Join us for #IBD #IBDPoll & convo MONDAY ≈4pmET • #PatientExperience WEDNESDAY • #IBDAlgorithm FRIDAY • #Back2Basics • Created by Dr Aline Charabaty • Assisted by Alison Rothbaum (@EmpoweringPts9) • Opinions ≠ med advice 🆓 #CME • #Gastrodon #GIdon #Medodon #MedMastodon #IBDdon #Crohns #CrohnsDisease #UlcerativeColitis #MedEd
RT @MondayNightIBD
What a🔥#MondayNightIBD convo on managing recurrent SB #strictures & an under-estimated #Crohns complication: SB adenoCA
Big TY to @DSTEINGIMD & #GITwitter #CRSurgery for sharing their 💭& expertise!
✅#IBDAlgorithm💎 on SB #AdenoCA in Crohns & 🚨when to suspect it! @wabillin👇🏽
RT @wabillin
@MondayNightIBD @DSTEINGIMD @SchwartzbergMD @GKochharMD @SchairerIBDMD @BettenworthDb @KaazanPatricia @SinhIBD @BeniwalPatelMD @BenClement_MD @Waseem_AhmedMD @NayantaraCoelho Yet another 💣@MondayNightIBD thanks to @DSTEINGIMD & @DCharabaty! Must keep a high index of suspicion for small bowel cancer in Crohn's strictures! #IBDAlgorithm #MondayNightIBD #CME #postconvo questions 👇
RT @MondayNightIBD
@wabillin @DSTEINGIMD @SchwartzbergMD @GKochharMD @SchairerIBDMD @BettenworthDb @KaazanPatricia @SinhIBD @BeniwalPatelMD @BenClement_MD @Waseem_AhmedMD @NayantaraCoelho @DCharabaty @halesj126 @AshkanRA @BattatMD4IBD @NeethiDasu @ign76 @JBapaye @JKurowskiMD @JonathanMoses77 @Jonathansegal85 @SalinaFaidhalla #PostConvo #IBDPoll 2️⃣ #MondayNightIBD
🆓 #CME👉🏼 http://bit.ly/MNIBDSteinPre
Which one is true regarding #SmallBowel carcinoma in patients with #Crohns disease (CD)?
RT @wabillin
@MondayNightIBD @DSTEINGIMD @SchwartzbergMD @GKochharMD @SchairerIBDMD @BettenworthDb @KaazanPatricia @SinhIBD @BeniwalPatelMD @BenClement_MD @Waseem_AhmedMD @NayantaraCoelho Yet another 💣@MondayNightIBD thanks to @DSTEINGIMD & @DCharabaty! Must keep a high index of suspicion for small bowel cancer in Crohn's strictures! #IBDAlgorithm #MondayNightIBD #CME #postconvo questions 👇
RT @MondayNightIBD
@wabillin @DSTEINGIMD @SchwartzbergMD @GKochharMD @SchairerIBDMD @BettenworthDb @KaazanPatricia @SinhIBD @BeniwalPatelMD @BenClement_MD @Waseem_AhmedMD @NayantaraCoelho @DCharabaty @halesj126 @AshkanRA @BattatMD4IBD @NeethiDasu @ign76 @JBapaye @JKurowskiMD @JonathanMoses77 @Jonathansegal85 @SalinaFaidhalla #PostConvo #IBDPoll 2️⃣ #MondayNightIBD
🆓 #CME👉🏼 http://bit.ly/MNIBDSteinPre
Which one is true regarding #SmallBowel carcinoma in patients with #Crohns disease (CD)?
RT @wabillin
@MondayNightIBD @DSTEINGIMD @SchwartzbergMD @GKochharMD @SchairerIBDMD @BettenworthDb @KaazanPatricia @SinhIBD @BeniwalPatelMD @BenClement_MD @Waseem_AhmedMD @NayantaraCoelho Yet another 💣@MondayNightIBD thanks to @DSTEINGIMD & @DCharabaty! Must keep a high index of suspicion for small bowel cancer in Crohn's strictures! #IBDAlgorithm #MondayNightIBD #CME #postconvo questions 👇
RT @MondayNightIBD
@wabillin @DSTEINGIMD @SchwartzbergMD @GKochharMD @SchairerIBDMD @BettenworthDb @KaazanPatricia @SinhIBD @BeniwalPatelMD @BenClement_MD @Waseem_AhmedMD @NayantaraCoelho @DCharabaty @halesj126 @AshkanRA @BattatMD4IBD @NeethiDasu @ign76 @JBapaye @JKurowskiMD @JonathanMoses77 @Jonathansegal85 @SalinaFaidhalla #PostConvo #IBDPoll 2️⃣ #MondayNightIBD
🆓 #CME👉🏼 http://bit.ly/MNIBDSteinPre
Which one is true regarding #SmallBowel carcinoma in patients with #Crohns disease (CD)?
What a🔥#MondayNightIBD convo on managing recurrent SB #strictures & an under-estimated #Crohns complication: SB adenoCA
Big TY to @DSTEINGIMD & #GITwitter #CRSurgery for sharing their 💭& expertise!
✅#IBDAlgorithm💎 on SB #AdenoCA in Crohns & 🚨when to suspect it! @wabillin👇🏽
RT @DSTEINGIMD
@MondayNightIBD @DCharabaty @abbvie @TakedaPharma @GKochharMD @GauravsyalMD @IBD_FloMD @SaraElOualiMD @BenClickMD @HolubarStefan @SchwartzbergMD @BettenworthDb @SchairerIBDMD @JPAchkarMD 32 w SB #Crohns x15yrs, ICR + jejunal✂️for sympt strictures 3 yrs ago. Presents w SBO, CT: jejunal🔥->IV steroids+ started IFX 10mg/kg.
4mos later: Wt loss, abdo pain, melena. Hgb 6,CRP nl, IFX 10. CT: SBO, jejunal thickening, ⬇️🔥. Not better on IV steroids x48hrs.
What's next?
RT @DSTEINGIMD
@MondayNightIBD @DCharabaty @abbvie @TakedaPharma @GKochharMD @GauravsyalMD @IBD_FloMD @SaraElOualiMD @BenClickMD @HolubarStefan @SchwartzbergMD @BettenworthDb @SchairerIBDMD @JPAchkarMD Thread 1/4 NL CRP,⬇️🔥 on CT 🚫 response to IV steroids🟰fibrotic stricture. CT angiography neg.. Enteroscopy not attempted d/t dilated SB. ALSO phenotype change: melena and weight loss raised 🚩🚩. So ✂️ and found to have jejunal adenoCA, 🚫nodes or metz.
RT @DSTEINGIMD
@MondayNightIBD @DCharabaty @abbvie @TakedaPharma @GKochharMD @GauravsyalMD @IBD_FloMD @SaraElOualiMD @BenClickMD @HolubarStefan @SchwartzbergMD @BettenworthDb @SchairerIBDMD @JPAchkarMD Thread 2/4 Key points: Need to consider SB ACA in CD pt with change in phenotype. Crohn's about 10Xs gen pop for SB ACA. RFs: ♂️, young age at Dx, long disease duration, multiple resections, diverted bowel, immunosuppressive use. All of which our patient had.
RT @DSTEINGIMD
@MondayNightIBD @DCharabaty @abbvie @TakedaPharma @GKochharMD @GauravsyalMD @IBD_FloMD @SaraElOualiMD @BenClickMD @HolubarStefan @SchwartzbergMD @BettenworthDb @SchairerIBDMD @JPAchkarMD Thread 3/4 CTE/MRE may only be 11% sensitive in diagnosing SB ACA prior to surgery so don't be falsely reassured by those results. Again this case demonstrates that. https://link.springer.com/article/10.1007/s00384-021-04050-1
RT @DSTEINGIMD
@MondayNightIBD @DCharabaty @abbvie @TakedaPharma @GKochharMD @GauravsyalMD @IBD_FloMD @SaraElOualiMD @BenClickMD @HolubarStefan @SchwartzbergMD @BettenworthDb @SchairerIBDMD @JPAchkarMD Thread 4/4 BE wary of the change in phenotype If always diarrhea and now obstructed sx or long term in remission and now obstructed think malignancy especially in your patients with long duration of disease. Patient had ChemoTx and is cancer free two years out at this point. 🎉🙌
RT @MondayNightIBD
#GITwitter Join us now for a convo w @DSTEINGIMD @DCharabaty
🎯How do you approach Recurrent/Refractory/Progressive SB stricturing #Crohns
🗳️#IBDPoll👇🏽,RT & Share your 💬 !
Supported by educational grants @abbvie @TakedaPharma
RT @DSTEINGIMD
@MondayNightIBD @DCharabaty @abbvie @TakedaPharma @GKochharMD @GauravsyalMD @IBD_FloMD @SaraElOualiMD @BenClickMD @HolubarStefan @SchwartzbergMD @BettenworthDb @SchairerIBDMD @JPAchkarMD 32 w SB #Crohns x15yrs, ICR + jejunal✂️for sympt strictures 3 yrs ago. Presents w SBO, CT: jejunal🔥->IV steroids+ started IFX 10mg/kg.
4mos later: Wt loss, abdo pain, melena. Hgb 6,CRP nl, IFX 10. CT: SBO, jejunal thickening, ⬇️🔥. Not better on IV steroids x48hrs.
What's next?
RT @DSTEINGIMD
@MondayNightIBD @DCharabaty @abbvie @TakedaPharma @GKochharMD @GauravsyalMD @IBD_FloMD @SaraElOualiMD @BenClickMD @HolubarStefan @SchwartzbergMD @BettenworthDb @SchairerIBDMD @JPAchkarMD 32 w SB #Crohns x15yrs, ICR + jejunal✂️for sympt strictures 3 yrs ago. Presents w SBO, CT: jejunal🔥->IV steroids+ started IFX 10mg/kg.
4mos later: Wt loss, abdo pain, melena. Hgb 6,CRP nl, IFX 10. CT: SBO, jejunal thickening, ⬇️🔥. Not better on IV steroids x48hrs.
What's next?
RT @DSTEINGIMD
@MondayNightIBD @DCharabaty @abbvie @TakedaPharma @GKochharMD @GauravsyalMD @IBD_FloMD @SaraElOualiMD @BenClickMD @HolubarStefan @SchwartzbergMD @BettenworthDb @SchairerIBDMD @JPAchkarMD 32 w SB #Crohns x15yrs, ICR + jejunal✂️for sympt strictures 3 yrs ago. Presents w SBO, CT: jejunal🔥->IV steroids+ started IFX 10mg/kg.
4mos later: Wt loss, abdo pain, melena. Hgb 6,CRP nl, IFX 10. CT: SBO, jejunal thickening, ⬇️🔥. Not better on IV steroids x48hrs.
What's next?
RT @DSTEINGIMD
@MondayNightIBD @DCharabaty @abbvie @TakedaPharma @GKochharMD @GauravsyalMD @IBD_FloMD @SaraElOualiMD @BenClickMD @HolubarStefan @SchwartzbergMD @BettenworthDb @SchairerIBDMD @JPAchkarMD 32 w SB #Crohns x15yrs, ICR + jejunal✂️for sympt strictures 3 yrs ago. Presents w SBO, CT: jejunal🔥->IV steroids+ started IFX 10mg/kg.
4mos later: Wt loss, abdo pain, melena. Hgb 6,CRP nl, IFX 10. CT: SBO, jejunal thickening, ⬇️🔥. Not better on IV steroids x48hrs.
What's next?
#GITwitter Join us now for a convo w @DSTEINGIMD @DCharabaty
🎯How do you approach Recurrent/Refractory/Progressive SB stricturing #Crohns
🗳️#IBDPoll👇🏽,RT & Share your 💬 !
Supported by educational grants @abbvie @TakedaPharma
RT @MondayNightIBD
#GITwitter Let’s flex our #IBD 🧠 before DDW !
🗓️Join the Convo May 1 w @DSTEINGIMD
🎯Recurrent/refractory SB stricturing #Crohns
Supported by educational grants @abbvie @TakedaPharma
📌Where are you in your career?