A Systematic Review of Internet Decision-Making Resources for Patients Considering Surgery for Ulcerative Colitis.

A Systematic Review of Internet Decision-Making Resources for Patients Considering Surgery for Ulcerative Colitis. Inflamm Bowel Dis. 2017 Jul 12;: Authors: Baker DM, Marshall JH, Lee MJ, Jones GL, Brown SR, Lobo AJ Abstract BACKGROUND: Guidance from the Royal College of Surgeons advocates patient use of on-line resources to assist in decision making. Our aim was to assess the quality of on-line resources to facilitate decision making for patients considering surgery for ulcerative colitis (UC). METHODS: We undertook a systematic review based on PRISMA guidelines. This was registered on the…

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Endoscopic Balloon Dilation Size and Avoidance of Surgery in Stricturing Crohn’s Disease.

Endoscopic Balloon Dilation Size and Avoidance of Surgery in Stricturing Crohn’s Disease. Inflamm Bowel Dis. 2017 Jul 06;: Authors: Reutemann BA, Turkeltaub JA, Al-Hawary M, Waljee AK, Higgins PDR, Stidham RW Abstract BACKGROUND: Endoscopic balloon dilation (EBD) is an effective method for treating stricture-related obstruction in Crohn’s disease. We aimed to identify factors predictive of successful avoidance of surgery, including endoscopic features, in patients undergoing balloon dilation. METHODS: We performed a retrospective review of patients with symptomatic Crohn’s disease-related intestinal strictures undergoing EBD. Clinical, medication use, laboratory, and dilation data,…

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Treatment with Biologic Agents has not Reduced Surgeries among Patients with Crohn’s Disease with Short Bowel Syndrome.

Treatment with Biologic Agents has not Reduced Surgeries among Patients with Crohn’s Disease with Short Bowel Syndrome. Clin Gastroenterol Hepatol. 2017 Jun 27;: Authors: Limketkai BN, Parian AM, Chen PH, Colombel JF Abstract BACKGROUND & AIMS: Little is known about the effects of biologic agents used to treat Crohn’s disease (CD) on its long-term complications, such as short bowel syndrome and intestinal failure (SBS-IF). We evaluated trends in small bowel resections and health care utilization among patients with CD with and without SBS-IF. METHODS: We collected data on the National…

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The outcome of ulcerative colitis patients undergoing pouch surgery is determined by pre-surgical factors.

The outcome of ulcerative colitis patients undergoing pouch surgery is determined by pre-surgical factors. Aliment Pharmacol Ther. 2017 Jun 30;: Authors: Yanai H, Ben-Shachar S, Mlynarsky L, Godny L, Leshno M, Tulchinsky H, Dotan I Abstract BACKGROUND: Pouch surgery, a common intervention for ulcerative colitis (UC) complications, is often associated with the development of pouchitis. AIM: To identify predictors of pouch outcome in a cohort of patients with UC. METHODS: We conducted a retrospective unmatched case-cohort study in a tertiary IBD referral centre. Adult patients with UC were classified into…

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Incidence and Management of Recurrence in Patients with Crohn’s Disease Who Have Undergone Intestinal Resection: The Practicrohn Study.

Incidence and Management of Recurrence in Patients with Crohn’s Disease Who Have Undergone Intestinal Resection: The Practicrohn Study. Inflamm Bowel Dis. 2017 Jun 20;: Authors: Domènech E, Garcia V, Iborra M, Gutiérrez A, García-López S, Martín Arranz MD, Garcia-Planella E, Calvo M, Castro L, Mínguez M, Taxonera C, Juliá B, Cea-Calvo L, Romero C, Barreiro-de Acosta M Abstract BACKGROUND: More than 50% of patients with Crohn’s disease require intestinal resection at least once. Postoperative recurrence (POR) is almost uniform if prophylactic treatment is not started early. Endoscopic monitoring is generally…

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ECCO-ESCP Consensus on Surgery for Crohn’s Disease.

ECCO-ESCP Consensus on Surgery for Crohn’s Disease. J Crohns Colitis. 2017 May 11;: Authors: Bemelman WA, Warusavitarne J, Sampietro GM, Serclova Z, Zmora O, Luglio G, de Buck van Overstraeten A, Burke JP, Buskens CJ, Francesco C, Amil Dias J, Eliakim R, Elosua T, Gecim IE, Kolacek S, Kierkus J, Kolho KL, Lefevre JH, Millan M, Panis Y, Pinkney T, Russell RK, Shwaartz C, Vaizey C, Yassin N, D’Hoore A, European Crohn’s and Colitis Organisation (ECCO), European Society of Coloproctology (ESCP) PMID: 28498901 [PubMed – as supplied by publisher] PubMed…

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Obesity/Bariatric Surgery and Crohn’s Disease.

Related Articles Obesity/Bariatric Surgery and Crohn’s Disease. J Clin Gastroenterol. 2017 May 09;: Authors: Korelitz BI, Sonpal N, Schneider J, Swaminath A, Felder J, Roslin M, Aronoff J Abstract BACKGROUND: Crohn’s disease (CD) following bariatric surgery has been previously described. It is not clear whether the clinical entity is due to rapid metabolism of fat, change in the bacterial milieu of the bowel, the loss of defense mechanisms of the stomach, or even a coincidence. OBJECTIVES: To present observations which might serve to sort out these various etiologies. DESIGN: We…

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Anti-TNFα Treatment After Surgical Resection for Crohn’s Disease Is Effective Despite Previous Pharmacodynamic Failure.

Anti-TNFα Treatment After Surgical Resection for Crohn’s Disease Is Effective Despite Previous Pharmacodynamic Failure. Inflamm Bowel Dis. 2017 May;23(5):791-797 Authors: Assa A, Bronsky J, Kolho KL, Zarubova K, de Meij T, Ledder O, Sladek M, van Biervliet S, Strisciuglio C, Shamir R Abstract BACKGROUND: The outcome of patients with Crohn’s disease who failed anti-tumor necrosis factor alpha (anti-TNFα) therapy despite adequate serum drug levels (pharmacodynamic failure) is unclear. We aimed to assess such pediatric patients who underwent intestinal resection and were re-treated with the same anti-TNFα agent postoperatively. METHODS: Pediatric…

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Sarcopenia Is Common in Overweight Patients with Inflammatory Bowel Disease and May Predict Need for Surgery.

Sarcopenia Is Common in Overweight Patients with Inflammatory Bowel Disease and May Predict Need for Surgery. Inflamm Bowel Dis. 2017 Apr 13;: Authors: Adams DW, Gurwara S, Silver HJ, Horst SN, Beaulieu DB, Schwartz DA, Seidner DL Abstract BACKGROUND: Inflammatory bowel disease (IBD) is associated with altered body composition, such as low muscle mass, which affects clinical outcomes. Body composition changes in overweight patients with IBD are less understood. The study aim was to determine the prevalence of sarcopenic overweight and obese patients in a cohort of patients with IBD…

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