Stefan Holubar MD MS
@holubarstefan
#IBD #IntestinalReconstructionist #IBDology #Pouchology #ColorectalSurgery #SoMe4IBD #IBDSurgery #IBDAdvocate @CleClinicMD #JPouch #JPoucher #surfer #patient
ID: 857731759986929666
http://ccf.org 27-04-2017 23:02:42
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Stefan Holubar MD MS #MondayNightIBD AbbVie JanssenUS Takeda Joseph Sleiman, MD, FACP Julio Mayol Pär Myrelid Guy Worley Amy Lee Lightner, MD Vladimir Bolshinsky Antonino Spinelli David M. Schwartzberg, MD John Monson MD FRCS FACS FASCRS Debby Keller, MD A not uncommon scenario! After🔥 & ✂️ pts want a break & better QOL. If we leave the same anatomy- risk of diversion proctitis that can affect QOL. Occ after few years, pts want a reversal, but by then anorectum stenosed. 💭 ?Joshua M. Steinberg, MD Phillip Gu Waseem Ahmed Nisha Loganantharaj
Stefan Holubar MD MS #MondayNightIBD AbbVie JanssenUS Takeda Joseph Sleiman, MD, FACP Julio Mayol Pär Myrelid Guy Worley Amy Lee Lightner, MD Vladimir Bolshinsky Antonino Spinelli David M. Schwartzberg, MD John Monson MD FRCS FACS FASCRS Debby Keller, MD Wound, Ostomy, and Continence Nurses Society In a young woman w 🤰 plans, not diving into a pelvic✂️ might be a good option, & Not dealing w pouchitis after years of uncontrolled UC ! How do you advise your patients in similar situation? Laura Raffals, MD Maia Kayal MD Katie Dunleavy @EdBarnesM Reezwana C, MD, FACG Jonny Blackwell
Stefan Holubar MD MS #MondayNightIBD AbbVie JanssenUS Takeda Joseph Sleiman, MD, FACP Julio Mayol Pär Myrelid Guy Worley Amy Lee Lightner, MD Vladimir Bolshinsky Antonino Spinelli David M. Schwartzberg, MD John Monson MD FRCS FACS FASCRS Debby Keller, MD Wound, Ostomy, and Continence Nurses Society Laura Raffals, MD Maia Kayal MD Katie Dunleavy Reezwana C, MD, FACG Jonny Blackwell How would our #CRSurgery advise this patient ? David M. Schwartzberg, MD Paulo G. Kotze Dr Feza Remzi Fernando Gomollón Phil Smith ?
Stefan Holubar MD MS #MondayNightIBD Aline Charabaty, MD, FACG, AGAF AbbVie JanssenUS Takeda Joseph Sleiman, MD, FACP Julio Mayol Pär Myrelid Guy Worley Amy Lee Lightner, MD Vladimir Bolshinsky Antonino Spinelli David M. Schwartzberg, MD Debby Keller, MD Wound, Ostomy, and Continence Nurses Society David Liska Jon Vogel Luca Stocchi MD,MBA ASCRS_1 Benjamin Cohen MD MAS Maia Kayal MD Taha Qazi I don’t think that’s especially tricky. In the right hands, an IPAA is the first choice resulting in good QOL and no of stoma in the large majority of patient - not 💯 but most. With a permanent stoma still available. But like rectal Ca - carefully choose your surgeon!
Stefan Holubar MD MS Dr Feza Remzi #MondayNightIBD AbbVie JanssenUS Takeda Joseph Sleiman, MD, FACP Julio Mayol Pär Myrelid Guy Worley Amy Lee Lightner, MD Vladimir Bolshinsky Antonino Spinelli David M. Schwartzberg, MD John Monson MD FRCS FACS FASCRS Debby Keller, MD Wound, Ostomy, and Continence Nurses Society Laura Raffals, MD Maia Kayal MD Katie Dunleavy Reezwana C, MD, FACG Jonny Blackwell Paulo G. Kotze Fernando Gomollón Phil Smith For the #CRSurgery colleagues: If the pt choose to proceed w proctectomy & have an end ileostomy- but later in life wishes to proceed w IPAA : is that an option? Or would the pelvic scarring from proctectomy make IPAA more difficult or not possible ? #MondayNightIBD
Dr Feza Remzi Aline Charabaty, MD, FACG, AGAF Stefan Holubar MD MS #MondayNightIBD AbbVie JanssenUS Takeda Joseph Sleiman, MD, FACP Julio Mayol Pär Myrelid Guy Worley Amy Lee Lightner, MD Vladimir Bolshinsky Antonino Spinelli David M. Schwartzberg, MD John Monson MD FRCS FACS FASCRS Debby Keller, MD Laura Raffals, MD Maia Kayal MD Katie Dunleavy Reezwana C, MD, FACG Paulo G. Kotze Fernando Gomollón Phil Smith Segun Komolafe introduces prospective IPAA pts to identical twin sisters who both have a pouch - one with good QoL & one with less good results. I imagine this really helps inform pts’ decisions.
Great talk about innovation in stoma appliances by Richard Brady (researchactive.bsky.social) delivered during #IBD Masterclass #Berlin Paulo G. Kotze Nicolas Avellaneda Pär Myrelid Michel Adamina Lumír Kunovský Stefan Holubar MD MS
#ThursdayThanks 🌟Stefan Holubar MD MS & #GI #CRSurgery for sharing their expertise ✂️Give time & inform pts in their choice of IPAA or ileostomy ✂️If pt opt for ileostomy, complete the proctectomy! 🌟GutlessandGlamorous & pts for 🔎 unmet post-op support & education needs ✅#IBDAlgo👇🏽
#MondayNightIBD Stefan Holubar MD MS GutlessandGlamorous Nigel H 🎸🎸🎸🎸🥁 Danielle Marie Vitelli O’Connor About IBD: Amber-Writer, Journalist, Podcast Host Lori Plung Tina Aswani-Omprakash, MPH Brooke Abbott Abron aka The Crazy Creole Mommy Natalie Hayden ⭐️Megan E. Riehl, PsyD⭐️ #IBDAlgo #MondayNightIBD Aline Charabaty, MD, FACG, AGAF @josephHabibi_MD 🎯#IPAA vs #Ostomy considerations in adults w UC Stefan Holubar MD MS ✅Who is fit for IPAA vs who is not ✅What if pts decide to stop at the ileostomy stage? 🎯PostConvo #CME polls🗳️👇(Answers in #IBDAlgo😉) Dr Feza Remzi
#MondayNightIBD Stefan Holubar MD MS GutlessandGlamorous Nigel H 🎸🎸🎸🎸🥁 Danielle Marie Vitelli O’Connor About IBD: Amber-Writer, Journalist, Podcast Host Lori Plung Tina Aswani-Omprakash, MPH Brooke Abbott Abron aka The Crazy Creole Mommy Natalie Hayden ⭐️Megan E. Riehl, PsyD⭐️ Joseph Sleiman, MD, FACP Dr Feza Remzi John Monson MD FRCS FACS FASCRS Jonny Blackwell Pär Myrelid Nicolas Avellaneda Phillip Fleshner MD Segun Komolafe Imran Khan Kakar, MD Shrinivas Bishu Vladimir Bolshinsky Jonathan Segal #PostConvo #IBDPoll1️⃣ 🆓#CME👉🏽bit.ly/HolubarPost ASUC, no response to IV Steroids & IFX ⬇️10lbs prior to 🏥; albumin 2.8, CRP 25,Hb 6. Plan for colectomy & #IPAA 💜What is the #safest 1st surgical step? (total colectomy=✂️colon+rectum; colectomy =✂️colon + leave rectum in)
#MondayNightIBD Stefan Holubar MD MS GutlessandGlamorous Nigel H 🎸🎸🎸🎸🥁 Danielle Marie Vitelli O’Connor About IBD: Amber-Writer, Journalist, Podcast Host Lori Plung Tina Aswani-Omprakash, MPH Brooke Abbott Abron aka The Crazy Creole Mommy Natalie Hayden ⭐️Megan E. Riehl, PsyD⭐️ Joseph Sleiman, MD, FACP Dr Feza Remzi John Monson MD FRCS FACS FASCRS Jonny Blackwell Pär Myrelid Nicolas Avellaneda Phillip Fleshner MD Segun Komolafe Imran Khan Kakar, MD Shrinivas Bishu Vladimir Bolshinsky Jonathan Segal #PostConvo #IBDPoll2️⃣ 🆓#CME👉🏽bit.ly/HolubarPost Patient w long standing UC-PSC in remission on 5ASA; Now multifocal flat low grade dysplasia in right colon, no dysplasia in the rectum. You discuss 2-step IPAA. 💜Compared to UC without PSC, this patient is at ⬆️ risk of?
#DressInBlueDay Cleveland Clinic We wear blue to raise awareness of colorectal cancer, encourage screening, early diagnosis of symptoms, and treatment by a multidisciplinary team of compassionate experts. Colorectal Cancer Alliance Fight Colorectal Cancer ASCRS_1 Miguel Regueiro Scott R. Steele Steven D Wexner MD, PhD
#DCRJournal New Technology Brief on 3-Dimensional Pouchography: bit.ly/4hgPqPY Stefan Holubar MD MS
Great collaboration by Cleveland Clinic colorectal surgery PA Tyler Cross and Emre Gorgun showing the benefits of a trained robotic bedside assist in improving efficiency. Congrats Tyler on receiving the APP research grant! #DDW2025 #SSAT2025 Miguel Regueiro Hannah Horne
Overview of exciting research presented by Cleveland Clinic colorectal research fellows, residents, APPs, and staff at #SSAT2025 #DDW2025. Stefan Holubar MD MS Miguel Regueiro Emre Gorgun Michael A. Valente Arielle Kanters David Rosen Scott R. Steele
Grateful to be part of this important work. Locally advanced rectal cancers in IBD are distinct from sporadic cases with different treatment responses and call for novel, tailored treatment strategies. David Liska Emre Gorgun Stefan Holubar MD MS Sudha Amarnath MD