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ibd treatment ulcerative colitis gastroenterology uc diagnosis cdifficile clostridioides clostridiumdifficile crohns evaluation mild moderate perianal perioperative persistent preop preoperative proctitis
C. Difficile Infection in IBD - IBD Algorithm Background Complications CDI Testing Algorithm CDI Recurrence Dr. Wade Billings @wabillin #Clostridioides #difficile #CDiff
Difficile Infection ... Complications CDI ... CDI Recurrence ... #CDiff #CDifficile ... #Management #Treatment
Persistent UC Symptoms Despite 5-ASA Therapies • Assess for Drug Adherence • Disease Activity Assessment (bloody
Drug Adherence • Disease ... Rule-Out Infection, Cdiff ... UC #Persistent #5ASA ... Refractory #Treatment #Management ... #Algorithm
Mild-to-Moderate Ulcerative Colitis - Management Algorithm Curcumin: • Natural phytochemical from turmeric • 2g/day divided in 2-3
Ulcerative Colitis - Management ... maintenance rates with 5ASA ... remission with 5ASA ... dosing if liver disease ... formulations • Difficult
Perianal Crohn's Disease - IBD Algorithm • 5-40% w perianal fistula • ↑ risk if colonic
Perianal Crohn's Disease ... - IBD Algorithm ... risk if colonic CD ... #IBDAlgorithm # ... gastroenterology #management
A proposed management algorithm for CDI in patients with inflammatory bowel disease. *Severe-complicated CDI is defined
A proposed management ... algorithm for CDI ... inflammatory bowel disease ... #CDI #CDiff #clostridiumdifficile ... #IBD #Algorithm
Relapsing Acute Severe Ulcerative Colitis - Management Algorithm Loss of Response: • (Re)consult Colorectal Surgery • Assess
Ulcerative Colitis - Management ... Adherence • Assess Disease ... Diff. & CMV COVID ... Optimize Nutrition • CNI ... #Colitis #UC #Management
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
any mention of a difficult ... Ischemic heart disease ... ASA class If ... event, follow ACC algorithm ... medical and surgical management
Ulcerative Proctitis Proctitis: • Affects 1/3 patients • Predictors of extension: - Disease
and PR + PO 5-ASA ... Infection (CMV, c-Diff ... rectal prolapse, CD ... IBD #diagnosis #management ... #algorithm
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