9 results
Primary Sclerosing Cholangitis (PSC) and IBD - IBD Algorithm

Dr. Wade Billings @wabillin

#PSC #IBD #Algorithm #IBDAlgorithm #gastroenterology
Algorithm Dr. ... @wabillin #PSC ... #IBD #Algorithm ... #IBDAlgorithm # ... gastroenterology #management
IBD Colonoscopy Surveillance - BSG Guidelines 2019
High Risk - 1 Year
 •  Extensive colitis AND
IBD Colonoscopy ... last 5yrs • PSC ... affecting <50% of colon ... @drkeithsiau #IBD ... #management
Primary sclerosing cholangitis (PSC) - Malignancy Screening and Surveillance Recommendations 

Cholangiocarcinoma 
 - Annual US or
sclerosing cholangitis (PSC ... months +/- AFP CRC ... - IBD - Colonoscopy ... #cholangitis #PSC ... Gastroenterology #Management
IBD Colonoscopy Surveillance 
LOW RISK - Follow-up Colonoscopy at 3 years:
 • Quiescent disease , Endoscopic
IBD Colonoscopy ... risk factors for CRC ... or histo) OR • PSC ... degree relative #IBD ... #Guidelines #management
Thiopurine De-escalation and IBD - Management Algorithm
IBD Patient on Thiopurine Interested in Discontinuing Thiopurine
Assess Disease Activity:
- Management Algorithm ... IBD Patient on ... Disease Activity: Colonoscopy ... Imaging/VCE, FCP, CRP ... #algorithm #management
Colorectal Cancer screening in ulcerative colitis per new UC guidelines
- Colonoscopy is the recommended method for
sclerosing cholangitis (PSC ... Colorectal #Cancer #CRC ... #Colon #Screening ... Gastroenterology #Management ... #Colonoscopy
Approaching a Difficult Colonoscopy - Scoping Summary
Risk factors for failed C-scope:
 • Incr Age
 • Female
Approaching a Difficult Colonoscopy ... 1) Redundant Colon ... stiffness scopes (VSC ... Endoscopy #diagnosis #management ... #algorithm
Crohn's Disease & New Diagnosis of Colon Cancer Algorithm
 - Define Colonic Disease Extent, Activity &
Cancer Algorithm ... 39% of pts with CRC ... #Cancer #algorithm ... #management #treatment ... #ibd
Immune Checkpoint Inhibitor-Mediated Colitis
Grade of Disease Severity:
 • G1: Increase < 4 BMs/day over baseline; mild
Consult GI • Labs: CBC ... CMP, TSH, ESR, CRP ... Endoscopy (Flex Sig or Colon ... Colitis #diagnosis #management ... #algorithm #IBD