#IBDAlgorithm 🧬VEO-IBD 💭Think monogenic disease, esp. 🦠Recurrent infections 🍑Severe perianal Dx. 🚩 Growth failure 🧪 Genetic testing guides precision therapy & identify HSCT candidates early. 🎯 Diagnose first, then treat. 🗳️PostConvo polls👇(Answers in #IBDAlgo😉)

#IBDAlgorithm 📷Older adults=1/3rd of all IBD pts 📷Safest therapy = one that puts IBD in remission & prevents frailty 📷Do not delay surgery if needed, delays = complications Post convo polls 📷 (Answers in #IBDAlgo) 📷@AdamFayeMD study survey redcap.nyumc.org/apps/redcap…

#IBDAlgorithm 🧠 #ASUC 🚨 📍Day0️⃣: R/o 🦠CDI/CMV ➕scope early 💉IV steroids ➕DVT prophylaxis 📊Reassess daily (PRO CRP) ⏳Day3️⃣: No response ➡️Rescue w IFX/ CsA/ JAKi 🎯Day6️⃣: Response? ✔️ Transition & maintain ❌ Don’t delay surgery Rx choice🟰availability➕💰➕access

#IBDAlgorithm @MondayNightIBD @EBMedGI #CGH4ALL @AGA_CGH @Dcharabaty @AmCollegeGastro @CrohnsColitisFn @IBDProNews @CrohnsColitisUK @JCC_IBD

10/ ASUC #IBDAlgorithm GI emergency 🚨 👉Within 72hrs: Felxsig r/o infection 🦠 👉 IV steroids IVF/lytes, VTE ppx, nutrition, 🚫 NSAIDs/opioids) 💉🩸 👉Day 3🏁stools/bleeding CRP ~50% drop 🔥 👉No response (~1/3): Rescue(IFX/CsA/JAK ) & early CRS consult 🧬🧪

#IBDAlgorithm Management of #IBD when there is concern for #malignancy   📊 IBD associated with ⬆️ risk of cancers ⚖️ IBD therapy-associated CA w risk of undertreating 🔥 🎯 Optimizing IBD control w least systemic immumosuppressiom   🗳️PostConvo polls👇(Answers in #IBDAlgo😉)

#IBDAlgorithm 🎯 #Upper GI Crohn's stricture  ✅ Recognise ⬆️risk of strictures with L4 distribution ✅ Considerations for medical, endoscopic or surgical ✂️approach ✅Emphasis on nutrition ✅Discuss the role & limitations of MRE  🗳️PostConvo polls👇(Answers in #IBDAlgo😉)

Here is the 💎 #IBDalgorithm for management of IBD in pregnancy

#IBDAlgorithm 🎯#Pregnancy considerations in #IBD ✅Updates from 2025 @PIANOIBD Global Consensus ✅Risks of pregnancy in IBD & Optimize outcome for 🤰🏻 👶🏻 ✅Manage IBD🔥 🗳️PostConvo polls👇(Answers in #IBDAlgo😉)

#IBDAlgorithm @MondayNightIBD @DCharabaty 🎯Surgical Considerations for colon dysplasia in IBD @NayantaraCoelho 📡When to refer to surgery vs ESD ✅Nuances of surgical options ✅Post-op surveillance remains key 🎯PostConvo polls🗳️👇(Answers in #IBDAlgo & slides👆) @GKochharMD

2/⏱️When to screen for anemia in IBD 🧐 Learn def of 'inadequate iron stores' in context of IBD activity 🔮VitB12 Def.?▶️risk factors & txt options 👇#IBDAlgorithm guides appropriate dx & mngmt 🗳️Take post convo polls👉bit.ly/hou_post #MondayNightIBD @JasonHouMD

2/⏱️Need to evaluate & treat #ICI colitis promptly & properly 🔮yet still lots of unknown re: optimal mgmt 👇Check #IBDAlgorithm for appropriate dx & management guidance 🗳️Take post convo polls 👉bit.ly/FaleckPost #MondayNightIBD @PatelOncology

Threw it back to some of my work with @DCharabaty @MondayNightIBD #IBDalgorithm to highlight some key concepts - although will have to update these given the expansion of our treatment arsenal in the last few years.

#IBDAlgorithm @MondayNightIBD @DCharabaty 🎯#Vaccination in adults w/ IBD @dr_fcalderaibd ✅Approach for live💉in pts on immunosuppressants ✅New Guidance for several💉 📡@AGA_CGH doi.org/10.1016/j.cgh.2024.1… 🎯PostConvo polls🗳️👇(Answers in #IBDAlgo😉)

For IBD patients, precision-guided dosing during induction can help optimize dosing early to improve infliximab durability and reduce the risk of immunogenicity. Learn more about how precision-guided dosing can improve patient outcomes here: pubmed.ncbi.nlm.nih.gov/3497… #Gastroenterology #GITwitter #IBD #IBDTwitter #GI #GIHealth #MondayNightIBD #IBDAlgorithm

#PostConvo #IBDPoll2️⃣ 🆓#CME 👉🏽bit.ly/HernandezPost ✅#IBDAlgorithm👆🏽 ♂️65 a. ⬆️ colesterol, HTA Dco reciente #ColitisUlcerosa moderada-grave Preocupado x impacto d EII en riesgo cardiovascular (RCV) 📌Que relación es cierta?

#PostConvo #IBDPoll1️⃣ 🆓#CME 👉🏽bit.ly/HernandezPost ✅#IBDAlgorithm👆🏽 ♂️57a norteafricano, tto con AAS x ictus Presenta dolor abd, ⬇️peso, febricula vespertina 🔦Colono: úlceras transversales en íleon. Biopsias: granulomas 🔎Tu primera opción diagnóstica es

Como guinda a una semana d debate @MondayNightIBD publicamos #IBDAlgorithm 🌍Migraciones e incidencia de #EII ⚖️Diagnóstico diferencial de #EII 💥Impacto de #EII Una colab @DigestivoVigo @ucha_patricia @saracamblan 🙌 🗳️ #PostConvo #IBDPolls👇🏽

#IBDAlgorithm @MondayNightIBD @DCharabaty 🎯Intestinal Ultrasound #IUS in #Crohns @DrMikeDolinger 📡Benefits of ✅POC assessment of CD activity (learn🔑 lingo: BWT & CDS👇🏽) ✅Timely decision making 📡Learn more @iUSCAN 🎯PostConvo polls🗳️👇(Answers in #IBDAlgo😉)

PredictrPK provides actionable data, before the next scheduled infusion, to help address sub-therapeutic IFX concentrations and loss of response to IFX therapy earlier. Visit us at NASPGHAN Booth #414 to learn more about how PredictrPK can help your pediatric IBD patients. prometheuslabs.com/ifx-maint… #NASPGHAN24 #Gastroenterology #GITwitter #IBD #IBDTwitter #GI #GIHealth #IBDAlgorithm