Discover and read the best of Twitter Threads about #ibdpoll2️⃣
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@MondayNightIBD @AaronBlocker_ 1/2 #IBDPoll1️⃣:
📊If you are/were a caregiver for an adolescent/young adult (AYA) with #IBD or are an AYA who transitioned from #PedsGI to adult GI for your #IBD care, how was that transition?
Pls share your #PatientExperience with #MondayNightIBD!!
📊If you are/were a caregiver for an adolescent/young adult (AYA) with #IBD or are an AYA who transitioned from #PedsGI to adult GI for your #IBD care, how was that transition?
Pls share your #PatientExperience with #MondayNightIBD!!
@MondayNightIBD @AaronBlocker_ 2/2 #IBDPoll2️⃣ #MondayNightIBD
Adolescent & young adults (& caregivers) who transtioned from #PedsGI to adult GI for #IBD care:
🚧 What did you find most difficult in the transition?
#Crohns #UlcerativeColitis
Adolescent & young adults (& caregivers) who transtioned from #PedsGI to adult GI for #IBD care:
🚧 What did you find most difficult in the transition?
#Crohns #UlcerativeColitis
@MondayNightIBD @AaronBlocker_ Just to share my personal story, I found my biggest barrier was navigating the different care coordination style amidst a major life transition that coincided with my #PedsGI to adult GI transition! 1/5
@BassiMehak @MarcelYibirin @MondayNightIBD @kzhuangmd @agoldowskymd @IBD_FloMD @IBD_Afzali @babudayyeh @BolandBrigid @amjohnsonMD @PopovVioleta @RobertoSimonsMD @LauraChiuMD @PDulaiMD @HealthyLivingGI @oridamas @kehutchins77 @ven_satyam @MichelleKimMD @Chris_Velez_MD @traceyg_md @khalili_MD @ingrid_hickman @EdwardLoftus2 @ReemSharaiha @gutdoc18 @ThereziaR @CherylharrisRD @DBadurdeen @KellyHathornMD @GIdietitian 9/ Wt loss #Medications.
GLP-1:
✔️ ➕➕ for wt loss.
✔️ Safe in DM2 in IBD; may improve IBD activity
💥SE- nausea, 🤮, 💩🚽. Monitor closely
💥Orlistat- 🚫in IBD pts, esp with active small CD +/- chr malabsp syndrome
💥Phentermine-topiramate, Bupropion-naltrexone-⏬ efficacy
GLP-1:
✔️ ➕➕ for wt loss.
✔️ Safe in DM2 in IBD; may improve IBD activity
💥SE- nausea, 🤮, 💩🚽. Monitor closely
💥Orlistat- 🚫in IBD pts, esp with active small CD +/- chr malabsp syndrome
💥Phentermine-topiramate, Bupropion-naltrexone-⏬ efficacy
@BassiMehak @MarcelYibirin @MondayNightIBD @kzhuangmd @agoldowskymd @IBD_FloMD @IBD_Afzali @babudayyeh @BolandBrigid @amjohnsonMD @PopovVioleta @RobertoSimonsMD @LauraChiuMD @PDulaiMD @HealthyLivingGI @oridamas @kehutchins77 @ven_satyam @MichelleKimMD @Chris_Velez_MD @traceyg_md @khalili_MD @ingrid_hickman @EdwardLoftus2 @ReemSharaiha @gutdoc18 @ThereziaR @CherylharrisRD @DBadurdeen @KellyHathornMD @GIdietitian @GroverDheera @Empoweringpts9 @ownyourcrohns @RomyChamoun @JosephHabibi_MD @dunleavy_katie @ibdesis @yaransarkis @JPAchkarMD 10) Bariatric therapies in #IBD
🔦#Endoscopic balloon #IGB or sleeve #ESG
✔️Small series: safe & effective pubmed.ncbi.nlm.nih.gov/36474097/
@amjohnsonMD @babudayyeh
✂️Surgery
✔️Safe & effective
✔️Similar outcomes to non-IBD re:postop complications, Wt loss, postop deficiencies
🔦#Endoscopic balloon #IGB or sleeve #ESG
✔️Small series: safe & effective pubmed.ncbi.nlm.nih.gov/36474097/
@amjohnsonMD @babudayyeh
✂️Surgery
✔️Safe & effective
✔️Similar outcomes to non-IBD re:postop complications, Wt loss, postop deficiencies
@BassiMehak @MarcelYibirin @MondayNightIBD @kzhuangmd @agoldowskymd @IBD_FloMD @IBD_Afzali @babudayyeh @BolandBrigid @amjohnsonMD @PopovVioleta @RobertoSimonsMD @LauraChiuMD @PDulaiMD @HealthyLivingGI @oridamas @kehutchins77 @ven_satyam @MichelleKimMD @Chris_Velez_MD @traceyg_md @khalili_MD @ingrid_hickman @EdwardLoftus2 @ReemSharaiha @gutdoc18 @ThereziaR @CherylharrisRD @DBadurdeen @KellyHathornMD @GIdietitian @GroverDheera @Empoweringpts9 @ownyourcrohns @RomyChamoun @JosephHabibi_MD @dunleavy_katie @ibdesis @yaransarkis @JPAchkarMD @Spencerkelley7 @AsadurRahman87 @BabuPMohan2 @DushDahiya @BilalMohammadMD @GI_PharmD @joshsteinbergMD @john_damianosMD @doctornikkid 11) ⛳️Summary
🔺Up to 40% of #IBD pts have #Obesity
🔺Obesity ⬆️risk of neg outcomes in #IBD
🔺Obesity can affect overall 🔥burden,⬇️efficacy of biologics,⬆️risk of IBD-related ✂️
🔺Medical Rx & bariatric procedures for obesity are effective & safe in IBD
🗳️#CME #PostB2B polls👇
🔺Up to 40% of #IBD pts have #Obesity
🔺Obesity ⬆️risk of neg outcomes in #IBD
🔺Obesity can affect overall 🔥burden,⬇️efficacy of biologics,⬆️risk of IBD-related ✂️
🔺Medical Rx & bariatric procedures for obesity are effective & safe in IBD
🗳️#CME #PostB2B polls👇
@MondayNightIBD @DCharabaty @abbvie @JanssenUS @TakedaPharma 1/ #IBDPoll1️⃣ 30M non-smoker w stricturing #Crohns ileocolitis dx 1 year ago is now s/p ileocecal resection due to refractory symptoms despite adalimumab.
What would you recommend post-surgery? #MondayNightIBD
🔦= C-scope
🔥= Active disease
Metronid= Metronidazole
What would you recommend post-surgery? #MondayNightIBD
🔦= C-scope
🔥= Active disease
Metronid= Metronidazole
@MondayNightIBD @DCharabaty @abbvie @JanssenUS @TakedaPharma 2/ #IBDPoll2️⃣ The pt was started on IFX 4 weeks post-op, but now presents @ 8 weeks post op w #Diarrhea 6-8 loose BM/day, no abdo pain, no blood. Stool Cdiff & Cx negative. FCP, CRP nml,
What’s next ? #MondayNightIBD
What’s next ? #MondayNightIBD
@MondayNightIBD @DCharabaty @abbvie @JanssenUS @TakedaPharma 3/ #IBDPoll3️⃣ Pt is dx w #BAD w 7C4 level 80ng/mL, & started cholestyramine. Now presents w abdo pain, MRE multiple SB #Strictures ➡️Sx complicated by leaks & more✂️. Now w foul smelling diarrhea, Wt loss, dry mouth, orthostasis. CLN & Stool studies nml.
What’s next?
What’s next?
