GI Fellow @ The University of New Mexico @UNMSOM_GI | @AmCollegeGastro @FDA Affairs Committee | @CAPERpancreas Scholar | Congressional Advocate @AmerGastroAssn
Albuquerque, NM
Joined January 2011
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Ahmed Telbany MD, MPH retweeted
Ozempic and Zepbound are just the beginning of the expanded medical GI hormone era. A new selective amylin mimetic (pancreatic peptide)) achieved marked weight loss and reduced inflammation without a plateau effect in a randomized trial @TheLancet thelancet.com/journals/lance…
Congratulations, Dr. @peyoungmd! A truly well-deserved recognition for your inspiring mentorship, leadership, and commitment to advancing the @AmCollegeGastro mission.
Announcing the 2025 William D. Carey Award:
Patrick E. Young, MD, FACG, for his service within leadership positions, participation in educational efforts, and committee service
Congratulations, Dr. Young!
@peyoungmd #ACG2025
So proud of our incredible @UNMSOM_GI team for receiving the SCOPY Award at #ACG2025! Grateful to @AmCollegeGastro for recognizing our work in GI outreach and education.
Ahmed Telbany MD, MPH retweeted
Being kind boosts mental health more than seeking joy.
Evidence: Doing 3 random acts of kindness a week is enough to reduce depression, anxiety & loneliness. It's more beneficial than doing nice things for yourself.
Self-care feels good, but generosity builds lasting bonds.
Ahmed Telbany MD, MPH retweeted
Overview of IBD biology and treatment mechanisms ⚙️🎯
📸: jamanetwork.com/journals/jam…
✅ Bottom line:
Diagnosis = right serologies + adequate biopsies + pathology review + confirm before gluten-free diet.
#Celiac #GITwitter
🔟 Consider alternative diagnoses
If villus atrophy but TTG IgA not checked → confirm first.
DDx: tropical sprue, CVID, HIV enteropathy, giardiasis.
Don’t commit to lifelong gluten-free diet without serology.
9️⃣ Collaborate with pathology
Borderline results? Review slides with GI pathologist.
They can clarify orientation, suspicion, & alternative diagnoses.
8️⃣ Ask about gluten intake before scope
Biopsy sensitivity depends on gluten exposure.
Gluten challenge: 2 wks–3+ mos.
Document diet & duration in endoscopy report.
7️⃣ Inspect the esophagus
Celiac pts have ↑ risk of eosinophilic esophagitis.
Endoscopic findings may be subtle → keep low threshold for biopsy.
6️⃣ Don’t forget the stomach
Duodenal intraepithelial lymphocytosis (Marsh 1) is nonspecific. Gastric biopsies help distinguish early celiac vs mimickers (e.g., H. pylori). Lymphocytic gastritis may also coexist in celiac.
5️⃣ Specimen orientation matters
One bite per pass → better orientation
More samples → higher diagnostic yield
Orientation errors explain false negatives
4️⃣ Take enough biopsies
Submit 4–6 pieces, including duodenal bulb.
Up to 10% of new cases limited to bulb (“ultra-short” celiac). Missing bulb = missed dx.
3️⃣ Biopsy even if duodenum looks normal
Celiac can present w/ anemia, wt loss, abd pain.
Endoscopic findings often subtle.
Don’t skip biopsy if suspicion or serology unclear.
2️⃣ Elevated TTG IgA?
Do an EGD w/ duodenal biopsy.
10x TTG IgA + Endomysial antibody may predict celiac, but biopsy is still the gold standard before prescribing lifelong gluten-free diet.
1️⃣ Order the right serologies
TTG IgA = most sensitive/specific
Always check total IgA (to catch IgA deficiency)
If IgA deficient → use IgG (TTG/DGP), but specificity lower
HLA DQ2/DQ8 testing = high NPV, not for routine dx
🧵 Top 10 Tips for Diagnosing #CeliacDisease – practical pearls for GI endoscopy. Based on Lebwohl, @GIE_Journal 2025. #GITwitter
Ahmed Telbany MD, MPH retweeted
Honored! @UNMHospital GI & Hepatology has been awarded the @AmCollegeGastro SCOPY 2025 Award for our CRC awareness initiative:
“Screening Through Storytelling: Culturally-Informed CRC Awareness in the Navajo Nation Population.” #ACG2025
Ahmed Telbany MD, MPH retweeted
Ultrasound with shear wave elastography is a useless and inaccurate modality to assess liver stiffness.
This is a rant.
#livertwitter