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Inflammatory Bowel Disease West Case Conference
Past Events
December
12/13/21
Main Case:
University of Colorado, Drs. Katie Boland and Ahmed Waseem
Tofacitinib in Acute Severe Ulcerative Colitis:
22yo with steroid- dependent Ulcerative pan-colitis with history failure of multiple biologics who presents with ASUC. We consider utilizing Tofacitinib for acute rescue therapy
Clinical Vignette:
University of Arizona, Dr. Sasha Taleban
64 y/o Japanese M with IBD-U on 6-MP and adalimumab with a potential therapeutic complication
November
11/8/21
Main Case:
Standford Emeryville, Dr. Kian Keyashian
COVID-19:
22 year old male with history of ulcerative colitis in deep remission for 6 months with significant flare of colitis after 2nd COVID-19 vaccination.
Clinical Vignette:
Palo Alto Medical Foundation, Dr. Ryan McConnell
Therapeutic Drug Monitoring:
Patient with Crohn's disease who has breakthrough symptoms, undetectable infliximab level, and elevated antibodies to infliximab. Dose escalate or switch?
October
10/11/21
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.
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