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
💉 Vaccines in #IBD

💉Remember HPV, herpes zoster, and #COVID19
💉#COVID19 vaccines are effective and safe in #IBD, and do NOT cause IBD flares

Encourage boosters!
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
💎s from @MLongMD on preventing complications in #IBD

Prevention is 🔑

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More from @john_damianosMD

24 Oct
Evidence-based approach to #IBS (C and D) from @LinChangMD at @AmCollegeGastro #ACG2021

#GITwitter
FGIDs ▶️ DGBIs 🧠
#IBS diagnosis
Read 25 tweets
24 Oct
LFD studies are not great (small n, high bias, heterogeneity), but all the studies do suggest that the LFD is a good treatment option for #IBS and can improve global symptoms, pain, and bloating
App-based low-FODMAP #diet was found to be more effective (71%) than antispasmodic therapy (61%) in #IBS, even 6 months out
Read 12 tweets
24 Oct
Functional abdominal pain (centrally mediated abdominal pain syndrome) by Dr. Brian Lacy at @AmCollegeGastro #ACG2021

#GITwitter #GI #FGID #DGBI
A common scenario!
Definitions
Read 23 tweets
24 Oct
Rationale for #TDM

All TDM should be performed in the context of the clinical disease activity and severity -@IBDMD
Philosophy of #TDM
Read 23 tweets
24 Oct
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
Read 19 tweets
24 Oct
Selecting ulcerative colitis therapies, with @DrCoreySiegel at @AmCollegeGastro #ACG2021

#GITwitter
Many considerations go into getting us to the right treatment for a given patient
Read 15 tweets

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