Manar Shmais

Assistant Professor- Gastroenterologist - IBD specialist @SSM-Saint Louis University Hospital

[Manar Shmais @ShmaisManar]

Proud to announce completion of the Second Annual IBD Summit @SLUgastro, focused on Excellence in Ulcerative Colitis from GI and CRS perspectives. It was a great honor to have exceptional experts joining us @MaiaKayalMD from Mount Sinai & @SheriefShawkiMD from Medstar Health!

[Maia Kayal MD @MaiaKayalMD]

Wonderful @slusom IBD course led by #ManarShmais. Look @EdwardLoftus2, your fellow is all grown up. I will take some credit bcs she was my @CrnstnsHlth fellow 😍

[Zeinab Bakhshi MD @z_bakhshiii]

🔍 Not all pouch symptoms after IPAA in UC = pouchitis
Patients with urgency, frequency, abdominal pain, or difficulty evacuating may have:
🟢 Inflammatory
🔵 Structural
🟣 Functional

📌 If fecal calprotectin is low, the patient is in clinical remission, and pouchoscopy shows significant mucosal healing (>50% endoscopic improvement), symptoms may not be driven by active inflammation.

📌 Structural causes should be considered, particularly during the first year after pouch surgery. Evaluation may include: 🩻 MRE/MR pelvis 📷 Pouchogram 🔬 Pouchoscopy 📈 manometry 🌀 MR defecography

📌 When inflammation and structural abnormalities have been excluded and manometry is unremarkable, a functional pouch disorder (irritable pouch syndrome) should be considered.

💡 The key message: Not every symptomatic pouch needs escalation of IBD therapy. Identifying the underlying mechanism is essential for targeted treatment.
#IBD #UlcerativeColitis #Pouchitis #IPAA #Gastroenterology #GI @VoiceForIBD #MedTwitter #InflammatoryBowelDisease

[Haytham Kaafarani @hayfarani]

I am a US citizen & Surgeon who took care of the Boston Maraton Bombing victims in 2013. I paid for 7 years to own a small apartment in downtown #Beirut for my 3 kids to enjoy summers there. Today, #Israel reduced my dream home to rubble, with american weapons, paid by my taxes.

[Manar Shmais @ShmaisManar]

🎉 Completed In-person Interviews for the GI fellowship in Saint Louis University Hospital 🏥
Important to know candidates on deeper level & not just through CVs, research work and LORs.
💥Simple cards w/ Life Quotes:
“How would you relate this to medicine?”
Answers🔥🎯

[Aline Charabaty, MD, FACG, AGAF @DCharabaty]

I completed my training under a H1b visa so I can provide care to pts w IBD. Many colleagues w H1b provide GI care in underserved areas
At a time when shortage of 🩺 + more complex dis., we need to safeguard this path for🩺
TY @AmCollegeGastro @AmyOxentenkoMD for your advocacy

[Edward Loftus @EdwardLoftus2]

Inflammatory Bowel Disease With Kidney Involvement—An Uncommon Extraintestinal Manifestation https://t.co/cioRsZmsyf @DavidBruiningMD @ShmaisManar @NavreetChowlaMD @MayoProceedings

[Manar Shmais @ShmaisManar]

🎉Thrilled to share our latest publication!

Inflammatory Bowel Disease With Kidney Involvement—An Uncommon Extraintestinal Manifestation Associated with Poor Outcomes https://t.co/uIwHS8idgg

Grateful for the amazing team in Mayo clinic-Rochester!

[Manar Shmais @ShmaisManar]

Perianal disease is complicated and surgery is even more complex.
Rule of thumb : Operate with experienced hands!
Great talk by the amazing colorectal surgeon #SamRheinhardt
@SLUgastro

[Manar Shmais @ShmaisManar]

An extremely informative talk about Post operative recurrence in #Crohnsdisease
By the leading expert @DCharabaty virtually from #JohnHopkins
@SLUgastro

[Manar Shmais @ShmaisManar]

Extremely delighted and thankful for having our distinguished guest @GKochharMD at @SLUgastro to teach us about the top novel advanced endoscopic therapies in #Crohnsdisease
Think about the “Kochhar Approach” when managing strictures in CD!

[Zeinab Bakhshi MD @z_bakhshiii]

@DCharabaty is talking about the prevention of post-operative Crohn's disease Recurrence(POR) in @SLUgastro @ShmaisManar

[Marina Kim @DrMarinaKimP]

"Take your colorectal surgeon out for weekly martini 🍸 if you do ESD" 😆 - Thank you for sharing your experience and tips in endoscopic management of IBD @GKochharMD at our CME event organized by @ShmaisManar at @SLUgastro @KiwanGIDoc

[Marina Kim @DrMarinaKimP]

Happy International Women's Day! Shout-out to the strong women in gastroenterology in Saint Louis. Keep up the good work! #womeninendoscopy #womeninGastroenterology #WIE #InternationalWomensDay @TrieuMD @ShmaisManar @NicoleShenMD @KapuriaMD @UchennaAgbim

[Manar Shmais @ShmaisManar]

Excited to share with you our coming first CME IBD conference at Saint Louis University.
March 15th, 2025

Explore all about #Crohn’s disease in this event.
@SLUgastro

Both in-person and virtual options are available.
Register here ⬇️
https://t.co/tdnpAyB8v4

[Manar Shmais @ShmaisManar]

Another one is down!
Glad to be presenting today @SLUgastro Grand Round Series 2025 about Fistulizing Crohn’s disease.
LearnSearchHealShareGrow #IBD👩‍⚕️

[Manar Shmais @ShmaisManar]

Presenting about Advanced Management in ASUC at #UpdatesinGI&Hepatology2024
Some Pearls 💎
Small molecules better than Large molecules
Think about JAKs inhibitors
Do not Delay Surgery if needed
Start early on outpatient authorizations
@SLUgastro

[Ghassan Abu Sitta, Chair of Conflict Medicine AUB @GhassanAbuSitt1]

In awe of the dedication and expertise of my colleagues at the American University of Beirut Medical Center. Coping with an overwheling number of complex poly-trauma cases. Truely a CENTER OF EXCELLENCE.

[Manar Shmais @ShmaisManar]

Always grateful for being with this amazing GI department @SLUgastro