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Inflammatory Bowel Disease West Case Conference
Past Events
October
10/10/21
Main Case:
Oregon Health & Science University, Dr. Emilie Regner
Perianal Disease:
38 yo woman with PMH ileocolonic Crohn's disease diagnosed in 2001 s/p total proctocolectomy with permanent end-ileostomy presenting with non-healing perineal wounds refractory to most standard therapies for metastatic cutaneous Crohn's and PG.
Clinical Vignette:
University of California Irvine, Dr. Jaehyun Kim
Acute Infixumab Reaction:
45 yo male with PMH with history of hyperlipidemia, latent TB s/p treatment with 12 month of INH in 2005, PTSD, who presented to GI clinic with one year history of intermittent episodes of hematochezia and RUQ abdominal pain experiences reaction during second loading dose of infliximab.
September
9/13/21
Main Case:
University of California Los Angles, Drs. Jessica Su & Jenny Sauk
J-Pouch:
26 year old man with history of ulcerative colitis diagnosed in 2010 s/p total proctocolectomy in 2011 with IPAA, more recently with course complicated by Crohn's-like disease of the pouch that has been difficult to treat.
Clinical Vignette:
University of Arizona, Dr. Sasha Taleban
Pseudopolyps:
55 y/o F with IBD-U with severely active disease and multiple pseudopolyps found to have dysplasia in one of biopsied pseudopolyps.
August
8/9/21
Main Case:
Palo Alto Medical Foundation, Dr. Ryan McConnell
Iron deficiency Anemia:
40 year-old man with Crohn's disease, anastomotic ulceration, and recurrent iron deficiency anemia
Clinical Vignette:
University of Colorado, Dr. Christopher Haydek
Crohn's vs drug-induced colitis in a woman being treated with ocrelizumab for MS.
July
7/12/21
Main Case:
University of California Irvine, Dr. Maricela Rangel-Garcia
Refractory Chron's Disease:
28 year old man with Crohn's disease and past medical history of Hypothyroidism previous surgical history of Ileocecectomy, enterectomy, seton placement.
Clinical Vignette:
Stanford - Emeryville, Dr. Kian Keyashian
Combination Biologics:
20 year old male with alopecia areata with some response with Xeljanz and uncomplicated Crohn's colitis with continued GI symptoms.
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?
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