Pouch expert Dr Laura Raffals joins Dr Sunanda Kane to deep-dive into patient care after J-pouch surgery. Topics include pouchitis, Crohn's of the pouch, pelvic floor dysfunction, and pregnancy.

Relevant disclosures can be found with the episode show notes on Medscape (https://www.medscape.com/viewarticle/984009). The topics and discussions are planned, produced, and reviewed independently of advertisers. This podcast is intended only for US healthcare professionals.

Resources

Ulcerative Colitis https://emedicine.medscape.com/article/183084-overview

Ileal Pouch-anal Anastomosis https://emedicine.medscape.com/article/1892231-overview

Northwestern Medicine Feinberg School of Medicine Faculty Profiles https://www.feinberg.northwestern.edu/faculty-profiles/az/profile.html?xid=29442

Microbiome Analysis of Mucosal Ileoanal Pouch in Ulcerative Colitis Patients Revealed Impairment of the Pouches Immunometabolites https://pubmed.ncbi.nlm.nih.gov/34831464/

University of Chicago, Biological Sciences Division Faculty https://biologicalsciences.uchicago.edu/faculty/eugene-b-chang-md

Mayo Clinic Department of Gastroenterology and Hepatology Biographies https://www.mayoclinic.org/biographies/camilleri-michael-m-d/bio-20054405

Crohn Disease https://emedicine.medscape.com/article/172940-overview

Complications Related to J-pouch Surgery https://pubmed.ncbi.nlm.nih.gov/30846911/

A Systematic Review: The Management and Outcomes of Ileal Pouch Strictures https://pubmed.ncbi.nlm.nih.gov/29155985/

Pre-pouch Ileitis Is Associated With Development of Crohn's Disease-like Complications and Pouch Failure https://pubmed.ncbi.nlm.nih.gov/33300546/

Primary Sclerosing Cholangitis https://emedicine.medscape.com/article/187724-overview

Pathologic Features and Clinical Significance of "Backwash" Ileitis in Ulcerative Colitis https://pubmed.ncbi.nlm.nih.gov/16224214/

Efficacy and Safety of Biologics and Small Molecule Drugs for Patients With Moderate-to-severe Ulcerative Colitis: A Systematic Review and Network Meta-Analysis https://pubmed.ncbi.nlm.nih.gov/34856198/

Anastomotic Leak After Ileal Pouch-Anal Anastomosis https://pubmed.ncbi.nlm.nih.gov/34853564/

Inflammatory Bowel Disease https://emedicine.medscape.com/article/179037-overview

Ileostomy https://pubmed.ncbi.nlm.nih.gov/30085545/

Pelvic Floor Dysfunction https://pubmed.ncbi.nlm.nih.gov/32644672/

The London Classification: Improving Characterization and Classification of Anorectal Function With Anorectal Manometry https://pubmed.ncbi.nlm.nih.gov/32935278/

Defining Normal Pouch Function in Patients With Ileal Pouch-Anal Anastomosis: A Pilot Study https://pubmed.ncbi.nlm.nih.gov/35274320/

MR Defecography Review https://pubmed.ncbi.nlm.nih.gov/31544226/

Pouch Function and Gastrointestinal Complications During Pregnancy After Ileal Pouch-anal Anastomosis https://pubmed.ncbi.nlm.nih.gov/20608799/

Drs Sunanda Kane and Peter D. Higgins discuss the first 72 hours of inpatient UC care. What are best practices for diet and painkillers? When should your patient see a surgeon? Tune in to find out.

Relevant disclosures can be found with the episode show notes on Medscape (https://www.medscape.com/viewarticle/984006). The topics and discussions are planned, produced, and reviewed independently of advertisers. This podcast is intended only for US healthcare professionals.

Resources

Ulcerative Colitis https://emedicine.medscape.com/article/183084-overview

Efficacy and Safety of Biologics and Small Molecule Drugs for Patients With Moderate-to-Severe Ulcerative Colitis: A Systematic Review and Network Meta-analysis https://pubmed.ncbi.nlm.nih.gov/34856198/

Anti-TNF Therapy https://pubmed.ncbi.nlm.nih.gov/27726761/

Cyclosporine in Severe Ulcerative Colitis Refractory to Steroid Therapy https://pubmed.ncbi.nlm.nih.gov/8196726/

Developing an Instrument to Assess the Endoscopic Severity of Ulcerative Colitis: The Ulcerative Colitis Endoscopic Index of Severity (UCEIS) https://pubmed.ncbi.nlm.nih.gov/21997563/

Fecal Calprotectin https://pubmed.ncbi.nlm.nih.gov/30342711/

Tofacitinib Induction Therapy Reduces Symptoms Within 3 Days for Patients With Ulcerative Colitis https://pubmed.ncbi.nlm.nih.gov/30012431/

The Janus Kinases (Jaks) https://pubmed.ncbi.nlm.nih.gov/15575979/

Inpatient Therapy With Calcineurin Inhibitors in Severe Ulcerative Colitis https://pubmed.ncbi.nlm.nih.gov/33319248/

Join Drs Sunanda Kane and Linda (Annie) Feagins as they discuss dietary issues such as malnutrition; fiber, dairy, gluten, and red meat intake; and hospital meal plans when treating patients with UC.

Relevant disclosures can be found with the episode show notes on Medscape (https://www.medscape.com/viewarticle/984005). The topics and discussions are planned, produced, and reviewed independently of advertisers. This podcast is intended only for US healthcare professionals.

Resources

Inflammatory Bowel Disease https://emedicine.medscape.com/article/179037-overview

Malnutrition and Quality of Life Among Adult Inflammatory Bowel Disease Patients https://onlinelibrary.wiley.com/doi/full/10.1002/jgh3.12278

Role of Diet in the Development and Management of Crohn's Disease https://pubmed.ncbi.nlm.nih.gov/32185530/

Gluten-Free Diet in IBD: Time for a Recommendation? https://pubmed.ncbi.nlm.nih.gov/32558265/

Use of the Low-FODMAP Diet in Inflammatory Bowel Disease https://onlinelibrary.wiley.com/doi/10.1111/jgh.13695

Inulin and Oligofructose in Chronic Inflammatory Bowel Disease https://academic.oup.com/jn/article/137/11/2572S/4664508?login=false

A Randomized Trial Comparing the Specific Carbohydrate Diet to a Mediterranean Diet in Adults With Crohn's Disease https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8396394/

Breaking the Vicious Cycle: Intestinal Health Through Diet (by Elaine Gottschall) https://breakingtheviciouscycle.info/

A Diet Low in Red and Processed Meat Does Not Reduce Rate of Crohn's Disease Flares https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6726378/

The Role of Carrageenan in Inflammatory Bowel Diseases and Allergic Reactions: Where Do We Stand? https://pubmed.ncbi.nlm.nih.gov/34684400/