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gastroenterology treatment ulcerative colitis deescalation 5asa crohns deprescribing diagnosis disease dtt dual indications mild moderate perianal persistent proctitis refractory relapsing
Persistent UC Symptoms Despite 5-ASA Therapies • Assess for Drug Adherence • Disease Activity Assessment (bloody
Persistent UC Symptoms ... Rule-Out Infection, Cdiff ... JAK Inhibitor Algorithm ... Refractory #Treatment #Management ... #Algorithm
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
Relapsing Acute Severe Ulcerative Colitis - Management Algorithm Loss of Response: • (Re)consult Colorectal Surgery • Assess
Activity: Flex Sig, FCP ... Diff. & CMV COVID ... surgery: Fulminant UC ... #Management #Algorithm ... #IBD #Treatment
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
Mild-to-Moderate Ulcerative Colitis - Management Algorithm Curcumin: • Natural phytochemical from turmeric • 2g/day divided in 2-3
Ulcerative Colitis - Management ... Budesonide and UC ... combination PO/PR 5-ASA therapy ... #Management #Mild ... #treatment #IBD
Thiopurine De-escalation and IBD - Management Algorithm IBD Patient on Thiopurine Interested in Discontinuing Thiopurine Assess Disease Activity:
- Management Algorithm ... IBD Patient on ... Bowel Imaging/VCE, FCP ... Disease → Optimize Therapy ... #algorithm #management
Ulcerative Proctitis Proctitis: • Affects 1/3 patients • Predictors of extension: - Disease
CA • Topical therapy ... adherence to medical therapy ... Infection (CMV, c-Diff ... #diagnosis #management ... #algorithm
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