@MRegueiroMD on perianal fistulas in CD:
▶️ 5% may have isolated perianal CD
▶️ perianal fistulas require ⬆️ IFX levels btwn 10 to 20
▶️ UPA appears to have signal for tx perianal dz
▶️ Future of stem cells unclear: ideal pt w/ single epithelialized tract, no inflammation/infxn
Addressing an often confounding question: why am I losing hair on IBD therapy? 😥
Likely to be telogen effluvium, hair loss related to metabolic stress, which usually resolves with time, so if treatment working for IBD try to stick with it! @IBDConference #AIBD2023
Fantastic talk by @IBDMD on anti-TNFa to kick off @IBDConference #AIBD2023
Pro tips:
▶️ identify high-risk pts (episodic rx, hx of ADA, obesity) 👀
▶️ consider TDM during induction 📈
▶️ jury still out on proactive TDM, but proactive dz monitoring (FC or IUS) can inform TDM!
Excellent debate by @MRegueiroMD and @DrCoreySiegel on where to go next after anti-TNF failure. #AIBD2023
✅ Sick UC ➡️ Upa
✅ Crohn’s ➡️ Upa or Skyrizi
💯 Consider patient factors: Safety, short gut, derm, pregnancy, preference
#AIBD2023 The Gut-Heart axis: ⬆️cardiovascular diseases in #IBD@RPanaccione
⚠️Risk factors
✅Active 🔥
✅Steroids
⬆️Risk of
✅MI ++ young women
✅CHF
✅AFib
✅Pericarditis & Myocarditis (⚠️ can be cause by 5-ASA)
⏰Address CV factors (diet,exercise) control🔥, avoid steroids
So excited to be at the @CCfdnMinnesota Evening of Hope Gala tonight to support my friend and colleague #ByronVaughn@UMNews who is being honored as the Medical Champion of Hope for #IBD!
Congratulations to my friend & mentor - Dr. Anu Nookala - on becoming the new Vice chair of GI & Medical Director of Endoscopy at Regions/@_HealthPartners! 👏🏻🎉
#LiverTwitter#GITwitter