Perioperative IBD Pharmacotherapy Management Immunomodulators: • Stop MTX one week prior to elective surgery • Stop AZA/6MP the day of surgery and resume post op day 1 Biologics: • Do not delay urgent/emergent surgery • Time elective surgery with drug trough • Resume in CD patients at high risk of recurrence 2-4 weeks after surgery • Discontinue in UC patients undergoing colectomy Steroids: • Reduce dose as much as possible prior to surgery • Rapid taper (goal dose mg per day of prednisone) & intraoperative stress dose Gastroenterology Review @GIreview #Perioperative #IBD #Pharmacotherapy #medication #Management #preoperative #gastroenterology
