Thread by @yaransarkis

@MondayNightIBD 1/ Hello and Welcome to today's #MondayNightIBD #Back2Basics!

Classifications are💎in IBD‼️Why⁉️:
🔹Clear assessment of disease location/extent/behavior
🔹Objective measure of flare severity
🔹Objective measure of endoscopic activity
➡️Determine treatment and prognosis‼️

@MondayNightIBD @MN_GIMD @JosephHabibi_MD @DCharabaty @RomyChamoun @AllonKahn @drsusankais 2/ Classifications in CD:
1⃣Montreal Classification🟰Clinical Classification:
🔹A=Age at dx, L=Location in GI tract, B=Behavior (cf. Slide)
⚠️Behavior pearls:
🔻B1 can progress into B2 or B3
🔻Pts can present with B2 or B3 or both
🔻Perianal disease possible with any B phenotype

@MondayNightIBD @MN_GIMD @JosephHabibi_MD @DCharabaty @RomyChamoun @AllonKahn @drsusankais @AdvaniRashmiMD @DVinsard @SanjeevaniTomar @BassiMehak @GroverDheera 3/ Crohn's disease activity index (CDAI) 🟰 Clinical score
🔹Assess disease activity
🔹Quantify symptoms
🔹8 variables
🔹Index score
🔻<150: Remission
🔻221-450: Mod to Severe

@MondayNightIBD @MN_GIMD @JosephHabibi_MD @DCharabaty @RomyChamoun @AllonKahn @drsusankais @AdvaniRashmiMD @DVinsard @SanjeevaniTomar @BassiMehak @GroverDheera @dunleavy_katie @LindaNguyenMD @LinChangMD @JPAchkarMD @SultanMahmoodMD 4/ Simplified Endoscopic Activity Score for Crohn’s Disease (SES-CD):
🔹Most commonly used endoscopic scoring system for CD
🔹Proposed in 2004
🔹Replaced CDEIS‼️
🔹Correlation with CDAI, and non-invasive markers of disease such as calprotectin➡️👁️ @ReenaKhanna159's Review

@MondayNightIBD @MN_GIMD @JosephHabibi_MD @DCharabaty @RomyChamoun @AllonKahn @drsusankais @AdvaniRashmiMD @DVinsard @SanjeevaniTomar @BassiMehak @GroverDheera @dunleavy_katie @LindaNguyenMD @LinChangMD @JPAchkarMD @SultanMahmoodMD @ReenaKhanna159 @rajVuppaLanchi @BilalMohammadMD 5/ SES-CD:
🔹Quantify common endoscopic findings in different parts of the bowel:
🔻Size of ulcers
🔻Extent of ulcerated surface
🔻Extent of affected surface
🔻Presence of strictures

✅Values are calculated for each segment and totaled at end. Higher score🟰worse

@MondayNightIBD @MN_GIMD @JosephHabibi_MD @DCharabaty @RomyChamoun @AllonKahn @drsusankais @AdvaniRashmiMD @DVinsard @SanjeevaniTomar @BassiMehak @GroverDheera @dunleavy_katie @LindaNguyenMD @LinChangMD @JPAchkarMD @SultanMahmoodMD @ReenaKhanna159 @rajVuppaLanchi @BilalMohammadMD @HaniShamseddeen @MvenuGI @gastrodocmattar 6/ Rutgeerts Score 🟰 Post-op ileal CD endoscopic score:
🔹Assess post-op recurrence in ileum
🔮Predict disease progression & need for another✂️
🔹Rutgeerts i2 or higher -> Start or modify current Rx to prevent dis. progression & need for another Surgery✂️in the future