IvannaCandeL

Gastroenterologist #IBD passionate. Books, Mozart (played by Martha Argerich) and partnership. #GADECCU

[IvannaCandeL @IvannaCandel]

I'm thrilled to share this literature review with you all regarding Post Inflammatory Polyps (PIPs) and Colorectal Cancer in Inflammatory Bowel Disease.
@PeterLakatos, @TBessissow , @panuwetwittayakhlang, @mcgillu, @cusm_muhc
doi: https://t.co/al6VUOY1oD

[Abel Novillo @Gangliosido]

Con Ivanna @IvannaCandel y Marla #AIBD2023

[Charlie Lees @charlie_lees]

Twelve principles to guide therapy in Crohn's disease

1/ Crohn's disease is progressive

With long-term, irreversible bowel damage, disability and poor quality of life the result.

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2/ Diagnostic delay is associated with worse outcomes

Ensure effective systems are in place to mitigate against this.

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3/ Disease complications can be prevented with effective therapy

This may involve over-treating a few patients to avoid under-treatment the majority.

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4/ Starting effective therapy early results in the best outcomes

Effective therapy means an advanced therapy - anti-TNF or anti-IL12/IL23 or anti-integrin or JAKi

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5/ There is a disconnect between symptoms and inflammation

Use non-invasive monitoring tools like faecal calprotectin and intestinal ultrasound

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6/ Biosimilar anti-TNFs are the most cost effective drugs; they work, are accessible, and allow for rapid dose escalation

This might be infliximab plus azathioprine or adalimumab (+/- AZA) and next year also ustekinumab

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7/ Early ileo-caecal resection for offers excellent long-term outcomes for many

This should be offered to all newly diagnosed patients with limited terminal ileal disease.

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8/ 5-ASA compounds do not work effectively in Crohn's disease

They only work at the mucosal level and Crohn's is a transmural disease.

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9/ Steroids do not heal the mucosa in Crohn's disease

Do not (over)use them.

10/ Dietary therapy is important in Crohn's disease

Use exclusive enteral nutrition in place of steroids for small bowel disease. It works in adults as well as kids. Use low residue diet for stricturing disease, and Mediterranean for everyone else.

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11/ The psychological harm associated with Crohn's disease is high

It starts early in the disease course and includes suicidal ideation and completed suicide. Do not underestimate this.

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12/ Use a multi-disciplinary team

IBD specialist nurses, dietary support, smoking cessation, psychological support, effective monitoring, radiologists, pathologists, surgical involvement, and a holistic approach.

[IvannaCandeL @IvannaCandel]

@ibdleuven @UZLeuven @KU_Leuven @SeverineVermei1 @bverstockt @JoaoPGSabino Thank you all for warmly hosting me.
It was a very enriching experience not only professionally, but most importantly at a personal level.

[IBD Leuven @ibdleuven]

It was truly an honour and pleasure hosting @IvannaCandel 🇦🇷 and Kang Chao 🇨🇳 for a clinical observership in our IBD unit during the summer @UZLeuven @KU_Leuven! Grateful to #ECCO and #AOCC for their support in making these fellowships possible !! #unitedwestand #globalIBD🌎

[IvannaCandeL @IvannaCandel]

Un poco de lo qué pasó en el segundo día del IBD Update 2023.
Muchas gracias @mariamaguas por tu profesionalismo y dedicación.
#janssen #Telemedicine #IBD

[IvannaCandeL @IvannaCandel]

Muchas gracias por la invitación a esta Mesa Redonda de lujo!
Congreso Nacional de Pediatría.
@soc_arg_ped @gadeccu @HospGarrahan @HospUdaondo
#transition #IBD #proyectopuente

[IvannaCandeL @IvannaCandel]

Muchas gracias @gadeccu por este premio!! 🥇

[IvannaCandeL @IvannaCandel]

@estilodepiba Al buen tallarín, 55 esq 10, la plata. Sublimes 🙌🏻

[IvannaCandeL @IvannaCandel]

Hermosa Jornada en Córdoba, GADECCU23.
Muchas gracias por la mención de EPoster destacado de adultos.
@gadeccu
#transitionibd #IBD #Telemedicine

[IvannaCandeL @IvannaCandel]

@IBDHorizons @DrScottDLee @IBDPharmacist @GI_PharmD @IBDPharmD @BeeneCameron @kennethPharmD @Cassie_pharmD @JordanMPharmD @Farmale @ibdnurse D 😊

[IvannaCandeL @IvannaCandel]

@MtoroMartin Thanks for your kindness and support. I’m thrilled to visit Leuven and learn as much as possible from that experience.

[IvannaCandeL @IvannaCandel]

Wonderful experience #ECCO23
#21stIBDIntesiveCourseforTrainees
#ECCOTravelAward

[IvannaCandeL @IvannaCandel]

@Gabycasla Después de vivir 28 años al lado de ferro, cuanto menos me genera duda tu afirmación.

[IvannaCandeL @IvannaCandel]

@glendaeva @madaesteche. Dicen que estos nabos no conocieron a la llama que llama y de la idea misma se emocionaron? Jajajaj

[IvannaCandeL @IvannaCandel]

@madaesteche @glendaeva. Muejeejee

[IvannaCandeL @IvannaCandel]

@madaesteche @glendaeva jaajajaj ella se maneja en las sombras.