10 results
Perianal Crohn's Disease - IBD Algorithm

 • 5-40% w perianal fistula
 • ↑ risk if colonic
Algorithm • ... refractory to medical therapy ... Crohns #Disease #IBDAlgorithm ... #IBD #Algorithm ... gastroenterology #management
IBD Therapy De-escalation - IBD Algorithm

Dr. Wade Billings @wabillin

#IBD #Therapy #Deescalation #Deprescribing #IBDAlgorithm #IBD #Algorithm #gastroenterology
IBD Therapy De-escalation ... - IBD Algorithm ... Deprescribing #IBDAlgorithm ... #IBD #Algorithm ... gastroenterology #management
Dual Targeted Therapy (DTT) in IBD - IBD Algorithm

Indication for DTT:
 • Refractory
 • Failed multiple
Dual Targeted Therapy ... IBD Algorithm ... #IBDAlgorithm # ... IBD #Algorithm # ... gastroenterology #management
Difficult Selective Biliary Cannulation (SBC)
Factors associated with difficult SBC:
 - SMALL PAPILLA: can be difficult to
(SBC) Factors associated ... ST may be too large ... , associated with ... - EXTRA LARGE ... gastroenterology #management
IBD Mimics
Infectious - Always RULE OUT infection (CMV, C. diff esp.) obtain travel & exposures history:
Salmonella • Colon: C. difficile ... mouth & small/large ... segmental colitis associated ... NSAIDS, immuno-therapy ... lymphomas, others) #IBD
Constipation Management Algorithm
What do you mean by constipation?
 - Infrequent bowel movements, difficult defecation or both?
Constipation Management ... Algorithm What ... bowel movements, difficult ... Is constipation associated ... defecation suggests IBS-C
SCAD: Segmental Colitis Associated with Diverticulosis - IBD Algorithm

SCAD: Inflammation of the inter-diverticular mucosa without involvement
Segmental Colitis Associated ... Diverticulosis - IBD ... Algorithm SCAD ... #Algorithm #IBDAlgorithm ... #management #gastroenterology
Mild-to-Moderate Ulcerative Colitis - Management Algorithm
Curcumin:
 • Natural phytochemical from turmeric
 • 2g/day divided in 2-3
Ulcerative Colitis - Management ... combination PO/PR 5-ASA therapy ... formulations • Difficult ... #Colitis #UC #Management ... #treatment #IBD
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
Diarrhea Workup and Management ... Algorithm in Transplant ... C. difficile PCR ... PTLD, GVHD or IBD ... Empiric therapy
Ulcerative Proctitis
Proctitis:
 • Affects 1/3 patients
 • Predictors of extension:
     - Disease
CA • Topical therapy ... Tacrolimus rarely associated ... Ulcerative #Proctitis #IBD ... #diagnosis #management ... #algorithm