Preventing complications of #IBD, with the amazing @MLongMD at @AmCollegeGastro #ACG2021
#GITwitter
The best treatment is prevention!
Case
Infections in #IBD
Herpes zoster (shingles) is ⬆️ in #IBD
⚠️Tofacitinib significantly ⬆️ risk, especially high dose
Influenza ⬆️ in #IBD, especially with steroid use.
🏥Flu complications are also ⬆️ in IBD.
Pneumonia is ⬆️ in #IBD, especially with steroid use.
😷#IBD does not ⬆️ #COVID19 complication risk
😷biologics do not ⬆️ risk of severe #COVID outcomes
😷there is ⬆️ risk with steroids and combo therapy
#VaxxedNMasked
Summary of vaccines in #IBD 💉
Cancer in #IBD.
Since the introduction of biologics, the risk of extraintestinal cancers has ↔️, and the risk of #GI cancers has ⬇️
Preventing cervical dysplasia in #IBD
#womenshealth
Skin cancer is ⬆️ in #IBD, especially with thiopurine use (non-melanoma)
Melanoma is ⬆️in #IBD, but the absolute risk is very low.
CD > UC
Anti-TNFs ⬆️ risk
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