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Inflammatory Bowel Disease West Case Conference
Past Events
June
6/14/21
Main Case:
Stanford, Dr. Sundeep Singh
Drug induced fevers in ulcerative colitis:
28 y.o. with fevers with clinical improvement in ulcerative colitis symptoms while on mesalamine, prednisone, and adalimumab.
Clinical Vignette:
Oregon Health & Science University, Dr. Anil Sharma
Cancer:
26 year old man with long-standing indeterminate colitis on golimumab who was transferred to OSHU for further work-up and management of newly diagnosed adenocarcinoma (presumed colorectal primary) with hepatic metastases.
May
5/10/21
Main Case:
University of Arizona, Dr. Suresh Misra
Pouch Dysplasia:
73 y.o. male with pmh of 40 years of extensive ulcerative colitis and unresectable rectal adenoma w/HGD s/p laparoscopic total proctocolectomy with ileostomy, reversal, and IPAA creation found to have dysplasia on random biopsy of the pouch.
Clinical Vignette:
University of California Los Angeles, Dr. Sonya Dasharathy & Dr. Jenny Sauk
Therapy Deescalation:
23 yo woman with h/o left-sided ulcerative colitis on adalimumab, azathioprine and mesalamine in endoscopic and histologic remission for 3 years. Do you de-escalate therapy and how?
April
4/12/21
Main Case:
University of Colorado, Dr. Paul Hobbs
Strictures:
29 y/o F with history of medically refractory stricturing ileocolonic Crohn's disease (dx 2007) currently pending transition to AZA + GLM who presents for continued follow-up and consideration for stem cell transplant.
Clinical Vignette:
Palo Alto Medical Foundation, Dr. Ryan McConnell
Pseudopolyps:
20-year-old man with severe Crohn's colitis in steroid-free clinical remission on vedolizumab every 4 weeks, extensive pseudo polyposis, and elevated calprotectin. Should he change therapies? Should he eventually have a colectomy?
March
3/8/21
Main Case:
Southern Arizona VA Health Case System, Dr. Demetrios Stavrakis
Refractory Pouchitis:
64 y.o. male with history of Ulcerative Colitis s/p IPAA (2007) admitted with progressive diarrhea and abdominal pain. Pouchoscopy and imaging suggestive of de novo Crohn's disease of the pouch with involvement of afferent limb of the pouch.
Clinical Vignette:
Stanford, Dr. Sundeep Singh
Remission of UC:
70 y.o. woman presents for 1-year follow-up of pan-ulcerative colitis diagnosed in 2013 who has been in clinical remission on mesalamine 2.4g/day since diagnosis. She takes no other medications and is able to perform ADLs without assistance.
February
2/8/21
Main Case:
Stanford, Dr. Alexa Weingarden
Intestinal Behcet's:
An 83-year-old man with mouth sores, hypotension, fever, and unusual colonic lesions.
Clinical Vignette:
Southern Arizona VA Health Care System, Dr. Michael Gavin
54 yo male with IDA and reported history of Crohn's Colitis found on recent colonoscopy to have segmental colitis associated with diverticulosis (mild-moderate UC-like pattern).
January
1/11/21
Main Case:
University of Colorado, Dr. Blair Fennimore & Dr. Timothy Yen
Pregnancy:
32yoF presents with severe acute UC during pregnancy
Clinical Vignette:
University of Arizona, Dr. Sasha Taleban
COVID-19:
39 y/o F with UC on tofacitinib hospitalized with COVID-19 and respiratory failure now being discharged.
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