Clinical Professor of Medicine, Stanford University | @Stanford_GI Gastroenterology | #IBD specialist | Guidelines author | Mom of Boys | Tweets are my own
Visited National Taiwan University Hospital 🇹🇼 today and participated in their #IBD multidisciplinary rounds! Many thanks to Professor Shu-Chen Wei for the invitation. Great to learn about #IBD practice outside 🇺🇸@StanfordMed@Stanford_GI@StanfordDeptMed
Surprising?! Is calpro equivalent to IUS for determining treatment response in Crohn’s? This study discussed by @MLongMD@EdwardLoftus2@GuildConference suggests so.
Blood test for colon cancer screening test sounds fabulous but 17% miss rate for cancer 👀. However better than no screening for those who won’t do stool test or colonoscopy.
Provocative talk by @babudayyeh@GuildConference In treating obesity (60%US by 2030) need to modify disease not just treat surface problem
✅reduce total body adiposity
✅reduce hyperinsulinemia
✅ reduce gut inflammation
Are you surveying for celiac disease correctly? @AmyOxentenkoMD@GuildConference walks us through how to achieve highest diagnostic yield
✅ patient eating gluten
✅ at least 6 biopsies
✅ single biopsy at a time
✅ 2 in bulb, 4 more distally
Interesting slide from @AmyOxentenkoMD Celiac vs IBD. Clearly patients want options. Goes to show that pure diet based therapy has quality of life issues as well. @GuildConference
Throwing down the gauntlet @babudayyeh@GuildConference
✅ no Vit K or FFP for acute bleed
✅ most pts don’t need bridging for elective procedures (check with cardiology/hematology)