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management gastroenterology diagnosis bowel checkpointinhibitor colitis crohns deprescribing diarrhea dtt dual immune indications inflammatroy mimickers mimics perianal proctitis targeted thiopurine
IBD Therapy De-escalation - IBD Algorithm Dr. Wade Billings @wabillin #IBD #Therapy #Deescalation #Deprescribing #IBDAlgorithm #IBD #Algorithm #gastroenterology
IBD Therapy De-escalation ... - IBD Algorithm ... #Therapy #Deescalation ... Deprescribing #IBDAlgorithm ... #IBD #Algorithm
Perianal Crohn's Disease - IBD Algorithm • 5-40% w perianal fistula • ↑ risk if colonic
Perianal Crohn's Disease ... - IBD Algorithm ... refractory to medical therapy ... #IBDAlgorithm # ... IBD #Algorithm #
Thiopurine De-escalation and IBD - Management Algorithm IBD Patient on Thiopurine Interested in Discontinuing Thiopurine Assess Disease Activity:
Algorithm IBD Patient ... Thiopurine Assess Disease ... ESR • Active Disease ... → Optimize Therapy ... #IBD #algorithm
Dual Targeted Therapy (DTT) in IBD - IBD Algorithm Indication for DTT: • Refractory • Failed multiple
Dual Targeted Therapy ... IBD Algorithm ... Severe/Extensive Disease ... #IBDAlgorithm # ... IBD #Algorithm #
IBD Mimics Infectious - Always RULE OUT infection (CMV, C. diff esp.) obtain travel & exposures history:
IBD Mimics Infectious ... infection (CMV, C. diff ... intestine: Behcet's disease ... NSAIDS, immuno-therapy ... mimics #mimickers #differential
Diarrhea Workup and Management Algorithm in Transplant Patients First Tier Microbiologic-Testing: 1. C. difficile PCR (Stool) 2. CMV qPCR
and Management Algorithm ... Ova and Parasite evaluation ... PTLD, GVHD or IBD ... Empiric therapy ... Transplant #diagnosis #differential
Ulcerative Proctitis Proctitis: • Affects 1/3 patients • Predictors of extension: - Disease
extension: - Disease ... CA • Topical therapy ... Infection (CMV, c-Diff ... Ulcerative #Proctitis #IBD ... diagnosis #management #algorithm
Immune Checkpoint Inhibitor-Mediated Colitis Grade of Disease Severity: • G1: Increase < 4 BMs/day over baseline; mild
Colitis Grade of Disease ... indicated Diagnostic Evaluation ... Diff, Stool cx, ... diagnosis #management #algorithm ... #IBD
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