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Inflammatory Bowel Disease West Case Conference
Past Events
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?
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?
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