Isadora Zanotelli Bombassaro

Gastroenterologista. Membro do Grupo de Doenças Inflamatórias Intestinais do Brasil (GEDIIB) e do International Bowel Ultrasound Group (IBUS)

[Isadora Zanotelli Bombassaro @IBombassaro]

Domingo foi um dia muito feliz! Fizemos a caminhada do Maio Roxo, e foi um grande sucesso. Muitas pessoas presentes, todas vestidas de roxo e engajadas nessa causa tão importante! 💜
Obrigada a todos os envolvidos por tornarem esse momento tão especial.

[InternationalBowelUS @BowelUltrasound]

Lady, 23 yo, left sided; ASUC in feb 2026, rescue therapy with IFX + thiopurine, admitted today for 15 bloody stools per day, CRP 80 mg/l, T° 38.2, 100 bmp, TA 110/60. Looking at the cine loop and endoscopic picture what is most likely:

[Isadora Zanotelli Bombassaro @IBombassaro]

Yesterday was a special day — I defended my Master’s degree ❤️

Professor Ângelo, thank you for all the guidance and support throughout this journey. Very grateful for all the learning and trust along the way.
• MSc from UFCSPA 👩🏼‍🏫 @ppghepato_ufcspa

[Isadora Zanotelli Bombassaro @IBombassaro]

Today I joined an interview on Masper TV with Paulo Viana about #IBD 💜
Raising awareness on inflammatory bowel diseases is key for early diagnosis and better patient care.

[Isadora Zanotelli Bombassaro @IBombassaro]

First day of the IBD preceptorship at Diimuno, in Porto Alegre.
Gave a talk on intestinal ultrasound and its role in IBD assessment and monitoring. Great to connect with colleagues from across Brazil.

[Isadora Zanotelli Bombassaro @IBombassaro]

Great case!

[InternationalBowelUS @BowelUltrasound]

F65 with left-sided UC in remission (vedolizumab), undergoing IUS surveillance. What is the finding in the right iliac fossa?

[Isadora Zanotelli Bombassaro @IBombassaro]

Patient with Crohn’s disease, after therapy change 6 months ago, undergoes ultrasound to assess response. Colon appears normal, but the ileum still shows wall thickening and increased Doppler vascularity.
Intestinal ultrasound helps guide management—no prep, no radiation.

[InternationalBowelUS @BowelUltrasound]

A 48-year-old woman with a known history of ulcerative colitis presented with mild abdominal pain, bloody diarrhea (approximately 10 bowel movements per day), and fatigue. An intestinal ultrasound was performed with the following findings in addition to bowel wall thickening

[InternationalBowelUS @BowelUltrasound]

Male patient, 50 years old, with Crohn’s disease diagnosed in 2022. He presents with abdominal pain, fever, low back pain, and significant weight loss. What are the expected ultrasound findings?

[InternationalBowelUS @BowelUltrasound]

A 24-year-old woman with known ileal Crohn’s disease presents with perianal pain and fever for 5 days. Reporting increased stool frequency and mild abdominal discomfort. No prior perianal surgery / On adalimumab with partial response. What are the findings on TPUS:

[InternationalBowelUS @BowelUltrasound]

26yo with ileocolonic Crohn’s disease, not on treatment, presents with severe left sided abdominal pain and fevers. What does the IUS of the descending colon demonstrate?

[InternationalBowelUS @BowelUltrasound]

23-year-old female patient with a known diagnosis of ulcerative colitis, presenting with abdominal pain, bloody diarrhea (>10 bowel movements per day), and fever. An intestinal ultrasound was performed with the following findings:

[InternationalBowelUS @BowelUltrasound]

We’re pleased to announce the “ECCO-ESGAR-ESP-IBUS Guideline on Diagnostics and Monitoring of Patients with IBD,” a project involving IBUS, showing the role of IUS in the diagnosis and monitoring of IBD patients.

P.1: 10.1093/ecco-jcc/jjaf106
P.2: 10.1093/ecco-jcc/jjaf107

[InternationalBowelUS @BowelUltrasound]

Female Patient 62 y/o with left-sided ulcerative colitis, on vedolizumab, presents to the outpatient clinic with bloody diarrhea (6-8 per day) for a week. What are the findings of the sigmoid on IUS?

[Isadora Zanotelli Bombassaro @IBombassaro]

@BowelUltrasound Great image !

[InternationalBowelUS @BowelUltrasound]

24 M new Dx UC presenting with ASUC. Responds to IV steroids in hospital and starts 5-ASA, AZA (now therapeutic) and pred taper post discharge. IUS is performed 8 weeks post discharge. Without knowing symptoms, based on IUS findings, what would be next best step in management?

[Isadora Zanotelli Bombassaro @IBombassaro]

My first DDW

[Isadora Zanotelli Bombassaro @IBombassaro]

After many hours of work, we have published the article comparing the scores that predict mortality in patients with decompensated cirrhosis. Come check it out!

[InternationalBowelUS @BowelUltrasound]

🎯New Case of the Month:
50yo male with history of ileocolic resection 20 years ago for Crohn's disease presents for disease reassessment with IUS on no medical therapy.

👉What does the IUS demonstrate at the anastomosis/neo TI?

[Isadora Zanotelli Bombassaro @IBombassaro]

#bowelultrasound @BowelUltrasound

[Isadora Zanotelli Bombassaro @IBombassaro]

We are starting the IBUS module 1 at Campinas, Brazil. I’m so proud to be here as a monitor.