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Huge thanks to my mentors & co-authors: Douglas K. Rex, MD Renato Beas DIV Dalton Norwood, MD iGIE 🔗 tinyurl.com/iGIEpolyp

Gastric Varices Management ▪️GOV1 vs GOV2/IGV1 matters ▪️Active bleed? Start endoscopic control ▪️Use CT to assess vasculature ▪️Triphasic CT → shunt decision ▪️Options: EVL, TIPS, BRTO, CYA, combo #DDW2025

Why is shunt important for gastric varices? ▪️Shunt supplies variceal blood ▪️Shunt → higher recurrence post-EGD ▪️Risk of systemic embolization ▪️Enables IR access to varices ▪️Needed for BRTO, PARTO, CARTO ▪️TIPS improves ascites ▪️BRTO/TIPS may worsen encephalopathy

Endoscopy through stoma ▪️Use gastroscope for ileoscopy ▪️Use peds scope for colostomy ▪️Review stoma 1st ▪️Check for stenosis, prolapse, fistula ▪️Photo-doc peristomal findings ▪️Advance scope ≥10 cm past fascia ▪️Identify loop vs end ostomy ▪️Mucous fistula may be present

State of the art lecture on the management of perianal #crohnsdisease by the master Miguel Regueiro #DDW2025 #IBD Bookmark this algorithm for your daily practice 👇

#Anemia is more than a Hb number, it affects #IBD pts QOL & outcomes 🗳️PreB2B Polls 🧵#Back2Basics Aimen Farooq Arooj Mian May 12 📌Convo Jason Hou May 19 🆓#CME👉🏽 bit.ly/MNIBD24-25 Support by educ grants AbbVie JanssenUS Takeda 📌Where r you in your🩺?

Arooj Mian #MondayNightIBD Aline Charabaty, MD, FACG, AGAF Joseph Sleiman, MD, FACP Jason Hou Y-ECCO Crohn's & Colitis Foundation Tauseef Ali MD, FACG AGAF FACP Katie Dunleavy Romy Chamoun, MD Jami Kinnucan, MD, FACG, AGAF, FCCF Florian Rieder Sanjeevani Tomar, MD Seb Raymond Cross Girls With Guts Shannon Chang, MD Mariam Naveed, MD Miguel Regueiro Bincy Abraham, MD, MS David T. Rubin, MD Jalpa Devi Dheera Grover SAIA Jordan Axelrad, MD, MPH Christina Ha MD Jennifer Seminerio Patriciakaazan Daniyal Raza, MD Madhura Balasubramaniam Sumit Bhatia Susan Kais, MD Mazen Almasry, MD David Faleck Marcel Yibirin, MD, MPH Samiksha Pandey, MD, MSc Shrinivas Bishu David Fudman, MD Robert Battat MD Hira hanif Abdul Sattar Shariq Mohammed Vipul Jairath MBChB DPhil Nutritional Therapy for IBD YOGI_IBD Amanda Johnson, MD Meena Bewtra Nisha Loganantharaj Lumír Kunovský IBDJournal & CC360 Journal of Crohn's and Colitis 11/ Summary 🔹Anemia is multifactorial in IBD ❗️Prevalence of IDA is high & underdx ☹️Causes symptoms, poor QOL & poor IBD outcomes ➡️ Screen periodically & treat ⚖️IV vs PO iron should be individualized 🥩🫘Supplement w/ Fe + Vit C rich diet #MondayNightIBD #Back2Basics

Congratulations to our #IBD team! Jill Gaidos, MD recognized as Hero for Healing by the CT/Westchester chapter Crohn's & Colitis Foundation & Alexander Levy leading our IBD fellowship recognized by the IBD-START program! 🌟👏🏼

For my GI and surgical colleagues: A patient presents with a Crohn’s-related stricture — How do you decide between medical therapy, endoscopic dilation, or surgery? What factors guide your decision-making process? Let’s hear your approach. #IBD #Crohns #MedTwitter #GIsurgery

World IBD Day: a call to arms I’m asking our global IBD community—patients, clinicians, researchers, industry, tech and policy-makers—to rally around three clear goals. 1️⃣ Implement what already works — everywhere We have the tools; we’re just not using them universally. •

It's #WorldIBDDay & we’re breaking the silence on invisible challenges millions face- from pain & anxiety around food to stigma. Thanks to the Orgel family, all donations are matched* up to $200,000 through May 31- double your impact today! Match my gift: bit.ly/3Et5Ver

Today is #WorldIBDDay and we join IBD warriors, health care providers, researchers, & caretakers to raise awareness & make #IBDvisible! Use these toolkits to help guide your care for patients. 💜 #Crohns toolkit: ow.ly/1kQQ50VUiMn. 💜 #UC toolkit: ow.ly/TGOy50VUiMm.

🚨 New ACG Crohn’s Guidelines (2025) ▪️Scope at 6–12 mo post-op ▪️Early advanced therapy = key ▪️Anti-TNF, IL-23, JAKi > mesalamine ▪️High-risk = smoking, prior surgery, penetrating dz ▪️Surgery for abscess >2cm or strictures 🔗 bit.ly/acg-crohns-2025

Severe UC Pathway AJG - The American Journal of Gastroenterology ▪️≥6 bloody stools + signs ▪️Check C. diff & CMV ▪️Stop 5-ASA; start IV steroids ▪️Check sx & CRP daily ▪️No steroid response → rescue meds ▪️Rescue: IFX, JAKi ▪️Response → maintenance ▪️No response/complication → ✂️ 🔗 journals.lww.com/ajg/fulltext/2…

Dear colleagues, EBGI needs your help to reach 100 final survey responses Whether OR NOT you use social media for GI mentorship and career advancement, we still need your voice. We would be very grateful if you can fill today & share w/ colleagues 🔗 redcap.stanford.edu/surveys/?s=CAE…

🧬 Early is Better in Crohn’s Disease! A new multicenter study shows starting biologic therapy within 12 months of Crohn’s diagnosis significantly boosts transmural healing (TH)—a deeper healing target linked to better long-term outcomes. 🔹 TH rates tripled with early biologics

Exciting day as we welcome our new #GIfellows as they begin their fellowship journey and join our rising GI fellows! Ben Chipkin, MD, MS Hannah W Fiske Goodrich, MD Sope Oguntuyo Tejasav Sehrawat, MD Parth Trivedi Mary White & Drs. Mariko Maxwell & Madison Peregoy

Everything (history, phys exam, 🩸 tests, biopsy, response to treatment) is a diagnostic test with imperfect sensitivity & specificity You are not a computer. Patients are not multiple choice test questions We have to learn to live in the grey zone Biopsy performance in AIH👇

First lecture of the academic year - on call emergency series 🚨‼️🏥 starting with #GIbleeding 🩸with Loren Laine & next up Guadalupe GarciaTsao with portal hypertension! #GIFellowship Eleazar Montalvan “Monte” Ben Chipkin, MD, MS Mary White Parth Trivedi Shreyak Sharma Hannah W Fiske Goodrich, MD Swathi Krishnan

🚨 Attention 1️⃣st year GI fellows 🚨 Enjoying your first few weeks of fellowship? Still struggling to find your feet? 😬 🌟 Check out our GI Fellow Handbook 📖 💡 A nifty guide for tips, tricks, and advice for those formulative early months ✅ ✍️ BY 1st years ✍️ FOR 1st years