkis, MD

@yaransarkis

3 years

Hello #MedTwitter , today at #OneMinuteofGI : Celiac Disease⁉️ 1️⃣Intermittent diarrhea, bloating/flatulence, abd pain 2️⃣Malabsorption,⬇️weight,Iron ❌ anemia 3️⃣Dermatitis herpetiformis:vesicular rash 4️⃣⚠️acute PANCREATITIS by duod infla➡️papillary stenosis➕pancreatic duct outflow

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Yara Sarkis, MD

@yaransarkis

2 years

Hello #Medtwitter , today at #OneMinuteOfGI : The R factor: 🔹Ratio of ALT elevation to ALK Ph elevation 🔹Cholestatic 🆚 Hepatocellular liver injury: ▫️>5 : Hepatocellular ▫️<2 : Cholestatic ▫️2<R<5 : Mix

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Yara Sarkis, MD

@yaransarkis

3 months

I am overjoyed with the #Match2024 results. As a Lebanese IMG, I cannot be prouder. Congrats to everyone who matched and in particular to my previous #USJ colleagues, You are superstars🌟 @ReneeSaliby @Joseph_Kassab97 @ggebraelmd @lewisnasr @GKaoukabani @ChebelRoy & many more✨

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Yara Sarkis, MD

@yaransarkis

2 years

Hello #MedTwitter ,today at #OneMinuteofGI : 🗣️Shout out to #GITwitter :Would you recommend aggressive or moderate hydration in pancreatitis❓ 💎New study NEJM Sept 2022➡️ Moderate hydration 1.5 mL/kg/h🆚 aggressive hydration (3 mL/kg/h):less volume overload w/o change in outcomes

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Yara Sarkis, MD

@yaransarkis

2 years

Hello #Medtwitter #GItwitter , today at #OneMinuteofGI : Always Confirm eradication after H pylori treatment ⚠️ 4 weeks after completion of treatment 💊 . 🔹 Options🔬: urea breath test, stool Ag testing or endoscopy 🔦 🔹 Do not use Serologic tests!

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Yara Sarkis, MD

@yaransarkis

3 years

Hoping for the best🤞🏻 #MATCH2021 #interviewseason 🍀 in the middle of the pandemic 😷 Happy days around christmas 🎄 Vaccine news and big hopes for a brighter future 😌

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Yara Sarkis, MD

@yaransarkis

2 months

✅ 24h at #ScrubsNheels24 . What an enriching experience. 🧘🏻‍♀️ with #Friendtors 🥂 with 🌟 #WomeninGI and #allies 📚 “Glass Walls” signing @amydiehl 🌅 Breathtaking sunrise 🎙️ Discussions & Presentations by inspirational #GIleaders @ScrubsNHeels @DCharabaty @IBD_Afzali

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Yara Sarkis, MD

@yaransarkis

2 years

Hello #Medtwitter #GItwitter , today at #OneMinuteofGI : Rifaximin improve symptoms in IBS without constiption ‼️ 🗣 Do you prescribe it in your practice for this purpose ❓ @AllonKahn @JosephHabibi_MD @joshsteinbergMD @DCharabaty @IBDMD @MN_GIMD @MTPapaD

Rifaximin for Irritable Bowel Syndrome: A Meta-Analysis of Randomized Placebo-Controlled Trials -...

The current treatments for irritable bowel syndrome (IBS) are suboptimal. The findings of previous studies of rifaximin treatment for IBS may have differed due to variations in study design. Our...

pubmed.ncbi.nlm.nih.gov

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Yara Sarkis, MD

@yaransarkis

2 years

Hello #MedTwitter ,today at #OneMinuteofGI : Chronic Atrophic Gastritis: 1️⃣Autoimmune: 🔹Gastric body & fundus 🔹c/b IDA (2/2 hypochlorhydria), ⬇️vit b12 + pernicious anemia🩸 🔹⬆️ risk of G-NET and AdenoCa☠️ 2️⃣Environmental: 🔹RF: Dietary 🥘 , H pylori 🦠 🔹Multifocal, Antrum ++

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Yara Sarkis, MD

@yaransarkis

2 years

Hello #Medtwitter , today at #OneMinuteOfGI : Acute hepatitis B: 🔹treat with Antiviral 💊 (entecavir, TDF/TAF) only if ⚠️ acute liver failure or severe course (total bili >3 mg/dL (or direct bili >1.5 mg/dL), INR >1.5, encephalopathy, or ascites. 🔹tx until HbsAg clearance

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Yara Sarkis, MD

@yaransarkis

11 months

Check out our new publication about Peristomal Varices endoscopic treatment! So proud to be part of 🌟 innovations. Thankful for my mentor Dr DeWitt and our coauthors for this amazing work @alhaddad_mo , Dr Gutta, Dr Ghabril & Dr Masuoka @IUGastro @IUIntMed

EUS-guided treatment of bleeding peristomal varices (with video) - PubMed

EUS appears to be a safe and promising technique for treatment of PV.

pubmed.ncbi.nlm.nih.gov

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Yara Sarkis, MD

@yaransarkis

2 years

Join me @DDWMeeting to learn more about POEM outcomes after Same Day Discharge! Grateful for my wonderful mentor Dr. John DeWitt and the amazing GI team who made this project a reality! @IUGastro #innovationsinGI #GITwitter

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Yara Sarkis, MD

@yaransarkis

1 year

And it’s a wrap #DDW2023 ! What a great few days! ✅ 1 oral presentation, 3 posters (1 with distinction 🥇) ✅ Colleagues and friends presentations/posters 🌟 @HishamWehbeMD @Montalvan214 @JMontroseDO @RenatoBeasMD , Maria Ortiz, Elizabeth Williams and others! @IUGastro @IUIntMed

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Yara Sarkis, MD

@yaransarkis

1 year

Got my badge! #HereforDDW Super Excited for #DDW2023 Last few preps before I hit the road 🚗 See you all there 💫

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Yara Sarkis, MD

@yaransarkis

2 years

Hello #MedTwitter ,today at #OneMinuteofGI : Paraneoplastic manifestations of gastric carcinoma: 🔹Sudden diffuse seborrheic keratosis = Leser-Trélat sign 🔹Microangiopathic hemolytic anemia 🔹Membranous nephropathy

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Yara Sarkis, MD

@yaransarkis

2 years

Hello #Medtwitter #GItwitter , today at #OneMinuteofGI : 1/2: C Diff tx 💊: 🔹1st episode:Vanc 💊 or Fidaxo 🔹Fulminant disease w/o ileus:Vanc 💊 + Metronidazole IV 🔹Recurrence:Fidaxo or Vanc taper ⚠️ FMT for 3rd recurrence or if Ileus

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Yara Sarkis, MD

@yaransarkis

1 year

Hello #MedTwitter , today at #OneMinuteOfGI : Peptic Ulcer Disease: 🔹UGIB 🔹Forrest Classification➡️Tx ▪️High-risk🩸 stigmata➡️thermal coagulation or clips w/ or w/o injection 🔹 H pylori testing and eradication if + 🔹⛔️ NSAIDS,PPI BID x 4-8 w then qD. Repeat EGD if gastric ulcer

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Yara Sarkis, MD

@yaransarkis

1 year

Hello #MedTwitter ,today at #OneMinuteOfGI : Schatzki ring: 🔹 most common type of esophageal ring 🔹 🔗 to hiatal hernia, EoE 🔹 Causes Dysphagia 🔹 can be seen on barium swallow and endoscopy

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Yara Sarkis, MD

@yaransarkis

2 years

Hello #MedTwitter ,today at #OneMinuteofGI : Klatskin Tumor: 🔹 Tumor involving the bifurcation of the hepatic duct bifurcation 🔹 > 50% of cholangiocarcinoma 🔹 Appears as segmental dilation or nonunion of left and right ducts 🔹 Bismuth-Corlette Classification (cf image)

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Yara Sarkis, MD

@yaransarkis

1 year

Hello #MedTwitter ,today at #OneMinuteOfGI : Which DOAC is better in GI bleed? 🩸 ⚠️Rivaroxaban has been associated with higher GI bleed rates than apixaban in several studies 📊 Refer to this great study by the inspiring @NeenaSAbrahamMD 👉🏻

Gastrointestinal Safety of Direct Oral Anticoagulants: A Large Population-Based Study - PubMed

In a population-based study of patients receiving DOAC agents, we found apixaban had the most favorable GI safety profile and rivaroxaban the least favorable profile. GI bleeding events among patient...

pubmed.ncbi.nlm.nih.gov

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Yara Sarkis, MD

@yaransarkis

2 years

Hello #Medtwitter #GItwitter , today at #OneMinuteofGI : Consider GI ppx for stress ulcer in pt on mechanical ventilation for > 48h ⚠️‼️

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Yara Sarkis, MD

@yaransarkis

2 years

Hello #MedTwitter ,today at #OneMinuteofGI : Blakemore/Minnesota Tube: 🔹Indication: Massive life threatening UGIB 🔹Risk : esophageal rupture 🔹 Cf picture ⚠️ Do not completely inflate gastric balloon before confirming its in the stomach with 📸 ‼️

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Yara Sarkis, MD

@yaransarkis

9 months

Hello #MedTwitter , today at #OneMinuteOfGI : GI Cancer screening in Lynch: 🔹 CRC: colonoscopy every 1-2 yrs since 20-25 yo or 2-5 yrs prior to earliest age of CRC diagnosis in family 🔹 Gastric: ⚠️contreversial! EGD at 30-35 yo, surveillance if high-risk. 🗣️Experts opinion?

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Yara Sarkis, MD

@yaransarkis

2 years

Hello #MedTwitter ,today at #OneMinuteofGI : Recognizing Cholecystitis on Ultrasound: ⚠️ in the era of POCUS 📸 🔹 Presence of stones🪨, “shadowing” 🔹 GB wall thickening > 3 mm 🔹Double wall sign (edema, pericholestatic fluid) 🔹Sonographic murphy

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Yara Sarkis, MD

@yaransarkis

3 years

Hello #Medtwitter , today at #OneMinuteOfGI : Anal fissures: 🔹Sx:Pain during and after 💩; rectal 🩸during or after 💩 🔹Associated features: skin tags, hypertrophied anal papilla 🔹🔦⁉️: 📌Posterior to midline: Idiopathic 📌Lateral: Crohn,TB,syphilis,HIV,Psoriasis,anal carcinoma

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Yara Sarkis, MD

@yaransarkis

2 years

Hello #MedTwitter ,today at #OneMinuteofGI : Cutaneous Manifestations of acute pancreatitis: 🔹 ecchymotic discoloration, superficial edema + bruising in subcutaneous fatty tissue 🔷 in the periumbilical region or along the flanks 🔷❓Guess the name of the signs in the figures:

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Yara Sarkis, MD

@yaransarkis

2 years

Hello #Medtwitter , today at #OneMinuteOfGI : Gallbladder polyps are more likely to be neoplastic if: 🔹>1cm +++ 🔹associated with GB stones 🔹w/ PSC

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Yara Sarkis, MD

@yaransarkis

3 years

Hello #MedTwitter , today at #OneMinuteofGI : LFTs⁉️ -Marker of hepatic 🤕:ALT>AST -⬆️AlkPh:Confirm hepatic origin👉🏻GGT⬆️ or fractionation -Marker of liver function:Alb,bili,PT -🤕 patterns: Hepatocellular:ALT/AST⬆️>AlkPh Cholestatic:AlkPh⬆️>AST/ALT ⚠️⬆️Direct bili can be both!

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Yara Sarkis, MD

@yaransarkis

3 years

Finally Got vaccinated today 💉🧘🏻‍♀️

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Yara Sarkis, MD

@yaransarkis

1 year

Was such a pleasure meeting and spending time with this amazing physician and woman! @GutGirlMD #WomenSupportingWomen

Dawn Sears, MD, FACG

@GutGirlMD

1 year

Congratulations @yaransarkis !! #DDW2023 grateful for you being in our 🌍! Your future is SO very bright! 😎🤩

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Yara Sarkis, MD

@yaransarkis

3 years

Hello #MedTwitter , today at #OneMinuteofGI : Preventive Medecine In IBD⏩screen for: -Cervical cancer annually if on IS therapy -Depression and anxiety -Melanoma -NonMelanoma Squamous Cell Cancer if on Immunomodulators, ++>50yo -Osteoporosis if RF

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Yara Sarkis, MD

@yaransarkis

20 days

Hello #MedTwitter , I won’t be posting any #OneMinuteOfGI tweets for the next few weeks due to exciting life events! 💍🍾 But don’t worry, I will be back soon 🤍

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Yara Sarkis, MD

@yaransarkis

2 years

So grateful for the opportunity @ASGEendoscopy @DDWMeeting #DDW2022 ! And so lucky to have a tremendous support system: family friends, amazing co-residents, mentor and program ❤️ @IUGastro @IUIntMed

Astin Worden, MD

@AstinWordenMD

2 years

So proud of my super 🌟 co-resident @yaransarkis for her excellent presentation today on outcomes of same day discharge after POEM! 👏🏼👏🏼👏🏼 #DDW2022

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Yara Sarkis, MD

@yaransarkis

2 years

Hello #Medtwitter , today at #OneMinuteOfGI : Hepatic Hydrothorax: 🔹Transudative, SPAG > 1.1, prot <2.5 ⚠️ Can develop spontaneous bacterial empyema ❗️ 🔹Tx 🩺: sodium restriction and diuretics 🔹Avoid placing chest tube❗️ 👋🏻 See You next week at #DDW2022

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Yara Sarkis, MD

@yaransarkis

3 years

Hello #MedTwitter , today at #OneMinuteOfGI : Life-style modification in GERD: -Weight loss if overwheight or recent weight gain -Head of bed elevation -Avoidance of meals 2-3h before bedtime 🛌 ⚠️ Routine global elimination of food that can trigger reflux is not recommended!

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Yara Sarkis, MD

@yaransarkis

2 years

Hello #Medtwitter , today at #OneMinuteOfGI : GI complications of marijuana: 🔹Hyperemesis syndrome ⚠️ Hot Shower attenuates sx 🔹Cannabinoid-induced pancreatitis ⚠️ case reports

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Yara Sarkis, MD

@yaransarkis

8 months

Check out our publication! @IUGastro @IUIntMed

GIE

@GIE_Journal

8 months

Online now in GIE’s Articles in Press: “EUS-guided treatment of peristomal varices” by Yara Sarkis et al. @yaransarkis

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Yara Sarkis, MD

@yaransarkis

2 years

Hello #MedTwitter ,today at #OneMinuteofGI : SMA syndrome: 🔹Weight loss ➡️ loss of mesenteric fat pad ➡️ ⬇️ angle between SMA and aorta ➡️Compression of 3rd portion of duodenum 🔹 Sx nonspecific w/ Positional relief 🔹🔦: 📸 + imaging criteria 🔹 tx:conservative,🔪 if fails

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Yara Sarkis, MD

@yaransarkis

2 years

Hello #Medtwitter , today at #OneMinuteOfGI : Achalasia Etiologies: 1️⃣Idiopathic or primary 🩺 +++ 2️⃣Secondary achalasia: 🔹Chagas disease 🔹Amyloidosis/sarcoidosis 🔹Scleroderma 🔹Neoplastic causes

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Yara Sarkis, MD

@yaransarkis

3 years

Hello #MedTwitter , today at #OneMinuteOfGI : Eosinophilic esophagitis: -solid food dysphagia: most common presenting sx. -Diag by esophageal biopsies. -R/O secondary cause (crohn’s, celiac, infection, drug hypersensitivity,PPI) {ACG clinical guidelines)

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Yara Sarkis, MD

@yaransarkis

1 year

Hello #MedTwitter ,today at #OneMinuteOfGI : Colonic ischemia: 🔹RF: >60 yo, Female, antihypertensive meds 🔹Abrupt onset lower abdominal pain and hematochezia 🩸 within 24h 🔹CT: segmental thickening in watershed area 🔹🩺: c scope

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Yara Sarkis, MD

@yaransarkis

3 years

Hello #Medtwitter , today at #OneMinuteOfGI : Most common lab abnormality in congestive hepatopathy⁉️ ⬆️ in serum bilirubin level ‼️

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Yara Sarkis, MD

@yaransarkis

2 years

Excited for today! #AIBDRegionals !

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Yara Sarkis, MD

@yaransarkis

2 years

Hello #Medtwitter #GItwitter , today at #OneMinuteofGI : Angiodysplasia🩸tx: 🔹Endoscopic: APC (++ in right colon),Electrocoa,Clips,sclerotherapy 🔹Angiography + coiling for life-threatening 🩸 🔹💊: octreotide,angiogenesis inhibitors,hormonal therapy ⚠️High risk of rebleeding‼️

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Yara Sarkis, MD

@yaransarkis

3 years

Hello #MedTwitter , today at #OneMinuteOfGI : Chronic pancreatitis: -1st line: CT/MRI. EUS if doubt after initial studies. -exocrine insufficiency not always apparent>> functional pancreatic testing is not a diagnostic tool -Etiologies: TIGAR-O (see picture) {ACG}

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Yara Sarkis, MD

@yaransarkis

6 months

Hello #MedTwitter , today at #OneMinuteOfGI : Cholecystectomy indications: 🔹 Symptomatic cholelithiasis 🔹 Asx cholelithiasis with high risk of carcinoma (gallstones > 3 cm, porcelain gallbladder, gallbladder polyps > 1 cm) 🔹Acalculous cholecystitis

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Yara Sarkis, MD

@yaransarkis

1 year

What a turnout this evening 💫!! @WomeninEndo #WomeninGI So good to see all the support in this community and all the superwoman in GI!!👸🏻 💜 @UzmaSiddiquiMD @drsethinyc

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Yara Sarkis, MD

@yaransarkis

10 months

Hello #MedTwitter , today at #OneMinuteOfGI : Indication for SBP prophylaxis: 🔹GIB in cirrhosis 🔹Previous SBP 🔹protein in Ascitic fluid < 1.5 g/dL + AKI or liver failure

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Yara Sarkis, MD

@yaransarkis

2 years

Hello #Medtwitter , today at #OneMinuteOfGI : ⚠️Always assess HER-2 status in metastatic Gastroesophageal Adenocarcinoma❗️ If positive, consider adding trastuzumab to chemotherapy 💊

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1

30

Yara Sarkis, MD

@yaransarkis

3 years

Hello #MedTwitter , today at #OneMinuteOfGI : Colon ischemia: -Sx: sudden cramping, mild pain, urgent desire to defecate, passage within 24h of bright red blood in stools/bloody diarrhea -L colon > R colon -if isolated in R colon⏩higher mortality rates {ACG clinical guidelines}

0

1

28

Yara Sarkis, MD

@yaransarkis

1 year

Being a good clinician is 🔑 to provide the best care for patients! It is important to recognize the signs of severe and rare diseases and to know when to consult a specialist! 📌I am pleased to share our case report: “High index of suspicion: diagnosing

High index of suspicion: diagnosing a carotid-cavernous fistula

A woman in her 70s presented with acute bilateral retro-orbital headache, diplopia, chemosis and eye swelling. Ophthalmology and neurology were consulted after detailed physical examination and...

casereports.bmj.com

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28

Yara Sarkis, MD

@yaransarkis

2 years

Hello #Medtwitter , today at #OneMinuteOfGI : Dumping syndrome: 🔹After 🔪: vagotomy,Roux-en-Y bypass,sleeve gastrectomy, esophagectomy… 🔹Sx within 1h of 🍽 🔻GI:abd pain,epigastric fullness, 💩,N/V, bloating. 🔺Vasomotor:palpitations, tachycardia,syncope,diaphoresis, flushing

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4

27

Yara Sarkis, MD

@yaransarkis

2 years

Hello #Medtwitter , today at #OneMinuteOfGI : Acalculous cholecystitis(part 2): ❗️Source control 🔹Indications for emergency cholecystectomy:✂️ -GB necrosis -Emphysematous cholecystitis -GB perforation 🔹if no indications or high ASA: percutaneous drainage 👀 UpToDate algorithm👇🏻

0

3

28

Yara Sarkis, MD

@yaransarkis

3 years

Stay tuned! Proud to be part of the team!

#MondayNightIBD

@MondayNightIBD

3 years

📣 #GITwitter #IBDTwitter It’s a new academic year & we have🔥 #Back2Basics teams of #GI #Fellows #Residents ! Let’s talk acute severe UC #ASUC ✅ #IBDPolls 1️⃣&2️⃣👆🏽 💎 @RomyChamoun @JosephHabibi_MD #MakeItSimple for us👇🏽: ✅Evaluation ASUC ✅Medical Management ✅Role of Surgery

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27

Yara Sarkis, MD

@yaransarkis

3 years

Hello #MedTwitter ,today at #OneMinuteofGI : Test for H.pylori if: -PUD -Low-grade gastric MALToma -Hx of endo resection of early gastric Ca -Dyspepsia(nonendoscopically if no🚨 features) -Chronic low dose asp -Initiating chronic NSAIDs -Unexplained iron deficiency anemia -ITP

1

27

Yara Sarkis, MD

@yaransarkis

3 years

Two months until MATCH day ⏳ Is it me or time flies?

5

0

27

Yara Sarkis, MD

@yaransarkis

1 year

@MondayNightIBD 1/Differential of Non-infectious Non -IBD colitis: 🔆 Drug-induced 🔆 Common Variable Immunodeficiency 🔆 Behcet disease 🔆 Segmental Colitis Associated w/ Diverticulosis 🔆 Ischemic Colitis 🔆 Radiation Colitis 🔆 Malignancy 🤔Can you think of other dx? #MondayNightIBD

1

12

26

Yara Sarkis, MD

@yaransarkis

3 years

Hello #MedTwitter , today at #OneMinuteOfGI : IBS: -recurrent abdo pain >=1/w in last 3 m+disordered defecation ⁃Diarrhea:R/O celiac(serological test) and IBD(fecal calprotectin,CRP) No scope if no alarm features! -Stool consistency⏩Subtypes(D,C,M) {ACG clinical guidelines}

1

6

27

Yara Sarkis, MD

@yaransarkis

2 years

@MondayNightIBD 1/ #GITwitter #IBDTwitter ! Welcome to our @MondayNightIBD #Back2Basics with @JosephHabibi_MD @DCharabaty Nutrition in IBD: - Role in disease control - Nutritional support options - Perioperative assessment & optimization

4

12

26

Yara Sarkis, MD

@yaransarkis

2 years

Outstanding as usual @DCharabaty , talking about ASUC management @IBDConference #AIBDRegionals

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3

26

Yara Sarkis, MD

@yaransarkis

2 years

Hello #MedTwitter ,today at #OneMinuteofGI : Esophageal candidiasis: 🔹 Odynophagia 🔹 Evidence of oropharyngeal disease 🔹 🩺: EGD with biopsies of white mucosal plaque-like lesions 🔹 💊 : Fluconazole ⚠️ R/o Underlying immunocompromise

1

0

26

Yara Sarkis, MD

@yaransarkis

3 years

@MondayNightIBD @purnie_mae @malloc_doc @abbvie @FerringUSA @JanssenUS @DCharabaty 1/ #GITwitter ! Welcome to our @MondayNightIBD #Back2Basics #B2B with @purnie_mae on Imaging in #Crohns #IBD

1

10

26

Yara Sarkis, MD

@yaransarkis

2 years

Hello #MedTwitter ,today at #OneMinuteofGI : ⚠️ Typically, High BUN:creat ratio in upper GIB. Would the absence of this 🩸 finding impact your decision to do an urgent EGD? @EndoscopyOthman @NealMehtaMD @SanjeevaniTomar @JeremyAdlerMD @AdvaniRashmiMD @LizzieAbyMD @DCharabaty

13

0

26

Yara Sarkis, MD

@yaransarkis

2 years

Hello #Medtwitter , today at #OneMinuteOfGI : Mortality in fulminant hepatitis from: 🔹Brain Herniation 🧠 ⚠️ Risk increase if ammonia >100 and more if >200 🔹Infection 🦠

0

1

25

Yara Sarkis, MD

@yaransarkis

10 months

Hello #MedTwitter , today at #OneMinuteOfGI : Pancreatic elastase ⚠️ Low level (<200) does not always indicate pancreatic exocrine insufficiency. False positive: 🔹Diluted Stool 🔹celiac disease 🔹Db, HIV, CKD 🔹IBS,IBD,SIBO 🔹other pancreatic diseases

1

4

26

Yara Sarkis, MD

@yaransarkis

1 year

You know you are an Aspiring GI when your secret santa gets you a big 💩 bean bag and you LOVE IT! #womeninGI Isn’t this the best gift?😌

0

25

Yara Sarkis, MD

@yaransarkis

2 years

@MondayNightIBD @JosephHabibi_MD @DCharabaty @GIdietitian @RomyChamoun @purnie_mae @GroverDheera @MarcelYibirin @RobertoSimonsMD @AasmaShaukatMD @gi_jeff247 @GregoryTBrennan @EJGastroHep @Y_ECCO_IBD @ESPGHANSociety @ESPENorg @ibdgijami @Leicnut @MRegueiroMD @jalpa_devi @JHaydek @dunleavy_katie @BassiMehak @SchwartzbergMD 13/🌟Summary: 1⃣Team communication is key peri-✂️: GI➕CRSurgeon➕GIDietician➕Radiologist➕Psychologist➕Patient🥇 2⃣Pre-✂️optimization: 🔹❌🚬(CD) 🔹Drain abscess>3cm, Sepsis tx 🔹⬇️Steroids<20mg,Correct anemia,DVT ppx 🔹Optimize🍽️ 🔹 High-quality bowel📸 🔹Psychology support

3

9

25

Yara Sarkis, MD

@yaransarkis

7 months

Another application for EUS✨ Check out our new publication (pre-proof) and look out for the final version📑 Thankful for the mentorship @IUGastro @IUIntMed

Digestive Endoscopy | JGES Journal | Wiley Online Library

Objectives Endoscopic ultrasound (EUS)-guided injection of cyanoacrylate (CYA) for primary prophylaxis (PP) of gastric varices (GV) is controversial. This study evaluates the safety and efficacy of...

onlinelibrary.wiley.com

3

6

25

Yara Sarkis, MD

@yaransarkis

2 years

Hello #MedTwitter . Wishing you a Happy New Year today. Thank you for following #OneMinuteofGI during 2021. May 2022 be a happy year on everyone and may we continue learning together every sunday❤️

0

1

24

Yara Sarkis, MD

@yaransarkis

9 months

Hello #MedTwitter , today at #OneMinuteOfGI : Cyclic vomiting syndrome: 🔹Diagnosis based on Rome IV criteria: - acute vomiting episodes that last < 1 week - >3 episodes in last year, 2 in 6 months, at least 1 w apart - No vomiting between episodes 🔹 R/o other etiologies

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3

25

Yara Sarkis, MD

@yaransarkis

2 years

Hello #Medtwitter #GItwitter , today at #OneMinuteofGI : Angiodysplasia🩸: 🔹🔗 CKD,Aortic stenosis,VWD 🔹 If colonic:++ right colon 🔹 🔎 by endoscopy 🔹Tx of non-bleeding angiodysplasia is contreversial 🗣 would you treat non-bleeding angiodysplasia in pts with occult bleeding⁉️

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25

Yara Sarkis, MD

@yaransarkis

3 years

Hello #MedTwitter , today at #OneMinuteOfGI : Lynch syndrome: -Most common cause of inherited CRC. Usually right-sided. -Associated to endometrial cancer and other cancer sites. -Pathogenic germline mutation in DNA mismatch repair genes.

1

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24

Yara Sarkis, MD

@yaransarkis

2 years

Hello #Medtwitter , today marks the first year anniversary of #OneMinuteOfGI ! Thank you for following my tweets and I hope they were useful to you all! 💜 Stay around for a new year of learning points! ☺️ 🩺

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23

Yara Sarkis, MD

@yaransarkis

2 months

Hello #MedTwitter , today at #OneMinuteOfGI : 🔹ALT has a longer half life than AST and is more specific to liver 🔹Alkph elevation is normal in pregnancy

0

3

24

Yara Sarkis, MD

@yaransarkis

1 year

Hello #MedTwitter ,today at #OneMinuteOfGI : Cholestatic pruritus tx: 🔹Mild: warm 🛁 , emollients, antihistamines 🔹Moderate to severe: ▪️ 1️⃣ Bile Acid sequestrants like cholestyramine 💊 (+ Urso if PBC) ▪️2️⃣ Rifampin ▪️3️⃣ opioid antogonist : naltrexone ▪️4️⃣ sertraline

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