Gut Reaction

Completion Surgery for Colonic Crohn's

jms23@webmd.net — Tue, 21 Feb 2012 17:02:04 GMT

A 28 y/o female with a 10 year diagnosis of Crohn's was recently seen for a second opinion. She had a colonic distribution of disease, and had undergone a partial sigmoid resection in 2005 for a colonic stricture. There was no evidence...

Discontinuation of immunomodulator and biologic therapy

jms23@webmd.net — Tue, 10 Jan 2012 20:01:56 GMT

We are often asked by patients, as well as referring physicians, whether maintenance immunomodulator and/or biologic medications can be discontinued. This is often due to concerns of adverse events, such as infections and lymphoma (inclu...

Rare IBD mimic?

jms23@webmd.net — Tue, 01 Nov 2011 17:11:52 GMT

A 45 year old male was referred for further evaluation of episodic anorexia and weight loss. In the summer of 2010 he presented with 20# weight loss, RLQ pain and anorexia, and underwent EGD. EGD showed a duodenal stricture, whilch was...

Treatment of Distal/Left-Sided Ulcerative Colitis

jms23@webmd.net — Tue, 23 Aug 2011 18:08:39 GMT

We have recently authored a book chapter on the treatment of distal/left-sided UC, and I found some interesting data during the literature review that I thought I would share here. I am often asked by colleagues about the use of different enema fo...

Final DDW 2011 updates

jms23@webmd.net — Wed, 13 Jul 2011 01:07:12 GMT

I wanted to highlight a couple more IBD abstracts of interest from DDW 2011, in Chicago. The next post will likely discuss some difficult patients we have had recently, who have an increase in IgG4 in their colonic biopsies. If anyone has any pa...

IBD Highlights from DDW 2011

jms23@webmd.net — Wed, 01 Jun 2011 19:06:40 GMT

I am going to highlight a few more of the interesting studies presented at DDW 2011, in Chicago.

Panccione et al. presented the results of the UC-Success Trial, which was somewhat similar in design to the SONIC trial for CD. This trial co...

DDW Capsules

jms23@webmd.net — Tue, 17 May 2011 17:05:14 GMT

DDW 2011 is now past, and it was a very full meeting, now condensed to only 4 days. While there were not many bombshells among the IBD presentations, that will be parasigm changing in the near future, there were several excellent presentatio...

Vaccinating patients with IBD

jms23@webmd.net — Fri, 11 Mar 2011 16:03:12 GMT

Patients with IBD are at an increased risk of infections, including many that are vaccine-preventable. The risk increases with the use of immunosuppressive medications, including corticosteroids, immunomodulators, and anti-TNF agents. ...

PSC and severe ulcerative colitis - surgical options

jms23@webmd.net — Sat, 29 Jan 2011 15:01:27 GMT

I recently met a 39 year-old female who was diagnosed with a PSC/AOH overlap syndrome in 1996. She had been on long-term Prednisone for this, and had been through 2 rounds of azathioprine. The most recent trial was not successful, and ...

Multimodal Treatment Of A Difficult CD Wound - Case Report

jms23@webmd.net — Sat, 04 Dec 2010 21:12:52 GMT

Many of the physicians in our group have been working with a 23 year-old female with a complex recent medical presentation. She was diagnose with CD at the age of 15. Prior therapies had included 5-ASA medications, 6-MP,...