The Emoroid Digest Podcast: Recent Episodes

The Emoroid Digest

A medical education podcast that interviews expert guests on recent guidelines within the field of gastroenterology. The aim of this podcast is interview led medical education for clinical practice providers within the field of gastroenterology and for general medical professionals broadly.

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In this final episode of Season 1 of The Emoroid Digest Podcast me and my co-host Dr. Jason Brown look back at some of the highlights from the first season. We acknowledge our most dedicated international listeners, give you pearls for clinical practice and host a game show!

Get ready! Were going out with a bang!

As stated Dr. Chuma Obineme will be working as a Gastroenterologist at Palmetto Primary Care and Physicians (PPCP) with an Medical University of South Carolina (MUSC) affiliation after fellowship.

Link to Anorectal Disorders episode with Dr. Arnold Wald - DRE discussion begins at 25:00 - https://podcasts.apple.com/us/podcast/the-emoroid-digest-podcast/id1585711586?i=1000584637565

Host: Dr. Chuma Obineme (GI Fellow) – https://twitter.com/TypicallySilent

Co-Host: Dr. Jason Brown - https://med.emory.edu/directory/profile/?u=JMBROW2

Link to Emoroid Digest Website: https://med.emory.edu/departments/medicine/divisions/digestive-diseases/education/emoroid-digest.html

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In this episode of the Emoroid Digest Podcast we sit down with Dr. Kishore Iyer from Mount Sinai Medical Center and discuss Short Bowel Syndrome (SBS), Intestinal Failure and intestinal Transplant. We focus on the recent Clinical Practice Update from the AGA on SBS.

Enjoy and please see the link below to an exception Expanding Community Healthcare Outcome (ECHO) website that Dr. Iyer created to assist clinicians learn more about these small intestinal disorders and how to properly manage them via the use of regular case based webinars.

Host: Dr. Chuma Obineme (GI Fellow) – https://twitter.com/TypicallySilent

Guest: Dr. Kishore Iyer https://liftecho.org/web/content/kishore-iyer

Link to Review: Short Bowel Syndrome Article

Link to Emorid Digest Visual Summary: https://twitter.com/EmoryGastroHep/status/1630795591960674307?s=20

Link to Emoroid Digest Website: https://med.emory.edu/departments/medicine/divisions/digestive-diseases/education/emoroid-digest.html

Link to LIFT Echo informational site on short bowel syndrome, intestinal failure and intestinal transplantation - https://liftecho.org/web/

Other Resources:

Knowledge of chronic intestinal failure among US gastroenterologists: Cause for concern and learning opportunity - https://pubmed.ncbi.nlm.nih.gov/34713914/

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In this episode, we interview two guests, Dr. Guadalupe Garcia Tsao and Dr. Andrew Yu. Dr. Yu is the Emory transplant Hepatology fellow currently. We discuss the Baveno VII guidelines on Portal Hypertension and some major takeaways from #TLM or the American Association for the Study of Liver Diseases (AASLD) meeting in Washington D.C.

Dr. Guadalupe Garcia Tsao is a Professor of Medicine at Yale University School of Medicine and Chief of Digestive Diseases at the VA-Connecticut Healthcare System. She also serves as director of the Clinical Core of the NIH-funded Yale Liver Center and is the Associate Editor of the New England Journal of Medicine. She was president of AASLD in 2012.

FIB4+ Scoring Algorithm - http://fib4plus.com/

Host: Dr. Chuma Obineme (GI Fellow) – https://twitter.com/TypicallySilent

Co-Host: Jason Brown - https://med.emory.edu/directory/profile/?u=JMBROW2

Guest: Guadalupe Garcia-Tsao - https://twitter.com/ggarciatsao https://medicine.yale.edu/profile/guadalupe-garcia-tsao/

Guest: Andrew Yu - https://twitter.com/michaelandrewyu

Link to Review: https://www.sciencedirect.com/science/article/pii/S0168827821022996

Link to Emorid Digest visual Summary: https://med.emory.edu/departments/medicine/_documents/yu-preventing-decompensation-in-cirrhosis-tips-from-baveno-vii.pdf

Link to Emoroid Digest Website: https://med.emory.edu/departments/medicine/divisions/digestive-diseases/education/emoroid-digest.html

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In this episode of the Emoroid Digest Podcast, we sit down with Dr. Fernando Velayos and discuss the guidelines from the American Gastroenterological Association, “Clinical Practice Update on Endoscopic Surveillance and Management of Colorectal Dysplasia in Inflammatory Bowel Diseases: Expert Review”. Fernando Velayos is a Professor of Medicine in the Division of Gastroenterology at the University of California, San Francisco (UCSF) School of Medicine, and Director of the Regional Program in Inflammatory Bowel Disease (IBD) for Northern California Kaiser Permanente.

Host: Dr. Chuma Obineme (GI Fellow) – https://twitter.com/TypicallySilent

Co-Host: Dr. Jason Brown - https://med.emory.edu/directory/profile/?u=JMBROW2

Guest: Dr. Fernando Velayos - https://twitter.com/Realcecum

Link to Review: https://www.gastrojournal.org/article/S0016-5085(21)03093-6/fulltext

Link to Emoroid Digest visual Summary:

Link to Emoroid Digest Website: https://med.emory.edu/departments/medicine/divisions/digestive-diseases/education/emoroid-digest.html

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In this episode of The Emoroid Digest Podcast we discuss the new joint guidelines by the American College of Gastroenterology (ACG) and the Canadian Association of Gastroenterology (CAG) on anticoagulants and antiplatelets in the peri-endoscopic period

Neena Abraham is a Professor of Medicine at Mayo Clinic Arizona, and a Consultant in the Divisions of Gastroenterology and Hepatology, within the Department of Medicine, and Health Care Policy Research in the Department of Quantitative Health Sciences. She is the first female Director of the ACG Institute for Clinical Research and Education.

Host: Dr. Chuma Obineme (GI Fellow) – https://twitter.com/TypicallySilent

Co-Host: Dr. Jason Brown - https://med.emory.edu/directory/profile/?u=JMBROW2

Guest: https://twitter.com/NeenaSAbrahamMD

Link to Guideline: https://journals.lww.com/ajg/Fulltext/2022/04000/American_College_of_Gastroenterology_Canadian.16.aspx

Link to Dissemination Tool: https://journals.lww.com/ajg/pages/articleviewer.aspx?year=2022&issue=04000&article=00001&type=Fulltext

Link to Emoroid Digest visual Summary: https://twitter.com/EmoryGastroHep/status/1537265031406047233?s=20&t=_nzwjD2vq1k02iJ1CL4M7Q

Link to Emoroid Digest Website: https://med.emory.edu/departments/medicine/divisions/digestive-diseases/education/emoroid-digest.html

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On this episode of the Emoroid Digest Podcast, we sit down with Dr. Bashar Qumseya and discuss the American Society for Gastrointestinal Endoscopy (ASGE) Guidelines on the Endoscopic Management of Malignant Hilar Obstruction. Dr. Bashar Qumseya is an Associate Professor of Medicine at the University of Florida in Gainesville and the Director of Endoscopy at UF Health Shands Hospital. He also chairs the Standards of Practice Committee for ASGE.

Host: Dr. Chuma Obineme (GI Fellow) – https://twitter.com/TypicallySilent

Co-Host: Dr. Jason Brown - https://med.emory.edu/directory/profile/?u=JMBROW2

Guest: Dr. Bashar Qumseya - https://twitter.com/Bashar_Qumseya

Link to Review: https://pubmed.ncbi.nlm.nih.gov/34023067/

Link to Emoroid Digest Visual Summary: https://twitter.com/EmoryGastroHep/status/1518585675288829954?s=20&t=kVoDuFo_RGx1uPYLBc1kUQ

Link to Emoroid Digest Website: https://med.emory.edu/departments/medicine/divisions/digestive-diseases/education/emoroid-digest.html

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On this episode of the Emoroid Digest Podcast we sit down with an expert on anorectal disorders Dr. Arnold Wald. We discuss his service during Vietnam, his time at Johns Hopkins, and of course the ACG Guidelines on Benign Anorectal Disorders. Enjoy the show and don’t forget to leave us a review if you haven’t already!!

Dr. Wald is a faculty member of the Division of Gastroenterology and Hepatology within the Department of Medicine at the University of Wisconsin.

Host: Dr. Chuma Obineme (GI Fellow) – https://twitter.com/TypicallySilent

Guest (Dr. Arnold Wald): https://www.medicine.wisc.edu/people-search/people/staff/575/Wald_Arnold

Link to ACG Review: https://pubmed.ncbi.nlm.nih.gov/34618700/

Link to Emoroid Digest visual Summary: https://med.emory.edu/departments/medicine/_documents/tran-acg-anorectal-disorders.pdf

Link to Emoroid Digest Website: https://med.emory.edu/departments/medicine/divisions/digestive-diseases/education/emoroid-digest.html

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In this episode of the Emoroid Digest Podcast, we go to Canada for our guest Dr. Alan Barkun and discuss the guidelines from the American College of Gastroenterology on Upper Gastrointestinal and Ulcer bleeding.

Dr. Barkun is professor of Medicine in the Division of Gastroenterology at McGill University and the McGill University Health Centre, Montréal, Canada. He is a recipient of the DG Kinnear Chair in Gastroenterology at McGill University. Dr. Barkun has published over 800 peer-reviewed articles and abstracts and has given over 600 international presentations on emerging digestive endoscopic technologies, with an emphasis on methodological, clinical and cost-effectiveness trials of treatments for upper gastrointestinal bleeding (UGIB), bilio-pancreatic diseases, and colorectal cancer screening.

Host: Dr. Chuma Obineme (GI Fellow) – https://twitter.com/TypicallySilent

Co-Host: Dr. Jason Brown - https://med.emory.edu/directory/profile/?u=JMBROW2

Guest: https://www.mcgill.ca/gastroenterology/alan-barkun

Link to Guideline: https://pubmed.ncbi.nlm.nih.gov/33929377/

Link to Emoroid Digest Visual Summary: https://twitter.com/EmoryGastroHep/status/1438626435527155713?s=20

Link to Emoroid Digest Website: https://med.emory.edu/departments/medicine/divisions/digestive-diseases/education/emoroid-digest.html

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Today we are discussing the recent guidelines on gastroparesis with Dr. Brian Lacy from the Mayo Clinic in Jacksonville. The expert review entitled, “AGA Clinical Practice Update on the Management of Medically Refractory Gastroparesis” was published in Clinical Gastroenterology and Hepatology.

Our guest Dr. Brian Lacy is a world renowned expert in gastrointestinal motility disorders. He is a current Professor of Medicine at Mayo Clinic Jacksonville. He is the author of over 215 peer-reviewed articles on gastrointestinal motility disorders and functional bowel disorders, in addition to multiple textbook chapters. Dr. Lacy recently finished a 6-year tenure as co-Editor in Chief of the American Journal of Gastroenterology. He is the former Editor in Chief of Clinical and Translational Gastroenterology and was the co-Chairman for the Rome IV Committee on Functional Bowel Disorders.

Host: Dr. Chuma Obineme (GI Fellow) – https://twitter.com/TypicallySilent

Co-Host: Dr. Jason Brown - https://med.emory.edu/directory/profile/?u=JMBROW2

Guest: Dr. Brian Lacy - https://www.mayoclinic.org/biographies/lacy-brian-e-m-d-ph-d/bio-20392407

Link to Review: https://gastro.org/clinical-guidance/management-of-medically-refractory-gastroparesis/

Link to Emorid Digest visual Summary: https://twitter.com/emorygastrohep/status/1521122087825461249?s=21&t=6J1Bco7gE-4y0ITwo6Im9A

Link to Emoroid Digest Website: https://med.emory.edu/departments/medicine/divisions/digestive-diseases/education/emoroid-digest.html

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In this episode of The Emoroid Digest Podcast, we interview Dr. Justin Boike about the recent recommendations on the use of Transjugular Intrahepatic portal-systemic shunt (TIPS) in the management of patients with portal HTN.

Dr. Justin Boike is an Assistant Professor of Medicine at Northwestern Memorial Hospital and is a practicing Transplant Hepatologist. His clinical and research interests are in the management of complex portal hypertension issues such as chronic portal vein thrombosis (PVT), bleeding varices, refractory ascites, non-cirrhotic portal hypertension, and the utilization and outcomes of TIPS.

Host: Dr. Chuma Obineme (GI Fellow) – https://twitter.com/TypicallySilent

Co-Host: Dr. Jason Brown - https://med.emory.edu/directory/profile/?u=JMBROW2

Guest: Dr. Justin Boike - https://twitter.com/justinboike

TIPS Recommendations: https://pubmed.ncbi.nlm.nih.gov/34274511/

Visual Abstract Link - https://twitter.com/EmoryGastroHep/status/1525863406598774785

Link to the Emoroid Digest Website - https://med.emory.edu/departments/medicine/divisions/digestive-diseases/education/emoroid-digest.html

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In this episode of the Emoroid Digest Podcast, we sit down with Dr. Jessica Allegretti at The Brigham and Women’s Hospital in Boston. Dr. Allegretti serves as the Director of Clinical Research and is the Associate Director of the Crohn’s and Colitis Center. She developed the hospital’s Fecal Microbiota Transplantation Program and has grown to become an international expert on the topic of FMT. We discussed her journey through medicine, mentorship, and the C. diff guidelines released by the American College of Gastroenterology in 2021.

We hope you enjoy the show.

Host: Dr. Chuma Obineme (GI Fellow) – https://twitter.com/TypicallySilent

Dr. Allegretti - https://twitter.com/DrJessicaA

Link to Emoroid Digest Suvery

https://t.co/tN1fuzuR19

Visual Abstract Link - https://twitter.com/emorygastrohep/status/1495878695399178246?s=28&t=nazSRMvlA0vaEh5w-N89hQ

Link to the Emoroid Digest Website - https://med.emory.edu/departments/medicine/divisions/digestive-diseases/education/emoroid-digest.html

C. Diff Guidelines https://journals.lww.com/ajg/pages/articleviewer.aspx?year=2021&issue=06000&article=00012&type=Fulltext

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In this episode of the Emoroid Digest Podcast we sit down with our guest Dr. Prakash Gyawali and discuss the ACG Clinical Guidelines on the Clinical Use of Esophageal Physiologic Testing.

Dr. Prakash Gyawali is an academic gastroenterologist at Washington University School of Medicine, St. Louis. He is a Professor of Medicine, Director of the Neurogastroenterology and Motility Program, and Program Director of the Gastroenterology Fellowship Training program at Washington University in St. Louis. His academic interests include esophageal motility, gastroesophageal reflux disease, and functional disorders. He is involved in motility testing using high-resolution manometry, esophageal ambulatory pH and impedance monitoring, wireless pH monitoring, and endoscopic functional lumen imaging probe (FLIP). He is actively involved in clinical research involving neurogastroenterology and motility, and has published over 250 original articles, invited reviews and book chapters.

ACG Guideline: https://journals.lww.com/ajg/fulltext/2020/09000/acg_clinical_guidelines__clinical_use_of.19.aspx

Lyon's Criteria: https://gut.bmj.com/content/67/7/1351

Host: Dr. Chuma Obineme (GI Fellow) – https://twitter.com/TypicallySilent

Co-Host: Dr. Jason Brown - https://med.emory.edu/directory/profile/?u=JMBROW2

Visual Abstract Link - https://twitter.com/EmoryGastroHep/status/1485454303850549250?s=20&t=c0giwII7dGO3Xco7grv2tQ

Link to the Emoroid Digest Website - https://med.emory.edu/departments/medicine/divisions/digestive-diseases/education/emoroid-digest.html

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In this episode of The Emoroid Digest Podcast, we will be discussing the recent American Gastroenterology Association (AGA) Guidelines on the Management of Gastric Intestinal Metaplasia. Our guest for the episode is Dr. Shailja Shah. She was the co-lead of AGA’s two technical reviews regarding gastric intestinal metaplasia.

Dr. Shailja Shah is an Associate Professor of Medicine at the University of California San Diego, staff gastroenterologist at the VA in San Diego, and is part of the Cancer Control Program at UCSD Moores Cancer Center. She completed her internal medicine training at UCSF, followed by a fellowship and chief year at Mount Sinai in NYC, as well as a visiting clinical rotation in Tokyo Japan that was focused on gastric cancer screening and surveillance. 

She leads a multidisciplinary research program that aims to define non-genetic, genetic, and systems-level determinants of H pylori treatment- and disease-related clinical outcomes, including gastric cancer, among high-risk populations, such as US Veterans and non-white racial/ethnic and immigrant groups. Dr. Shah’s research and public policy initiatives promote gastric cancer prevention and early detection efforts, such as gastric cancer screening and preneoplasia surveillance, among these high-risk groups. 

Dr. Shah has given several national and international talks related to H pylori and gastric intestinal metaplasia. She has published nearly 100 articles and holds active funding from the VA, NIH, and AGA. 

Gastric Intestinal Metaplasia Guidelines: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7340330/

Gastric Intestinal Metaplasia Visual Abstract: https://twitter.com/EmoryGastroHep/status/1455276923362455556?s=20&t=tEwHq0myvg3y8oQOYECz7w

Host: Dr. Chuma Obineme (GI Fellow) –  https://twitter.com/TypicallySilent 

Co-Host: Dr. Jason Brown - https://med.emory.edu/directory/profile/?u=JMBROW2 

Link to the Emoroid Digest Website - https://med.emory.edu/departments/medicine/divisions/digestive-diseases/education/emoroid-digest.html 

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In this episode of the Emoroid Digest Podcast, we discuss the American College of Gastroenterology Clinical Guidelines in the Diagnosis and Management of Idiosyncratic Drug-Induced Liver Injury. We sit down with one of the senior authors of the guideline, Dr. Naga Chalasani.

Dr. Chalasani has been key in aiding our understanding of the fields of Non-Alcoholic Fatty Liver Disease (NAFLD) and Drug-Induced Liver Injury (DILI). He has been continuously funded by the National Institutes of Health since 1999. He is an elected member of the American Society of Clinical Investigation (ASCI) and the American Association of Physicians (AAP). He is also a former graduate of Emory University.

Link to the Article - https://pubmed.ncbi.nlm.nih.gov/24935270/

Dr. Naga Chalasani: https://medicine.iu.edu/faculty/4910/chalasani-naga

Twitter page: https://twitter.com/nagachalasani

Host: Dr. Chuma Obineme (GI Fellow) – https://twitter.com/TypicallySilent

Co-Host: Dr. Jason Brown - https://med.emory.edu/directory/profile/?u=JMBROW2

Idiosyncratic DILI Visual Abstract - https://twitter.com/EmoryGastroHep/status/1444080620238483458?s=20&t=tEwHq0myvg3y8oQOYECz7w

Link to the Emoroid Digest Website - https://med.emory.edu/departments/medicine/divisions/digestive-diseases/education/emoroid-digest.html

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In this episode, we sit down with Dr. Alexandre Nuzzo and discuss a recent review in the Lancet Gastroenterology Journal entitled, “Prevention and Treatment of Nutritional Complications After Bariatric Surgery”. Dr. Nuzzo is an expert in intestinal failure and is active in managing the clinical care of a novel GI Stroke Center in France treating patients with mesenteric ischemia. He is also the first international guest on the Emoroid Digest Podcast.

Time Stamps:

00:00 - 13:00 Introduction

13:00 - End - Discussion of Review Paper

Link to Lancet Article -https://pubmed.ncbi.nlm.nih.gov/33581762/

Host: Dr. Chuma Obineme (GI Fellow) – https://twitter.com/TypicallySilent

Co-Host: Dr. Jason Brown - https://med.emory.edu/directory/profile/?u=JMBROW2

Post-Baritatric Surgery Nutrient Complications Visual Abstract - https://twitter.com/emorygastrohep/status/1400127488559300614?s=28

Link to the Emoroid Digest Website - https://med.emory.edu/departments/medicine/divisions/digestive-diseases/education/emoroid-digest.html

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In this episode, we take a deep dive into Grade Methodology. To do this we spend some time with Dr. Bryan Sauer.

Dr. Sauer is a gastroenterologist with advanced endoscopy training who currently practices at the University of Virginia. His research interests include eosinophilic esophagitis as well as quality and efficiency in the endoscopy unit. In 2019, founded an international volunteer program in which he leads clinical care teams to Guatemala to perform endoscopy.

Dr. Bryan Sauer - https://uvahealth.com/findadoctor/profile/bryan-g-sauer

Information to Humanitarian Work in Guatemala:

https://news.med.virginia.edu/medicinematters/uvasomrestriction/public/2019/07/06/international-outreach/

https://www.caendoscopy.org/

Host: Dr. Chuma Obineme (GI Fellow) – https://twitter.com/TypicallySilent

Co-Host: Dr. Jason Brown - https://med.emory.edu/directory/profile/?u=JMBROW2

Chronic Pancreatitis Visual Abstract - https://twitter.com/emorygastrohep/status/1462610250918412294?s=21

Link to the Emoroid Digest Website - https://med.emory.edu/departments/medicine/divisions/digestive-diseases/education/emoroid-digest.html

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In this episode of the Emoroid Digest Podcast, we will be discussing the recent AGA guidelines on Iron Deficiency Anemia. To do this we will be spending some time with Dr. Shazia Siddique.

Dr. Shazia Siddique is a gastroenterologist and health services researcher who practices out of the University of Pennsylvania Perleman, School of medicine. Her interests are broad and include the integration of evidence-based practices into clinical care, quality improvement, and health policy as she was the prior National Policy Chair for the American Medical Student Association. She is also the founding director of AGA’s congressional advocate program.

Iron Deficiency Anemia AGA Guidelines: https://pubmed.ncbi.nlm.nih.gov/32810434/

Iron Deficiency Anemia Technical Review: https://pubmed.ncbi.nlm.nih.gov/32828801/

Guest: Shazia Siddique -- https://twitter.com/ShaziaMSiddique

Host: Dr. Chuma Obineme (GI Fellow) – https://twitter.com/TypicallySilent

Co-Host: Dr. Jason Brown - https://med.emory.edu/directory/profile/?u=JMBROW2

Link to the Emoroid Digest Website - https://med.emory.edu/departments/medicine/divisions/digestive-diseases/education/emoroid-digest.html

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On the second episode of the Emoroid Digest Podcast, we sit down with Dr. Mark Pimentel of Pimentel Laboratories to discuss IBS, pregnancy, and all the various do's and don'ts when it comes to management.

Mark Pimentel, MD is the head of the Pimentel Laboratory and Executive Director of the Medically Associated Science and Technology Program (MAST) at Cedars-Sinai. His research includes but is not limited to irritable bowel syndrome, small intestinal bacterial overgrowth, and better understanding and elucidating the clinical significance of the gut microbiome.

IBS and Pregnancy Visual Abstract - https://twitter.com/emorygastrohep/status/1412784749752557572?s=28

IBS and Pregnancy Review Published in American Journal Gastroenterology: https://pubmed.ncbi.nlm.nih.gov/33481381/

Guest Mark Pimentel - https://twitter.com/MarkPimentelMD

Host: Dr. Chuma Obineme (GI Fellow) – https://twitter.com/TypicallySilent

Co-Host: Dr. Jason Brown - https://med.emory.edu/directory/profile/?u=JMBROW2

Link to the Emoroid Digest Website - https://med.emory.edu/departments/medicine/divisions/digestive-diseases/education/emoroid-digest.html

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On the inaugural episode of The Emoroid Digest Podcast, we sit with Dr. Aasma Shaukat and discuss the recent American College of Gastroenterology guidelines on Colorectal Cancer Screening.

Dr. Aasma Shaukat is a Professor of Medicine and the Director of GI Outcomes Research at NYU. Her areas of research are colon cancer prevention, screening and long-term outcomes. Dr. Aasma Shaukat is also a graduate of Emory University's GI fellowship.

Link to ACG CRC Screening Guidelines: https://journals.lww.com/ajg/Fulltext/2021/03000/ACG_Clinical_Guidelines__Colorectal_Cancer.14.aspx

Guest: Dr. Aasma Shaukat

Twitter: https://twitter.com/AasmaShaukatMD

Host: Dr. Chuma Obineme (GI Fellow) – https://twitter.com/TypicallySilent

Co-Host: Dr. Jason Brown - https://med.emory.edu/directory/profile/?u=JMBROW2

Link to the Emoroid Digest Website - https://med.emory.edu/departments/medicine/divisions/digestive-diseases/education/emoroid-digest.html