Gastroenterologist
@ Hospital Clínico San Cecilio. Granada
Spain
Sep 3 • 14 tweets • 5 min read
🗒️2024 ECCO Guidelines on Therapeutics in Crohn’s Disease: Medical Treatment 💊
@Y_ECCO_IBD
#IBD #MedEd #GITwitter #MedTwitter
1️⃣4️⃣ Statements and 6️⃣Practice points
1️⃣ 5-ASA is not recommended🚫for the induction or maintenance therapy in CD➡️consistent lack of evidence.
🧵👇
@Y_ECCO_IBD 2️⃣ Budesonide💊 is recommended for inducing clinical remission in patients with active, mild-to-moderate CD limited to the ileum / ascending colon🎯
👉Additionally, systemic corticosteroids are suggested for induction therapy in patients with active, moderate-to-severe CD💉
Jul 23, 2023 • 29 tweets • 10 min read
📚 ECCO Guidelines on Extraintestinal Manifestations in IBD 🏥:
A thread 🧵
32 Statements by @Y_ECCO_IBD summarized 👇
#Medtwitter #GITwitter #MedEd #IBD
@Y_ECCO_IBD @my_ueg @JCC_IBD @manu_barreiro @TrianaLobaton @GianlucaPellino 🔍 S1: 🚨 Thrombotic events are more than 2x as frequent in patients with IBD than in the general population, with similar prevalence in ulcerative colitis and Crohn’s disease 🦠. The most important risk factors? Active disease, hospitalization, and surgery 🏥.
Dec 23, 2022 • 11 tweets • 6 min read
🔦Endoscopic Diagnosis & Management of Esophagogastric Variceal Hemorrhage
🗒️ESGEGuidelines2022
16 Keys:
1⃣Pts w compensated advanced CLD & >10mmHg portalHT➡️NSBB (carvedilol) therapy💊
@ESGE_news#LiverTwitter#MedEd#GITwitter#MedTwitter@ASGEendoscopy@endoscopyjrnl
🧵👇
2⃣ Patients unable to receive NSBB therapy with a screening upper endoscopy 🔦that demonstrates high risk esophageal varices ➡️ endoscopic band ligation (EBL). Repeat after 2-4 weeks until eradication
🕵️♂️Surveillance every 6 months in the first year