Management of post-op Crohn disease with @MRegueiroMD at @AmCollegeGastro #ACG2021
#GITwitter #IBD
The natural course of postoperative Crohn disease: it keeps progressing
Rutgeert score
How do we prevent recurrence?
1. microbiome (antibiotics, diet)
2. biologics
Data for #probiotics, steroids have not panned out
Metronidazole can prevent, but once we stop, Crohn's creeps up again
How about early biologic treatment?
What about watchful waiting and treating recurrence?
♦️ ♣️ ♥️ 🃏 POCER trial (appropriate here at #LasVegas #ACG2021!)
Preop anti-TNF does NOT ⬆️ postop infection risk!
Infliximab and adalimumab used early postop can prevent recurrence.
New surgical approaches to prevent recurrence ✂️
Does anastamotic ulceration lead to worse long-term outcomes?
💎s from @MRegueiroMD on prevention of postoperative Crohn disease recurrence
Share this Scrolly Tale with your friends.
A Scrolly Tale is a new way to read Twitter threads with a more visually immersive experience.
Discover more beautiful Scrolly Tales like this.