Mehak Bassi, MD (She/her)

Follow @BassiMehak

Jan 9 • 4 tweets • 26 min read

@MarcelYibirin @MondayNightIBD @ifrahfatima @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 5) 🎯Surgery in patients w #IBD & #Obesity
⬆️Surgical site infections, impaired wound healing, VTE
⬆️Technical difficulty for IBD-related ✂️
⬆️Difficulty creating ostomy + ⬆️complications (prolapse, retraction, hernia.)
⬆️Difficulty creating IPAA

@MarcelYibirin @MondayNightIBD @ifrahfatima @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 6) 🎯Obesity may play a role in the pathogenesis of #IBD
🔺Visceral fat contributes to⬆️systemic inflammatory burden
🔺Adipose tissue produces a repository of proinflammatory cytokines like TNF
🚫Effect on dis. distribution/phenotype
⚠️Weight loss may help control IBD activity

@MarcelYibirin @MondayNightIBD @ifrahfatima @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 7) #Obesity management
✔️Obesity is a multifactorial disease.
✔️Rx options include: diet, exercise, medications, endoscopic & surgical bariatric procedures
✔️Strategies for weight loss & its maintenance should be individualized with the multidisciplinary help of HCPSs

@MarcelYibirin @MondayNightIBD @ifrahfatima @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 8) #Diet for Obesity in IBD
💥Under the guidance of #GastroRD
💥IBD pts often already restricting certain food groups b/o intolerance
💥Have to take into account pt nutritional needs/ deficiencies
#Exercise
👍Safe in patients with IBD
🚧 incl. GI symptoms, fatigue

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More from @BassiMehak

Mehak Bassi, MD (She/her)

@BassiMehak

May 16, 2022

@JosephHabibi_MD @MondayNightIBD @abbvie @JanssenUS @ferring @TakedaPharma @GI_Pearls @ARodriguezDO @dishasharma1994 @noorannemd @galagodoyb @KrystalMillsMD @yaransarkis @MazenAlmasry4 @MaryamK_Ibrahim @JBapaye @priya_abhy @CatherineWangMD @CCYANetwork @DushDahiya @Apichatka @SanjeevaniTomar @FnuVikash @EHolzwanger @RazzakFarah @ShimaghavimiMD @ZarrarKhanMD @Timothy_A_Zaki @mahirxqureshi @JassimranSingh9 @NickLe64 @TrieuMD @MahamHayatMD @ASyedMD @SheharyarW @DrFiyin @aileenbui @Wissam_Ghusn @AdvaniRashmiMD @DVinsard @WilechanskyMD @NSeth2021 @nelson1987 @ReezwanaCMD @AimenKhanMD @DrewfordMD @JHaydek @LDhaliwalMD @shaina_sekhri @IrisWangMD 7/ #Oral Pathologies
👄Oral lesions ⬆️> in CD patients, in children.
🫤Aphthous stomatitis and🦷periodontitis usually parallel intestinal disease activity
🧑‍⚕️Annual dentist checkups have been recommended.

@JosephHabibi_MD @MondayNightIBD @abbvie @JanssenUS @ferring @TakedaPharma @GI_Pearls @ARodriguezDO @dishasharma1994 @noorannemd @galagodoyb @KrystalMillsMD @yaransarkis @MazenAlmasry4 @MaryamK_Ibrahim @JBapaye @priya_abhy @CatherineWangMD @CCYANetwork @DushDahiya @Apichatka @SanjeevaniTomar @FnuVikash @EHolzwanger @RazzakFarah @ShimaghavimiMD @ZarrarKhanMD @Timothy_A_Zaki @mahirxqureshi @JassimranSingh9 @NickLe64 @TrieuMD @MahamHayatMD @ASyedMD @SheharyarW @DrFiyin @aileenbui @Wissam_Ghusn @AdvaniRashmiMD @DVinsard @WilechanskyMD @NSeth2021 @nelson1987 @ReezwanaCMD @AimenKhanMD @DrewfordMD @JHaydek @LDhaliwalMD @shaina_sekhri @IrisWangMD 8/ A rare oral EIM of CD is the #OrofacialGranulomatosis or Melkersson-Rosenthal syndrome.

🔸 Swelling of lips +/- oral mucosa
🔸 Young males
🔸 Age 14 – 20 years
🔸 Bx: granulomas +
🔸 Usually respond to systemic IS Rx

@JosephHabibi_MD @MondayNightIBD @abbvie @JanssenUS @ferring @TakedaPharma @GI_Pearls @ARodriguezDO @dishasharma1994 @noorannemd @galagodoyb @KrystalMillsMD @yaransarkis @MazenAlmasry4 @MaryamK_Ibrahim @JBapaye @priya_abhy @CatherineWangMD @CCYANetwork @DushDahiya @Apichatka @SanjeevaniTomar @FnuVikash @EHolzwanger @RazzakFarah @ShimaghavimiMD @ZarrarKhanMD @Timothy_A_Zaki @mahirxqureshi @JassimranSingh9 @NickLe64 @TrieuMD @MahamHayatMD @ASyedMD @SheharyarW @DrFiyin @aileenbui @Wissam_Ghusn @AdvaniRashmiMD @DVinsard @WilechanskyMD @NSeth2021 @nelson1987 @ReezwanaCMD @AimenKhanMD @DrewfordMD @JHaydek @LDhaliwalMD @shaina_sekhri @IrisWangMD 9/ Low bone density
💫IBD pts are 40% more likely to experience a fracture than the regular population.
💫RF:steroids, malabsorption of calcium & vitamin D, SB Crohns, milk-restriction in diet, lack of physical activity, smoking, effects of proinflammatory cytokines such as TNF.

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