Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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management treatment gastroenterology colitis ulcerative boweldisease comparison crohns deescalation diets dtt dual indications inflammatory mild moderate nutrition perianal relapsing table
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 #
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 #
Relapsing Acute Severe Ulcerative Colitis - Management Algorithm Loss of Response: • (Re)consult Colorectal Surgery • Assess
Adherence • Assess Disease ... Activity: Flex ... surgery: Fulminant UC ... Ulcerative #Colitis #UC ... #IBD #Treatment
Mild-to-Moderate Ulcerative Colitis - Management Algorithm Curcumin: • Natural phytochemical from turmeric • 2g/day divided in 2-3
Budesonide and UC ... dosing if liver disease ... combination PO/PR 5-ASA therapy ... Ulcerative #Colitis #UC ... #treatment #IBD
Thiopurine De-escalation and IBD - Management Algorithm IBD Patient on Thiopurine Interested in Discontinuing Thiopurine Assess Disease Activity:
IBD Patient on ... Thiopurine Assess Disease ... Activity: Colonoscopy ... ESR • Active Disease ... → Optimize Therapy
Diets and Inflammatory Bowel Disease (IBD) Diet affects IBD by 3 mechanisms 1. Microbiome ( ↓ diversity) 2. Mucosal
as complement therapy ... /bridge therapy ... Effect of diet therapy ... CD > UC • Patient ... activity • There
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