Discover and read the best of Twitter Threads about #ibd
Most recents (24)
Patients with Inflammatory bowel diseases (IBD) have a higher risk of suffering a stroke
1. Persons with Crohn's disease or ulcerative colitis have an increased risk of developing thrombo-embolic events. A recently published study looked at the association between IBD & stroke. twitter.com/i/web/status/1…
1. Persons with Crohn's disease or ulcerative colitis have an increased risk of developing thrombo-embolic events. A recently published study looked at the association between IBD & stroke. twitter.com/i/web/status/1…
2. >85,000 patients with IBD were followed up long-term (1969-2019), and the risk of stroke in them was compared to those without IBD.
Patients with IBD had 14% higher risk of suffering from ischemic stroke during follow up.
#MedTwitter #stroke #IBD
Patients with IBD had 14% higher risk of suffering from ischemic stroke during follow up.
#MedTwitter #stroke #IBD
3. The elevated risk of stroke remained increased even 25 years after diagnosis, corresponding to one additional stroke case per 93 IBD patients until then.
@MondayNightIBD @AaronBlocker_ 1/2 #IBDPoll1️⃣:
📊If you are/were a caregiver for an adolescent/young adult (AYA) with #IBD or are an AYA who transitioned from #PedsGI to adult GI for your #IBD care, how was that transition?
Pls share your #PatientExperience with #MondayNightIBD!!
📊If you are/were a caregiver for an adolescent/young adult (AYA) with #IBD or are an AYA who transitioned from #PedsGI to adult GI for your #IBD care, how was that transition?
Pls share your #PatientExperience with #MondayNightIBD!!
@MondayNightIBD @AaronBlocker_ 2/2 #IBDPoll2️⃣ #MondayNightIBD
Adolescent & young adults (& caregivers) who transtioned from #PedsGI to adult GI for #IBD care:
🚧 What did you find most difficult in the transition?
#Crohns #UlcerativeColitis
Adolescent & young adults (& caregivers) who transtioned from #PedsGI to adult GI for #IBD care:
🚧 What did you find most difficult in the transition?
#Crohns #UlcerativeColitis
@MondayNightIBD @AaronBlocker_ Just to share my personal story, I found my biggest barrier was navigating the different care coordination style amidst a major life transition that coincided with my #PedsGI to adult GI transition! 1/5
@MondayNightIBD 4/#MondayNightIBD
19M presents to GI clinic as a new patient w his grandma. He was dx’d with pan-UC at 12 & has been on adalimumab with reported 6 BMs/day, occasionally with 🩸, but reports this is “his normal”. He has not had any labs, endoscopy, or imaging done in the past…
19M presents to GI clinic as a new patient w his grandma. He was dx’d with pan-UC at 12 & has been on adalimumab with reported 6 BMs/day, occasionally with 🩸, but reports this is “his normal”. He has not had any labs, endoscopy, or imaging done in the past…
@MondayNightIBD 5/#MondayNightIBD
year since moving. He is running low on adalimumab so his grandma scheduled this appointment for him to get refills.
This patient has transitioned to an adult provider, but is early in his transition process. 👀the Transitional care (TC) in IBD🧵👇to learn more
year since moving. He is running low on adalimumab so his grandma scheduled this appointment for him to get refills.
This patient has transitioned to an adult provider, but is early in his transition process. 👀the Transitional care (TC) in IBD🧵👇to learn more
@MondayNightIBD 6/#MondayNightIBD
TC is a PROCESS that occurs throughout adolescence. It is not a singular event. During this process, patients are:
✅ Developing an identity
✅ Becoming 💵 independent
✅ Acquiring skills needed for adult relationships and roles including abstract reasoning
TC is a PROCESS that occurs throughout adolescence. It is not a singular event. During this process, patients are:
✅ Developing an identity
✅ Becoming 💵 independent
✅ Acquiring skills needed for adult relationships and roles including abstract reasoning
Ein sehr guter Faden, dem ich in beiden Teilen vollständig zustimme. Gerne komme ich der Aufforderung nach, ein paar Ergänzungen vorzunehmen, die das Gesamtbild noch ein wenig weiter verdüstern werden. 🧵
1. Es ist, anders als die meisten Kritiker des #VS — wie @martin_wagener — meinen, eben nicht nur der #Verfassungsschutz, der uns Rechte mit den immer gleichen dogmatischen Fehlinterpretationen bekämpft, es ist genauso die Regierung mit ihren Anwälten und es sind die Gerichte. 2/
Drei von ihnen haben sich in den letzten Jahren intensiv und wiederholt mit der Materie befaßt: die Verwaltungsgerichte in Berlin und Köln sowie das Oberverwaltungsgericht Berlin-Brandenburg. Alle haben die gleichen inhaltleeren, sinnlosen Formeln verwendet wie der VS. 3/
@MondayNightIBD 1/Differential of Non-infectious Non -IBD colitis:
🔆 Drug-induced
🔆 Common Variable Immunodeficiency
🔆 Behcet disease
🔆 Segmental Colitis Associated w/ Diverticulosis
🔆 Ischemic Colitis
🔆 Radiation Colitis
🔆 Malignancy
🤔Can you think of other dx?
#MondayNightIBD
🔆 Drug-induced
🔆 Common Variable Immunodeficiency
🔆 Behcet disease
🔆 Segmental Colitis Associated w/ Diverticulosis
🔆 Ischemic Colitis
🔆 Radiation Colitis
🔆 Malignancy
🤔Can you think of other dx?
#MondayNightIBD
@MondayNightIBD 2/Immune Checkpoint Inhibitor Enterocolitis
📌ICI = monoclonal antibodies that reactivate immune response to tumor cells
📌Activation of T‐cells can cross‐react with host antigens
📌Enterocolitis ⬆️anti‐CTLA‐4 > anti‐PD‐1/PD‐L1 agents
📌Diarrhea
⬆️risk perforation if unrecognized
📌ICI = monoclonal antibodies that reactivate immune response to tumor cells
📌Activation of T‐cells can cross‐react with host antigens
📌Enterocolitis ⬆️anti‐CTLA‐4 > anti‐PD‐1/PD‐L1 agents
📌Diarrhea
⬆️risk perforation if unrecognized
@MondayNightIBD @SanjeevaniTomar @halesj126 @JosephHabibi_MD @RomyChamoun @MarcelYibirin @ifrahfatima @GroverDheera @dunleavy_katie @drsophiadar @Spencerkelley7 3/ICI + Diarrhea:
📐R/o infection
🔦C-Scope: appearance of IBD; but mucosa can look normal -> always biopsy; consider EGD +Bx
🔬Path can have chronic IBD changes, crypt apoptosis
💊Depends on severity: budesonide -> IV steroids-> Biologic
✅#IBDAlgorithm👇
📐R/o infection
🔦C-Scope: appearance of IBD; but mucosa can look normal -> always biopsy; consider EGD +Bx
🔬Path can have chronic IBD changes, crypt apoptosis
💊Depends on severity: budesonide -> IV steroids-> Biologic
✅#IBDAlgorithm👇
MEGA 🧵‼️
#Ramadan and #IBD: Should folks with IBD fast?
This one is a 5-part tweetorial because it deserves due diligence
A data desert 🌵 so I’ll do my best & apologies in advance for what I forget or omit
Let’s dive in! @southasianIBD @ibdtweets @ibddoctor
🧵
1/
#Ramadan and #IBD: Should folks with IBD fast?
This one is a 5-part tweetorial because it deserves due diligence
A data desert 🌵 so I’ll do my best & apologies in advance for what I forget or omit
Let’s dive in! @southasianIBD @ibdtweets @ibddoctor
🧵
1/
One way to try and understand the relationship between Ramadan fasting & IBD is by subgroups:
1️⃣ patients with IBD in remission
2️⃣ hospitalized with active disease
3️⃣ undifferentiated IBD patients
4️⃣ animal models of fasting & IBD
5️⃣ extrapolations from rheumatology
2/
1️⃣ patients with IBD in remission
2️⃣ hospitalized with active disease
3️⃣ undifferentiated IBD patients
4️⃣ animal models of fasting & IBD
5️⃣ extrapolations from rheumatology
2/
1️⃣ #IBD PATIENTS IN REMISSION
⬇️
Available data from 🇮🇷 suggests
🥁🥁🥁
this group is NOT at risk of ⬆️ symptom burden while fasting ‼️🤷🏽
shorturl.at/GSU48
3/
⬇️
Available data from 🇮🇷 suggests
🥁🥁🥁
this group is NOT at risk of ⬆️ symptom burden while fasting ‼️🤷🏽
shorturl.at/GSU48
3/
@MondayNightIBD 1) Recurrencia Post-Quirúrgica (RPQ): Frecuencia
Características tras resección ileocólica y anastomosis:
- Localiz + frecuente: anastomosis o proximal
- Patrón = inicial
RPQ endo: 1a 70%; 3a 85%
RPQ clínica: 1a 20%, 3a 34%; ⏫10% cada año.
sciencedirect.com/science/articl… #MondayNightIBD
Características tras resección ileocólica y anastomosis:
- Localiz + frecuente: anastomosis o proximal
- Patrón = inicial
RPQ endo: 1a 70%; 3a 85%
RPQ clínica: 1a 20%, 3a 34%; ⏫10% cada año.
sciencedirect.com/science/articl… #MondayNightIBD
@MondayNightIBD 2/ Factores de riesgo
✅Características paciente.
✅Características enfermedad
sciencedirect.com/science/articl…
✅Características paciente.
✅Características enfermedad
sciencedirect.com/science/articl…
@MondayNightIBD 3/ Tabaco 🚭🚭
Fumadores tras CIR:
➡️RPQ clínica ✖️2⃣
➡️RPQ quirúrgica a 10 años ✖️2⃣.5⃣
⚠️⚠️ DEJAR EL TABACO ⚠️⚠️
link.springer.com/article/10.100… #MondayNightIBD
Fumadores tras CIR:
➡️RPQ clínica ✖️2⃣
➡️RPQ quirúrgica a 10 años ✖️2⃣.5⃣
⚠️⚠️ DEJAR EL TABACO ⚠️⚠️
link.springer.com/article/10.100… #MondayNightIBD
@MondayNightIBD @LoriPlung @SwapnaSpeaks @DrTonySquillaro @GalanteMD @ColleenWebbRD @SchwartzbergMD @Waseem_AhmedMD @Dr_PedGI @seanpattyp @kupffercell4 @Paulinunezfigue @ReicheWill 1/8 Anatomy & Definitions
✂️ < 200cm SB remaining 🟰#SBS
✂️ > 200cm SB remaining ➕intestinal failure (need for IVF/PN, multiple vitamin deficiencies) 🟰#SBS too
✂️ Intraop bowel 📏 GREATLY appreciated!
✂️ Colon in continuity?
🔑 Anatomy guides diet & treatment recommendations
✂️ < 200cm SB remaining 🟰#SBS
✂️ > 200cm SB remaining ➕intestinal failure (need for IVF/PN, multiple vitamin deficiencies) 🟰#SBS too
✂️ Intraop bowel 📏 GREATLY appreciated!
✂️ Colon in continuity?
🔑 Anatomy guides diet & treatment recommendations
@MondayNightIBD @LoriPlung @SwapnaSpeaks @DrTonySquillaro @GalanteMD @ColleenWebbRD @SchwartzbergMD @Waseem_AhmedMD @Dr_PedGI @seanpattyp @kupffercell4 @Paulinunezfigue @ReicheWill 2/8 Bowel Adaptation takes TIME
⏳Stage 1 (1-3mo post op): ⬆️ output, ⬆️ gastric acid
⏳ Stage 2 (3mo-1yr): ⬆️PO intake (crucial for adaptation), ⬇️ parenteral support
⏳ Stage 3 (1-2yrs ➕): Max adaptation
🔑Set appropriate expectations for patients, caregivers and providers!
⏳Stage 1 (1-3mo post op): ⬆️ output, ⬆️ gastric acid
⏳ Stage 2 (3mo-1yr): ⬆️PO intake (crucial for adaptation), ⬇️ parenteral support
⏳ Stage 3 (1-2yrs ➕): Max adaptation
🔑Set appropriate expectations for patients, caregivers and providers!
@MondayNightIBD @LoriPlung @SwapnaSpeaks @DrTonySquillaro @GalanteMD @ColleenWebbRD @SchwartzbergMD @Waseem_AhmedMD @Dr_PedGI @seanpattyp @kupffercell4 @Paulinunezfigue @ReicheWill 3/8 Control Diarrhea - 🐢🚫🐇
🛑 Loperamide 4mg QID & Diphenoxylate/atropine 2 tabs QID (🍽️&🛌)
🛑 Take 30-60min before 🍽️ for optimal 🐢
🛑 🚫 Bile acid binders if > 100cm SB gone
🔑 👀for obstructive symptoms and adjust accordingly
🛑 Loperamide 4mg QID & Diphenoxylate/atropine 2 tabs QID (🍽️&🛌)
🛑 Take 30-60min before 🍽️ for optimal 🐢
🛑 🚫 Bile acid binders if > 100cm SB gone
🔑 👀for obstructive symptoms and adjust accordingly
Emulsifiers! You unknowingly consume them daily. They are in almost every readymade food. But what are these and what impact they have on your #health. In below thread, i explore the world of #emulsifiers and why you should avoid them. #HealthyLiving #weightloss #processedfood
Emulsifiers are detergent that combine different substances together. Certain substances in food are water soluble & others are fat soluble. How to mix them together? Add emulsifiers & voila - problem solved
The emulsifiers mostly have names that is difficult to pronounce but you can see them in food ingredients list on packaging. Common ones are polysorbate 20, 60 or 80 (P80), carboxymethyl cellulose (CMC), sorbitran, propylene glycol, sodium stearoyl lactylate, Gum arabic
@MondayNightIBD 2/📣#IBD & meds carry an⬆️risk of #Malignancies, including lymphomas
🔺Who is at risk?
🔺Is it IBD-mediated or drug-related?
🔺What is our prevention & screening🔎strategy?
Thank you for joining this special #MondayNightIBD #Back2Basics @DuekerJeffrey
🔺Who is at risk?
🔺Is it IBD-mediated or drug-related?
🔺What is our prevention & screening🔎strategy?
Thank you for joining this special #MondayNightIBD #Back2Basics @DuekerJeffrey
@MondayNightIBD @DuekerJeffrey @amelia_kellar @DCharabaty @IBD_Afzali @drdani23 @ibddoctor @EdithHoMD @fgomollon @IBD_DrEMF @ibdgijami @MaiaKayalMD 3/ 🔥IBD may carry a unique risk of primary intestinal lymphoma (PILD), but NO🔼risk of extra-intestinal NHL
In CESAME population,
▪️Crude IR of PILD was 0.12/1000 patient-years (py)
▪️All B-cell NH LD
▪️79% ♂️, 11 CD, 3 UC
▪️86% arose in IBD lesions
▪️45% were EBV positive
In CESAME population,
▪️Crude IR of PILD was 0.12/1000 patient-years (py)
▪️All B-cell NH LD
▪️79% ♂️, 11 CD, 3 UC
▪️86% arose in IBD lesions
▪️45% were EBV positive
@MondayNightIBD @DuekerJeffrey @amelia_kellar @DCharabaty @IBD_Afzali @drdani23 @ibddoctor @EdithHoMD @fgomollon @IBD_DrEMF @ibdgijami @MaiaKayalMD @JChristieMD @KDeFelice_IBD @dunleavy_katie @IBDMD @MN_GIMD @SaraElOualiMD @nloganmd @KrugCleveland @PDulaiMD @PriSantiagoMD 4/ Lymphoma in #IBD is mostly linked to IBD therapy, particularly #Thiopurines (6MP, AZA)
🔺⬆️Risk in CD, less evidence with UC
🔺M>F
🔺Risk increases with exposure⏲️, particularly >2 years
🔺Risk decrease after cessation of AZA
🔺⬆️Risk in CD, less evidence with UC
🔺M>F
🔺Risk increases with exposure⏲️, particularly >2 years
🔺Risk decrease after cessation of AZA
🚨🚨I'm proud to present our lab's first peer-reviewed paper, out at @cellhostmicrobe🥳. We started out by asking a basic question about mucus secretion, and discovered something surprising about genetic risk to inflammatory bowel diseases (#IBD). A🧵/1
cell.com/cell-host-micr…
cell.com/cell-host-micr…
Every cell that secretes something needs to have some kind of control over how much it secretes. We asked how goblet cells in the intestine "know" how much mucus they need to secrete. I wrote about it here when we published our #preprint 👇🏻. /2
We found that ER stress is the cell-intrinsic switch that tells the goblet cell when to stop producing mucus, and that autophagy is tasked with relieving this stress to allow secretion. /3
Beautiful anatomy graphics from @medics_AbuSaif
#TipsForNewDocs #MedEd #MedTwitter #medicine #medical #medicare #health #healthcare #FOAMed #ClinicalPearl #clinicaltips #MedStudents #anatomy
#TipsForNewDocs #MedEd #MedTwitter #medicine #medical #medicare #health #healthcare #FOAMed #ClinicalPearl #clinicaltips #MedStudents #anatomy
Live Q&A: Best of UEG Week 2022 twitter.com/i/broadcasts/1…
#GITwitter #MondayNightIBD
⭐️⭐️⭐️NOW - Best of #IBD @ #UEGWeek Q&A w all-star faculty ⭐️⭐️⭐️
In collab w @my_ueg
TWEET your❓❓❓below ⬇️
Supported by edu grants from @abbvie & BMS⭐️⭐️⭐️
Join now w/ @CharlieMuz @DCharabaty @Iris_Dotan @MRegueiroMD
📲Tweet your❓below
⭐️⭐️⭐️NOW - Best of #IBD @ #UEGWeek Q&A w all-star faculty ⭐️⭐️⭐️
In collab w @my_ueg
TWEET your❓❓❓below ⬇️
Supported by edu grants from @abbvie & BMS⭐️⭐️⭐️
Join now w/ @CharlieMuz @DCharabaty @Iris_Dotan @MRegueiroMD
📲Tweet your❓below
🔔Set your⏰
🗓TODAY, Mon 30 Jan @ 🇺🇸 2-2:30p ET/11a PT
🇪🇺7p GMT/8p CEST
⭐️Best of #IBD from #UEGWeek
👉🙋🏻LIVE Q&A w @Iris_Dotan @CharlieMuz @MRegueiroMD & @DCharabaty
📲Tweet your❓b4 & during the session
🗒Abstracts discussed📸👇
#CME ℹ️bit.ly/3XgqsH8
#ICYMI 🎥🔗👇
🗓TODAY, Mon 30 Jan @ 🇺🇸 2-2:30p ET/11a PT
🇪🇺7p GMT/8p CEST
⭐️Best of #IBD from #UEGWeek
👉🙋🏻LIVE Q&A w @Iris_Dotan @CharlieMuz @MRegueiroMD & @DCharabaty
📲Tweet your❓b4 & during the session
🗒Abstracts discussed📸👇
#CME ℹ️bit.ly/3XgqsH8
#ICYMI 🎥🔗👇
🙌 @my_ueg X #MondayNightIBD 🙌◦◦◦◦◦◦◦◦◦◦◦◦🎯 Best of #UEGWeek ◦◦◦◦ CME🔗bit.ly/MNIBD-UEG2022 ◦◦◦◦◦◦◦◦◦◦◦◦◦◦◦◦◦◦◦◦◦◦◦ Support by edu grants from @abbvie & BMS twitter.com/i/broadcasts/1…
2/#MondayNightIBD #UEGWeek
🆓#CME🔗bit.ly/3XgqsH8
📲Tweet your❓for Mon LIVE Q&A @ 2p ET/ 7p GMT/ 8p CEST
📍Where are you in your career?
🆓#CME🔗bit.ly/3XgqsH8
📲Tweet your❓for Mon LIVE Q&A @ 2p ET/ 7p GMT/ 8p CEST
📍Where are you in your career?
3/ #MondayNightIBD X #UEGWeek 2022 Best in #IBD
✨Faculty @Iris_Dotan, @CharlieMuz, @MRegueiroMD, & @DCharabaty ✨
🤝 In collab w/ @my_ueg, @BonumCe
🆓#CME🔗bit.ly/3XgqsH8
📲Tweet you questions👇🏽to be answered LIVE by the experts Monday Jan 30 2pmET/ 7pmGMT/ 8pmCEST
✨Faculty @Iris_Dotan, @CharlieMuz, @MRegueiroMD, & @DCharabaty ✨
🤝 In collab w/ @my_ueg, @BonumCe
🆓#CME🔗bit.ly/3XgqsH8
📲Tweet you questions👇🏽to be answered LIVE by the experts Monday Jan 30 2pmET/ 7pmGMT/ 8pmCEST
In #JPM2023 news, a quick round of companies that presented on Monday, but have little overlap with the list of companies I track and the list of fields I post about.
$T Thermo Fisher has 1 slide mentioning NGS, with their Oncomine Dx Express Test and Reporter Dx Software.
@BassiMehak @MarcelYibirin @MondayNightIBD @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 9/ Wt loss #Medications.
GLP-1:
✔️ ➕➕ for wt loss.
✔️ Safe in DM2 in IBD; may improve IBD activity
💥SE- nausea, 🤮, 💩🚽. Monitor closely
💥Orlistat- 🚫in IBD pts, esp with active small CD +/- chr malabsp syndrome
💥Phentermine-topiramate, Bupropion-naltrexone-⏬ efficacy
GLP-1:
✔️ ➕➕ for wt loss.
✔️ Safe in DM2 in IBD; may improve IBD activity
💥SE- nausea, 🤮, 💩🚽. Monitor closely
💥Orlistat- 🚫in IBD pts, esp with active small CD +/- chr malabsp syndrome
💥Phentermine-topiramate, Bupropion-naltrexone-⏬ efficacy
@BassiMehak @MarcelYibirin @MondayNightIBD @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 @GroverDheera @Empoweringpts9 @ownyourcrohns @RomyChamoun @JosephHabibi_MD @dunleavy_katie @ibdesis @yaransarkis @JPAchkarMD 10) Bariatric therapies in #IBD
🔦#Endoscopic balloon #IGB or sleeve #ESG
✔️Small series: safe & effective pubmed.ncbi.nlm.nih.gov/36474097/
@amjohnsonMD @babudayyeh
✂️Surgery
✔️Safe & effective
✔️Similar outcomes to non-IBD re:postop complications, Wt loss, postop deficiencies
🔦#Endoscopic balloon #IGB or sleeve #ESG
✔️Small series: safe & effective pubmed.ncbi.nlm.nih.gov/36474097/
@amjohnsonMD @babudayyeh
✂️Surgery
✔️Safe & effective
✔️Similar outcomes to non-IBD re:postop complications, Wt loss, postop deficiencies
@BassiMehak @MarcelYibirin @MondayNightIBD @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 @GroverDheera @Empoweringpts9 @ownyourcrohns @RomyChamoun @JosephHabibi_MD @dunleavy_katie @ibdesis @yaransarkis @JPAchkarMD @Spencerkelley7 @AsadurRahman87 @BabuPMohan2 @DushDahiya @BilalMohammadMD @GI_PharmD @joshsteinbergMD @john_damianosMD @doctornikkid 11) ⛳️Summary
🔺Up to 40% of #IBD pts have #Obesity
🔺Obesity ⬆️risk of neg outcomes in #IBD
🔺Obesity can affect overall 🔥burden,⬇️efficacy of biologics,⬆️risk of IBD-related ✂️
🔺Medical Rx & bariatric procedures for obesity are effective & safe in IBD
🗳️#CME #PostB2B polls👇
🔺Up to 40% of #IBD pts have #Obesity
🔺Obesity ⬆️risk of neg outcomes in #IBD
🔺Obesity can affect overall 🔥burden,⬇️efficacy of biologics,⬆️risk of IBD-related ✂️
🔺Medical Rx & bariatric procedures for obesity are effective & safe in IBD
🗳️#CME #PostB2B polls👇
@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
⬆️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
🔺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
✔️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
@MondayNightIBD 1/Welcome back to #MondayNightIBD with our #Back2Basics team! ⭐️🔆📚
We will talk about #Obesity ➕ #IBD
with
@BassiMehak
@ifrahfatima
@MarcelYibirin
#MakeitSimple
w help from #IBDAdvocates🦸♀️🦸♂️
We will talk about #Obesity ➕ #IBD
with
@BassiMehak
@ifrahfatima
@MarcelYibirin
#MakeitSimple
w help from #IBDAdvocates🦸♀️🦸♂️
@MondayNightIBD @BassiMehak @ifrahfatima 2/🎯35% of the 🇺🇸 population is obese= BMI>30, leading to rising healthcare 💲💲.
🎯20-40% of patients with #IBD are obese.
🎯#Obesity assoc. with 34%⬆️ risk of CD, but not UC
🎯Each 5kg/m2 ⬆️ in BMI ➡️with 16% ⬆️ risk of CD
🎯20-40% of patients with #IBD are obese.
🎯#Obesity assoc. with 34%⬆️ risk of CD, but not UC
🎯Each 5kg/m2 ⬆️ in BMI ➡️with 16% ⬆️ risk of CD
@MondayNightIBD @BassiMehak @ifrahfatima @kzhuangmd @agoldowskymd @IBD_FloMD @IBD_Afzali @babudayyeh @BolandBrigid @amjohnsonMD @PopovVioleta @RobertoSimonsMD @LauraChiuMD 3/ ☸️Outcomes of pts with #Obesity & #IBD
⚠️ Little data & conflicting results, but overall: ⬇️ IBD outcomes
⬇️Remission rates
⬆️Flares
⬇️QoL
⬆️Unplanned healthcare utilization.
⬇️Time to 1st surgery in CD
⬆️ Risk of surgery & hospitalization in UC
⚠️ Little data & conflicting results, but overall: ⬇️ IBD outcomes
⬇️Remission rates
⬆️Flares
⬇️QoL
⬆️Unplanned healthcare utilization.
⬇️Time to 1st surgery in CD
⬆️ Risk of surgery & hospitalization in UC
@MondayNightIBD 1. Welcome back to #MondayNightIBD with our #Back2Basics team! ⭐️
Let’s prepare for the HOLIDAY season!! 🎉✈️
#TravelingWithIBD #TravelingWithOstomy #IBDHolidays with @GroverDheera @MarcelYibirin #MakeitSimple
w help from #IBDAdvocates
Let’s prepare for the HOLIDAY season!! 🎉✈️
#TravelingWithIBD #TravelingWithOstomy #IBDHolidays with @GroverDheera @MarcelYibirin #MakeitSimple
w help from #IBDAdvocates
@MondayNightIBD @MarcelYibirin @Empoweringpts9 @aboutIBD @ownyourcrohns @Youcantmakethi4 @Spencerkelley7 @RomyChamoun @ibdtweets @JosephHabibi_MD @dunleavy_katie @yaransarkis 2. ✈️Why is it important to talk about this
🗳️In a survey of #IBD pts in 2018
⚠️47% ✈️abroad w/o health insurance
⚠️63% didnt’ know to avoid live virus vaccine
⚠️92% didnt know high altitude can➡️flare
⚠️Most unaware of resources like “Can’t wait card” & IBDPassport.com
🗳️In a survey of #IBD pts in 2018
⚠️47% ✈️abroad w/o health insurance
⚠️63% didnt’ know to avoid live virus vaccine
⚠️92% didnt know high altitude can➡️flare
⚠️Most unaware of resources like “Can’t wait card” & IBDPassport.com
@MondayNightIBD @MarcelYibirin @Empoweringpts9 @aboutIBD @ownyourcrohns @Youcantmakethi4 @Spencerkelley7 @RomyChamoun @ibdtweets @JosephHabibi_MD @dunleavy_katie @yaransarkis @BassiMehak @snehadave98 @Clin_Med @IBDPassport @ibdesis @IBD_FloMD @ibdgijami @mlatorremd @MadhuraB_ @nataliesparacio 3. ✈️Why is it important to talk about this?
🧑🍳Change in diet & alcohol 🍸consumption & sleep 😴habits, missing meds can ➡️ GI symptoms or a flare 🔥
🥳Holidays can trigger or⬆️ anxiety & depression☹️
🔑Prepping ahead of time and advice from the medical team can go a long way!
🧑🍳Change in diet & alcohol 🍸consumption & sleep 😴habits, missing meds can ➡️ GI symptoms or a flare 🔥
🥳Holidays can trigger or⬆️ anxiety & depression☹️
🔑Prepping ahead of time and advice from the medical team can go a long way!
Diet, gas, and the #microbiome 💨
#MedTwitter #GITwitter #diet #nutrition #IBS #SIBO
sciencedirect.com/science/articl…
#MedTwitter #GITwitter #diet #nutrition #IBS #SIBO
sciencedirect.com/science/articl…
💨The gut microbiota generates ~0.2L–1.5L of gas per day
💨>99%: hydrogen (H2), carbon dioxide (CO2), & methane (CH4)– *odorless*
💨foul smell of gas from <1%: sulfur–containing gases hydrogen sulfide (H2S), methanethiol (CH3SH), dimethyl sulfide [(CH3)2S] + volatile compounds
💨>99%: hydrogen (H2), carbon dioxide (CO2), & methane (CH4)– *odorless*
💨foul smell of gas from <1%: sulfur–containing gases hydrogen sulfide (H2S), methanethiol (CH3SH), dimethyl sulfide [(CH3)2S] + volatile compounds
🦠bacteria in the colon ferment substrates that are not digested or absorbed in the upper GI tract (e.g. carbohydrates, proteins, fats)
🦠produce short-chain fatty acids, branched-chain fatty acids, ammonia, N-nitro compounds, phenolic and indolic compounds, and various gases
🦠produce short-chain fatty acids, branched-chain fatty acids, ammonia, N-nitro compounds, phenolic and indolic compounds, and various gases
Lesser night #sleep and daytime #napping increases the risk of inflammatory bowel disease (#IBD)
1. 4,88,000 people aged 40-69 were followed up for 12 years. 1 in 200 (0.5%) were diagnosed to have IBD. 31% had Crohn's disease, 69% ulcerative colitis
#MedTwitter #Gastroenterology
1. 4,88,000 people aged 40-69 were followed up for 12 years. 1 in 200 (0.5%) were diagnosed to have IBD. 31% had Crohn's disease, 69% ulcerative colitis
#MedTwitter #Gastroenterology
2. Compared with participants with a sleep duration of 7 hours/day, those with a sleep duration of ≤5 hours/day had a higher risk of:
Inflammatory bowel disease: 36% higher
Crohn's disease: 53% higher
Ulcerative colitis: 29% higher
Inflammatory bowel disease: 36% higher
Crohn's disease: 53% higher
Ulcerative colitis: 29% higher
3. Compared with participants without daytime napping, those with daytime napping had a higher risk of:
Inflammatory bowel disease: 13% higher
Crohn's disease: 25% higher
Ulcerative colitis: 9% higher
Inflammatory bowel disease: 13% higher
Crohn's disease: 25% higher
Ulcerative colitis: 9% higher
@MondayNightIBD 1a.
Welcome to an extra spooky #MNIBD #Back2Basics
🎃👻🎃👻🎃👻🎃👻🎃👻🎃
@JosephHabibi_MD and I will be discussing common myths in #IBD and doing our best to debunk them. Topics include:
🎃 Diet and supplement myths
🎃 Pregnancy and fertility myths
🎃 More surprise myths🔮
Welcome to an extra spooky #MNIBD #Back2Basics
🎃👻🎃👻🎃👻🎃👻🎃👻🎃
@JosephHabibi_MD and I will be discussing common myths in #IBD and doing our best to debunk them. Topics include:
🎃 Diet and supplement myths
🎃 Pregnancy and fertility myths
🎃 More surprise myths🔮
@MondayNightIBD @JosephHabibi_MD @dunleavy_katie @RomyChamoun @SanjeevaniTomar @DSTEINGIMD @BeniwalPatelMD 1b.
Shout out 📣 to all of the amazing #IBD #PatientAdvocates who helped make this happen:
@aboutIBD @nataliesparacio @mustbthemusic @Empoweringpts9 @DrTiffTaft @GutlessGlamour @IBDPassport @ownyourcrohns @bottomlineibd @GIdietitian @snehadave98 @LoriPlung @Youcantmakethi4
Shout out 📣 to all of the amazing #IBD #PatientAdvocates who helped make this happen:
@aboutIBD @nataliesparacio @mustbthemusic @Empoweringpts9 @DrTiffTaft @GutlessGlamour @IBDPassport @ownyourcrohns @bottomlineibd @GIdietitian @snehadave98 @LoriPlung @Youcantmakethi4
@MondayNightIBD @JosephHabibi_MD @dunleavy_katie @RomyChamoun @SanjeevaniTomar @DSTEINGIMD @BeniwalPatelMD @aboutIBD @nataliesparacio @mustbthemusic @Empoweringpts9 @DrTiffTaft @GutlessGlamour @IBDPassport @ownyourcrohns @bottomlineibd @GIdietitian @snehadave98 @LoriPlung @Youcantmakethi4 @shaina_sekhri @LambergMorgan @goodmra1 @KrugCleveland @john_damianosMD @AustinChiangMD @DrsMeena 1c.
See if you can find all of the spooky #IBD words in our #MondayNightIBD word search 👇
🎃👻🎃👻🎃👻🎃👻🎃👻
See if you can find all of the spooky #IBD words in our #MondayNightIBD word search 👇
🎃👻🎃👻🎃👻🎃👻🎃👻
Fantastic #pedsGIchat discussion last week with @JonathanMoses77 & @ICNPatients. Here is a recap of some high points during discussion. Please fell free to read through specific tweets from the chat for further information.
1. For Providers, events like Take Steps are great opportunity to get to know patients outside of 🏥 @CrohnsColitisFn. Patients also appreciate providers getting to know what is important in day-to-day life to put in context of IBD treatment goals #SharedDecisionMaking
2. It is helpful for adolescent & young adult #IBD patients to also talk to 🧑⚕️ w/o parent present to help develop autonomy. Parents should discuss with kids who to discuss dx and how much to share. Validated tests such as PHQ-9 can help screen for anxiety and depression
