When we took over @HepCommJournal 4 years ago, the journal had received 600 submissions in a year. This year is going to be 2000. The papers we are reviewing are are such high quality. Notably, finding reviewers is rarely a challenge. We are so grateful for your support

🏀 From 16 to 8! The first #HepMadness2026 results are in!

Check out the updated bracket 👇 How many of your picks made it through? 👀

Next up: Final 4 announced Nov 3!

@LTxJournal @HepCommJournal @AASLDtweets

This year is turning out to be the best showing for @LTxJournal

My money is still on @HepCommJournal topics pulling it off though

When to use Midodrine? Editorial on the excellent study by @AnandVKulkarni2 et al from @AIGHospitals ovid.com/jnls/hepcomm/f… @HepCommJournal

I am also for Shawarma law
Currently we have to drive to Windsor for that. Very inefficient

The era of functional cures in hepatitis B is here and huge for hepatology. It also means something for me. I need to learn a lot. New drugs, new mechanisms, new diagnostics (quantitative sAg).

Follow me next week at #TLM26 as I learn everything I can about #HBV

1. Butterfinger
2. Twix
3. Skittles
4. Big sour patch kids
5. M and m peanut
6. Sour patch straws
7. Snickers / baby Ruth
8. Big peanut butter cup
9. Heath bar
10. Red starburst

@ebtapper No. But yes. I counsel pts w/ cirr to trend toward a diversity of real, whole foods. Beans, nuts, seeds, edamame, etc. If they eat like this, they will naturally get less sodium (vs UPFs) - and lots of fiber & micronutrients, all of which are essential for liver & whole health

Do you restrict sodium in #cirrhosis?

Pickle juice sips can stop muscle cramps and improve cramp severity in #cirrhosis: The PICCLES RCT

Why we did this study?
1⃣Cramps are common
2⃣Cramps trash quality of life
3⃣Treatments are 💩

Paper: journals.lww.com/ajg/abstract/9…
#LiverTwitter

🏀 Next up: Disease Overlap in Chronic Liver Disease

@sanapirzadaMD explores how overlapping liver diseases affect outcomes, recompensation, and the performance of fibrosis tests.

Could this theme change how we assess risk? 👇 #HepMadness2026

Our @NikMazumder_MD on living donation instagram.com/reel/DfHaqqlib…

Liver disease is more common than many people realize. October is Liver Disease Awareness Month. Let's recognize the 40 million Americans living with chronic liver disease and. Join us today to advance research and whole-person carewith liver disease victors.us/liver2026

🌟 What a night at UAMS Gut Club! Dr. Elliot Tapper (@ebtapper) shared his “Top 10 Tips for the Management of Cirrhosis” 📌 Hepatic encephalopathy, pain, quality of life, even naltrexone for alcohol use 🎯 Practical, patient centered pearls 🙏 Thank you, Dr. Tapper! #GItwitter

Wonderful trip, my first to Arkansas!

Great people doing great work in Little Rock

Thrilled for my mentor @JenLaiLiverDoc, who will co-lead @AGA_Gastro with Timothy Wang starting July 2027! Basic/translational + clinical, luminal GI + hepatology: a team built for the whole field. #LiverTwitter #GITwitter are in great hands.
gastro.org/news/an-interv…

🏀 Next up: Integrated Chronic Liver Disease Care

@kush_m_patel96 explores multidisciplinary MASH clinics and integrated hepatology–addiction care.

Can bringing care together improve liver outcomes?

Thread 👇 #HepMadness2026

📑 Radioembolization (Y90) achieves ⬆️ response rates and ⬇️ progression risk compared with DEB-TACE in #HCC‼️
#LiverX #OpenAccess

journals.lww.com/hepcomm/fullte…

Prevención en pacientes con Cirrosis, Guía de la ACG (American College of Gastroenterology) 2026. Puntos clave:

🔵 Para várices esofágicas de alto riesgo o hipertensión portal clínicamente significativa: Carvedilol es superior a Propranolol. Inicia a 12.5 mg/día, sin titular a efecto no depende de ella).

🔵 En sangrado de tubo digestivo variceal: las guías recomiendan antibiótico profiláctico por 2–3 días (no 5-7). Misma mortalidad, aunque más riesgo de infección (15%)

🔵 En Encefalopatía hepática mínima: lactulosa. La rifaximina se reserva para prevención secundaria, no de primera instancia.

🔵 Vacunas vacunas: Hepatitis A, influenza, SARS-CoV-2 y VSR desde los 50 años. VHB también, aunque su respuesta es del 50% (confirma con anti-HBs).

🔵 Aumentar la Proteína a 1.2–1.5 g/kg/día y calorías 30–35 kcal/kg. Pero siempre con ejercicio de resistencia (suplementar sin ejercicio no mejoró masa muscular). Mito: Las varices contraindican bifosfonatos orales.

Voy a actualizar Cirrosis en Accio y Memodi. Link abajo.

🏀 Next up: Role of Thyroid Hormone in Hepato-Endocrinology

Rachel Thompson explores the thyroid–liver connection, from lipid metabolism and insulin sensitivity to HCC risk.

Could this theme have championship potential? 👇 #HepMadness2026