Hashem el- Serag
@SeragHashem
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Professor & Chairman of Medicine, Baylor College of Medicine, Gastroenterologist and Hepatologist. past president Amer Gastro Association. opinions are mine
Houston, TX
Joined January 2014
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One of the most impromptu things I have ever done. Took a flight to Doha with my son , bought tickets and watched
#morocco
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Just rotated off the
@AmerGastroAssn
Presidency and what a year it was! Honored beyond words to have served in that role. Great organization and staff. Good future under Dr Omary.
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Pic with a bust of Michael DeBakey; where do you think? No not Houston but Marjayoun a little village in south Lebanon (beautiful country) where DeBakey family hails from
@bcmhouston
@BCMDeptMedicine
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Received COVID vaccine today
*Protect patients, colleagues, friends, family, public, self
*Because I believe in science
*Fortunate to work at great place
Short term results GREAT as u can see
@qualitybslmc
#StickItToCOVID
#BCMCares
@BCMHouston
@AmerGastroAssn
@BCMDeptMedicine
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Things may be boring at the office but it helps to have a Masters in Art
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Having dinner on a rooftop restaurant in Istanbul and this is the stunning view: Ahmet Sultan (Blue Mosque) and Hagia Sofia mosque. Layers of civilisations and beauty
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It has been an honor and a privilege
View a farewell video from Hashem El-Serag, AGA past president, as he reflects on a successful year. Thank you
@SeragHashem
for your service to AGA members and commitment to the field!
#GITwitter
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Excited to be getting COVID vaccine tomorrow
@bcm_gihep
@AmerGastroAssn
@bcmhouston
@BCMDeptMedicine
@BCM_Alumni
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Dawn-to-sunset fasting suggests potential new treatment for obesity-related conditions: Study of 30-day Ramadan fast
Timely (given that this is Ramadan) from colleague Ayse Mindikoglu
@AASLDtweets
@AmerGastroAssn
@bcmhouston
@BCMDeptMedicine
@DDWMeeting
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It was my pleasure/honor to write this piece introducing my friend
@InadomiJ
as
@AmerGastroAssn
president. Great guy too! Our New President—John M. Inadomi, MD, AGAF
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Important study for a common clinical scenario
Hepatic steatosis with persistently normal ALT have lower risk for cirrhosis/HCC c/w with steatosis and elevated ALT
Risk of Cirrhosis and HCC in Patients with NAFLD and Normal Liver Enzymes. - PubMed - NCBI
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On behalf of all 4 GI/liver societies -- our statement re COVID19 Here’s a link
.
@AmerGastroAssn
@AASLDtweets
@AmCollegeGastro
@ASGEendoscopy
: Strongly consider rescheduling elective non-urgent endoscopic procedures. Consider offering elective office visits remotely, via telemedicine if possible
#COVID
#coronavirus
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Passed my cardiac stress test. Walked up the spiral staircase in zero c temp to the top of the spire of Cologne cathedral.. I still have to go down !
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A letter from F Scott Fitzgerald, quarantined in 1920 in France during the Spanish flu outbreak
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An amazing achievement
@KanwalFasiha
@AmerGastroAssn
reflects the great work of the editors (esp Dr Kanwal) and staff. CGH now has the highest impact of any US based general clinical GI journal. Congratulations
Great news! Clinical Gastroenterology and Hepatology, AGA’s clinically focused journal, reached a record-high 2020 Impact Factor of 11.382, pulling ahead as the field’s top exclusively clinically oriented journal!
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Very pleased with the T32 renewal, chance to work with
@KanwalFasiha
and training the next generation of physician investigators
@AmerGastroAssn
@SeragHashem
@KanwalFasiha
got renewed
@NIHFunding
T32 training grant. 15 years producing physician scientists
-trained in the content areas, methods in GI
-mastered research skills, including project design, planning, funding, execution, management, and reporting.
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What I found on our 15 year old daughter’s mirror ... a good way to pump yourself up
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One of the most memorable gifts that I have ever received from
@drjshapiro
depicting a favorite saying of Khalil Gibran (and yes me sitting next to him on the park bench at Copley plaza
@bcm_gihep
@AmerGastroAssn
@AASLDtweets
@BCMDeptMedicine
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World Congress of gastroenterology in Istanbul. Faculty dinner on the boat and the famous bosphorous
@AmerGastroAssn
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Our recent work.
1. Each additional metabolic trait increased the risk of cirrhosis and HCC in NAFLD.
2. Diabetes conferred the highest risk of HCC.
Effect of Metabolic Traits on the Risk of Cirrhosis and HCC in Non‐alcoholic Fatty Liver Disease
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Important new information. Risk Factors for Hepatocellular Cancer in Contemporary Cohorts of Patients with Cirrhosis
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25 years after my first abstract and the thrill is still there. Hope it never goes away
@AmerGastroAssn
@DDWMeeting
First abstract in...who thought I’d ever actually get to say that, but what a great ride it’s been!
#DDW202
@DDWMeeting
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You gotta love world cup soccer and Morocco's big win today
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A lot of good work went into this guideline
@AmerGastroAssn
@AmCollegeGastro
NEW GUIDELINE ALERT: AGA Clinical Practice Guidelines on Management of Gastric Intestinal Metaplasia just posted as
@AGA_Gastro
Article in Press (login req'd) - will be public next week. First look:
@samirguptaGI
@SeragHashem
@SultanShazi0314
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What are the chances! I have had 2 published papers each with TWO of this years Nobel prize winners; both papers on hepatitis B (not C!) A research agenda for curing chronic hepatitis B virus infection.
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We are excited to launch Hepatocellular Carcinoma Early Detection Screening (HES) for public commentary. 5 years in the making ! Easy to use risk calculator. Please send me your feedback
@AASLDtweets
@ILCAnews
@AmerGastroAssn
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An honor to be the McKenna lecture awardee and grateful to the generous hospitality of my friend Paul Moayyedi
@cag
Congrats on our fearless leader
@SeragHashem
@BCMDeptMedicine
to deliver the prestigious
@CanGastroAssn
McKenna Lecture at
#CDDWCLM2024
#GITwitter
#LiverTwitter
@bcm_gihep
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An unprecedented at least in recent memory call from leading medial journal for a change in the country leadership. Read and judge. Dying in a Leadership Vacuum | NEJM
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Happy Match Day! On behalf of AGA, I welcome all
#GIfellowship
applicants who match today for
#Match2020
. You have a challenging yet rewarding road ahead & AGA is here to support you!
#FellowMatch
#WelcometoGI
#FutureofGI
@AmerGastroAssn
@AASLDtweets
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Our response to the NYT piece on duodenoscopes.
@AmerGastroAssn
@AmCollegeGastro
@ASGEendoscopy
@AASLDtweets
@bcm_gihep
@TSgastro
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After COVID-19 is controlled, there will still be NAFLD and unlike other ch liver diseases, progression is W>M. Our recent paper: Women have Lower Risk of NAFLD but Higher Risk of Progression vs Men: A Systematic Review and Meta-analysis. - PubMed - NCBI
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Finally our validation paper of HES algorithm for HCC surveillance. Try it out . @
@AmerGastroAssn
@AASLDtweets
Validation of the Updated Hepatocellular Carcinoma Early Detection Screening Algorithm in a Community-based Cohort …
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Metabolic (dysfunction)-associated fatty liver disease in individuals of normal weight
We review epidemiological data on this group of patients and consider overall metabolic health and adaptation as a framework to best explain the pathogenesis of MAFLD
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>Risk of cirrhosis increased 17 folds in individuals with obesity, excessive drinking and who were homozygous for PNPLA3 I148M
>Risk of HCC increased 30 times in individuals with 3 risk factors
Check: Synergistic Associations of PNPLA3, Alcohol,Obesity
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Non COVID related ! The new face of cirrhosis. Very little active HCV or HBV. Mostly alcohol and NAFLD Risk Factors for Cirrhosis in Contemporary Hepatology Practices-Findings from Texas Hepatocellular Carcinoma Consortium Cohort. - PubMed - NCBI
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Look forward to THE MATCH today! But will be wearing
#morocco
jersey. They have inspired many all over the world
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One of the most impromptu things I have ever done. Took a flight to Doha with my son , bought tickets and watched
#morocco
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Happy to share this excellent review led by
@KrittanawongMD
@BCMDeptMedicine
Artificial intelligence in gastroenterology: A state-of-the-art review
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Happy to share this timely in depth review
@AASLDtweets
@AmerGastroAssn
@bcm_gihep
Nonalcoholic steatohepatitis-related hepatocellular carcinoma: pathogenesis and treatment
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Important clinical guidance for diagnosis, risk stratification and management of NAFLD
@AmerGastroAssn
geared toward PCP. VALIDATION NEEDED
Clinical Care Pathway for the Risk Stratification and Management of Patients With Nonalcoholic Fatty Liver Disease
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Check out this recent GERD review; took a couple of years to complete and was a pleasure to work with great colleagues
@AmerGastroAssn
@nature_review
Gastro-oesophageal reflux disease
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Our latest paper lead
@NatYamini
shows that HCC occurs in 0.4%/y in PBC overall and 1.5%/y in PBC cirrhosis. Male gender was also a risk factor. Incidence of Hepatocellular Carcinoma in Primary Biliary Cholangitis: A Systematic Review and Meta-Analysis
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First time on a plane since 3/2021 spent a week with family in Olympic national park. Wonderful serenity at lake Crescent
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Proud to be in a pace where we walk the walk. Baylor College of Medicine welcomes a record number of minority medical students
#tmc
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Love this team
@AmerGastroAssn
Strong team showed in this picture- many of the BCM GI Board Course Review Faculty.
#bcmpride
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Live from DDW 2023
@bcm_gihep
Dr Othman in a standing room only teaching the world about ESD. Fantastic
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super star!
Congratulations to Dr. Fasiha Kanwal on receiving a Department of Defense grant for her work on the risk of hepatocellular cancer in individuals who were cured of hepatitis C with direct-acting antiviral agents.
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A rare example of taking an idea from research to implementation
@AmerGastroAssn
@bcmhouston
@AASLDtweets
Dr. Fasiha Kanwal’s work
@IQuEStHouston
in cirrhosis quality measures on hepatocellular carcinoma screening led to implementation of a performance measure as part of CMS pay for performance program and America’s Health Insurance Plans.
#VAResearch
#VAResearchWeek
#HCCscreening
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Yesterday i was honored to give the Anil Rustgi lectureship at U Penn. he left a legacy of a deep talented GI division
@Penn
@AmerGastroAssn
#alwayssunny
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As one expects but good to see in print
Essential reading from our May issue: systematic review finds that
#bariatric
surgery leads to resolution of
#NAFLD
in obese patients
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NCAA and Hepatology University of Kansas will play UNC for NCAA Men’s National Championship tonight
last time these teams played for the National Championship was 1957, starting guard of that 1957 Jayhawk team is none other than our Hepatology colleague, Blaine Hollinger
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Congratulations to Dr. Hashem El-Serag on his new appointment as Vice President of BCM's Learning Health System Initiative!
As a national leader in this area, Dr. El-Serag will lead vision development & work with leaders to achieve goals.
Congratulations,
@SeragHashem
!
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Please join me in congratulating the 2020 AGA Recognition Prize recipients
@AmerGastroAssn
@AASLDtweets
@ASGEendoscopy
@AmCollegeGastro
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HCC Surveillance in NAFLD patients.
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New content online: Global epidemiology of NAFLD-related HCC: trends, predictions, risk factors and prevention
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Our recent paper: Nearly half of veterans with cirrhosis have delays in diagnosis of HCC of 60 days or more after a red flag
@HardeepSinghMD
@AmerGastroAssn
Factors Associated With Delay of Diagnosis of HCC in Patients with Cirrhosis
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The Texas collaborative center for hepatocellular cancer: Reducing liver cancer mortality in Texas through coordination, collaboration and advocacy
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@KanwalFasiha
giving a talk on
#nafld
and hepatocellular carcinoma . The first annual symposium for TeCH (Texas Collaborative Center for HCC)
@CPRITTexas
. >120 attendees !
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NAFLD is associated with CAD, cardiac remodeling, aortic valve remodeling, mitral annulus valve calcifications,cardiomyopathy and stroke
Cause or epiphenoma?
Mechanisms?
Read more below
NAFLD in Cardiovascular Diseases: A Contributor or Comorbidity?
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Great achievement to our GI section
Best Global Universities for GI/Hep? We are!
Report from
@usnews
ranked BCM->
#1
in Texas,
#9
in US and
#18
worldwide. Congrats!
@KanwalFasiha
@BCMDeptMedicine
@IQuEStHouston
@SeragHashem
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Our recent paper. # Texas has the highest HCC rates in US # border counties have esp high rates # Hispanic pop at highest risk. Texas Has the Highest Hepatocellular Carcinoma Incidence Rates in the USA. - PubMed - NCBI
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With heavy heart but it is the right thing to do
(1/4) Thank you for your patience as we evaluated the status of
#DDW2020
in light of the rapidly changing
#coronavirus
pandemic. Read our full cancellation announcement:
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The first evidence based guideline for Gi endoscopy at the time of COVID. Authors worked 24/7 to get it done
@AmerGastroAssn
@AmCollegeGastro
@bcm_gihep
@asge
@BrighamGI
@AASLDPresident
@AmerMedicalAssn
❗ Just published in
@AGA_Gastro
: AGA Rapid Recommendations for Gastrointestinal Procedures During the
#COVID19
Pandemic. Provides detailed guidance on
#PPE
& triaging procedures.
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Most patients with newly diagnosed gastric cancer had ≥ 2 known risk factors for gastric cancer but never received prior screening endoscopy. Among the few with known prior preneoplastic lesions, endoscopic surveillance was not consistently performed.
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Amazing (we are all) Moroccans
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In pts with NAFLD longitudinal changes in non-invasive tests for liver fibrosis such as FIB-4 was strongly associated with progression to cirrhosis and HCC
@aasld
@AmerGastroAssn
@GCholankeril
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Excited to see our recommendations published and look forward to implementation
Prevention of HCC. White Paper of the Texas Collaborative Center for HCC
@CPRITTexas
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Does not get better than reference 1; check it out
@AmerGastroAssn
@AASLDtweets
@acg
@bcmhouston
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Excited to work with
@JagChhatwal
who will be leading a dedicated project in this P01 to model the natural history and the cost effectiveness or preventive and diagnostic measures of HCC in NAFLD and
@KanwalFasiha
who will examine HCC chemoprevention in NAFLD
Congrats to our fearless leader
@SeragHashem
@KanwalFasiha
in
@BCMDeptMedicine
,
@bcm_gihep
, and all the co-investigators on getting funded on this extremely important topic in our field!
#HCC
#LiverTwitter
#BCMProud
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DDW 2019 starred in style. Five AGA president form left to right:Dr Inadomi, me, Lieberman, Crowe and Omary
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AGA Clinical Practice Guidelines on Management of Gastric Intestinal Metaplasia. - PubMed - NCBI
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A good way to work and live. At an AGA GB meeting in my favorite town Santa Fe NM
@AmerGastroAssn
@BCMDeptMedicine
@UNM
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Preparing for the NASH epidemic: A call to action
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Great meeting and a successful collaboration between
@AmerGastroAssn
and
@CrohnsColitisFn
. Austin is a fun city too!
AGA is committed to supporting the
#IBD
community. Thanks to our leaders for sharing our vision with
#CCCongress20
@SeragHashem
@ibddocmaria
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Packed room of internal medicine interest group . An event at Baylor Dept of medicine where aspiring med students meet with faculty and fellows from all of medicine specialities over Fadi’s Mediterranean grill dinner. Building a strong pipeline
@BCMDeptMedicine
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Happy to share our recent paper; complicated association between obesity parameters and gastric intestinal metaplasia
@AGA_CGH
@AmerGastroAssn
Inverse association between gluteofemoral obesity and risk of non-cardia gastric intestinal metaplasia
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As a result of decreasing incidence HCC among males aged <50, HCC is changing to a less male predominance
@aasld
Sex and Race Disparities in the Incidence of HCC in the United States Examined Through Age-Period-Cohort Analysis. - PubMed - NCBI
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Our recent paper. Only curative intent (transplant, resection) predict >5 yr survival among pts with HCC. a sobering reminder
@AASLDtweets
@ILCAnews
Predictors of 5 yr survival among patients with hepatocellular carcinoma in the US: an analysis of …
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Dunning-Kruger effect occurs when a person's lack of knowledge and skills in a certain area cause them to overestimate their own competence. this effect also causes those who excel in a given area to underestimate their relative abilities as well
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