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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ibd treatment colitis gastroenterology 5asa boweldisease comparison crohns diagnosis diets dtt dual inflammatory mild moderate nutrition perianal persistent proctitis refractory
Persistent UC Symptoms Despite 5-ASA Therapies • Assess for Drug Adherence • Disease Activity Assessment (bloody
Drug Adherence • Disease ... JAK Inhibitor Algorithm ... Waseem_AhmedMD #Ulcerative ... Refractory #Treatment #Management ... #Algorithm
Mild-to-Moderate Ulcerative Colitis - Management Algorithm Curcumin: • Natural phytochemical from turmeric • 2g/day divided in 2-3
Mild-to-Moderate Ulcerative ... Colitis - Management ... dosing if liver disease ... combination PO/PR 5-ASA therapy ... #Colitis #UC #Management
Relapsing Acute Severe Ulcerative Colitis - Management Algorithm Loss of Response: • (Re)consult Colorectal Surgery • Assess
Relapsing Acute Severe Ulcerative ... Colitis - Management ... Adherence • Assess Disease ... surgery: Fulminant UC ... #Colitis #UC #Management
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 # ... gastroenterology #management
Dual Targeted Therapy (DTT) in IBD - IBD Algorithm Indication for DTT: • Refractory • Failed multiple
Dual Targeted Therapy ... ) in IBD - IBD Algorithm ... Severe/Extensive Disease ... #IBDAlgorithm # ... gastroenterology #management
Ulcerative Proctitis Proctitis: • Affects 1/3 patients • Predictors of extension: - Disease
Ulcerative Proctitis ... extension: - Disease ... CA • Topical therapy ... IBD #diagnosis #management ... #algorithm
Diets and Inflammatory Bowel Disease (IBD) Diet affects IBD by 3 mechanisms 1. Microbiome ( ↓ diversity) 2. Mucosal
Inflammatory Bowel Disease ... CD > UC • Patient ... balanced, nutritious Table ... Nutrition #comparison #table ... #management #treatment
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