Assistant Prof, GI @USFHealth @TGHCares 🌴| Former Chief Fellow @UConnGI | Cavapoo dad 🐾 Interests: Med Ed, Workflow Efficiency, MASLD - views are my own
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IUS in IBD — quick pearls
✅ May help differentiate inflammatory vs. fibrostenotic disease
✅ Safe in pregnancy for monitoring activity (esp. 1st trimester; left-sided UC throughout)
⚠️ Limited rectal visualization
#NYU #ChallengingCases #GITwitter
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🔑 When to test for PFIC
1️⃣ Idiopathic cholestasis
2️⃣ Small duct PSC, AMA-neg PBC, MASH w/ pruritus
3️⃣ ICP hx, prolonged drug-induced cholestasis
4️⃣ Complicated gallstones e.g very,
strong family hx
🔬serum bile acids & 🧬 tests
Don't miss adult PFIC!
#NYU #ChallengingCases
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Duodenal mucosal resurfacing is an investigational minimally invasive endobariatrics technique with promising results! This procedure can improve several metabolic parameters & patients can benefit from sustained wt maintenance after GLP1-agonist removal. #NYU #challengingcases
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Great chart from Dr. Holmer’s lecture!
Key point: There is growing data to support the use of JAKi and IL-23 agents for perianal Crohn’s disease #NYU #Challengingcases
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Neil Khoury, MD retweeted
According to Dr. Brian Lacy, physiologic stress while eating could cause a pain response to food. #ChallengingCases @nyulangone @NYULH_GastroHep
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Neil Khoury, MD retweeted
Starting soon! Hear experts discuss challenging GI and Liver cases. This is where HI (Human Intelligence) DA (Decision analysis) and EBP (Evidence Based Practice) preside over AI. It is about patients and the decisions that are required to care for them. There is still room - come over to @nyulangone and join us.
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Neil Khoury, MD retweeted
ICYMI: @USFHealthMed has been ranked as the No. 1 medical school in the country by the Center for Accountability in Medicine for the second year in a row!🩺🤘
According to their 2026 Medical School Excellence Index, #USF was the only university to receive a perfect score of 100.
usf.edu/health/news/2026/mor…
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Another Grand Rounds presentation in the books ✔️
Thank you for inviting me to speak today @USFHealth
#GiTwitter #MedEd #InternalMedicineGrandRounds
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💡Important concept delineated in this recent NEJM article: ASA may help prevent cancer metastasis.
On that note, in a large NIS database analysis, we found that ASA users had a lower proportion of pt with CRC metastasis compared with non-ASA users (32.50% vs. 43.70%, p<0.001).
Clinical Implications of Basic Research: Understanding How Aspirin Prevents Metastasis nej.md/4pTzyaw
#Oncology #Immunology
ALT Key Concepts from the Clinical Implications of Basic Research article "Understanding How Aspirin Prevents Metastasis"
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Link to our study published in the Journal of Clinical Gastroenterology, published July 2025:
journals.lww.com/jcge/fullte…
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Thank you @TGHCares for providing the medical staff with a free Holiday Raffle! I am very lucky to be a part of TGH! And I was lucky enough to win the "Golf Box" ⛳️🏌️
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Neil Khoury, MD retweeted
Dieulafoy in the proximal stomach. I love the hot biopsy forceps here. Cheap, retroflexes, securely grips the vessel and gives feedback you got the vessel. Plus the stomach can’t take the heat (60W soft coagulation)!
@CarlKayMD
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Neil Khoury, MD retweeted
🎙️ Grateful to host the GI sub-speciality mini series for UConn IM Podcast!
creators.spotify.com/pod/sho…
With new interns joining the service, @NeilKhouryMD shares practical advice for trainees on the inpatient GI team. From setting expectations to optimizing consults and navigating team dynamics, we discuss high-yield, actionable tips for both medical students and residents.
Guest Speaker: Dr. Neil Khoury, outgoing PGY-6 GI Fellow from @UConnGI and Incoming Attending at USF Tampa General Hospital.
#GITwitter @UConnIM @uconnim_podcast
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Tirzepitide > Semaglutide for management of obesity in non-diabetics.
Significantly more wt loss with Tirzepitide ✅
But both highly effective ✅✅
What % of these patients in the real world successfully obtain insurance approval though? Cost is definitely a barrier for many.
Tirzepatide and semaglutide are both highly effective for the management of obesity. How the two drugs compare in patients with obesity but without diabetes has been unknown.
Research findings from the SURMOUNT-5 phase 3b trial are summarized in a short video. nej.md/3GqiRm0
ALT An illustration of a patient with obesity but without diabetes in the center with tirzepatide on the left and semaglutide on the right.
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Interesting case! Will have to add nitrous oxide induced frostbite injury to my DDx for odynophagia, particularly for patients who recreationally inhale nitrous oxide 🥶
Nitrous oxide is stored as a liquid under ⬆️ pressures in metal canisters -> expands and cools when released.
A 23-year-old man presented with a 2-day history of painful swallowing and hoarseness. The symptoms had started immediately after he had inhaled nitrous oxide through his mouth from a hand-held canister for recreation.
Read the full case details in the Images in Clinical Medicine article “Frostbite Injury from Inhaled Nitrous Oxide Use” from @UVA: nej.md/44aOSI4
ALT Images in Clinical Medicine Frostbite Injury from Inhaled Nitrous Oxide Use Panel A: Eythema, swelling, and sloughing of the mucosa on the soft palate, uvula, and posterior oropharynx. Panel B: Flexible nasolaryngoscopy revealing a small area of ulceration and swelling on the right vocal fold.
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Neil Khoury, MD retweeted
Behind the scenes look 👀
Internal medicine senior resident and soon-to-be chief resident @PaladiyaRuchir & chief GI fellow @NeilKhouryMD recently recorded the first two episodes of the new GI mini-series of the @UConnIM podcast 🎙️
Stay tuned!
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Efimosfermin alfa (long-acting FGF21 analogue) phase 2a trial shows promising results and favorable safety profile in adults with MASH.
@LancetGastroHep
thelancet.com/journals/langa…
#LiverTwitter
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Primary liver cancer typically occurs in the setting of cirrhosis, but not always!
MASH -> inflammation, oxidative stress, lipotoxicity, and fibrosis -> procarcinogenic environment.
mdedge.com/gihepnews/article…
#LiverTwitter
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