CME Credit Hours: 1.25
There are many controversies in the treatment of inflammatory bowel disease. This symposium will focus on three areas of controversy:
- Two vs three-stage pouch for patients with ulcerative colitis
- Cessation of biologics prior to semi-elective resection for patients with Crohn’s disease
- Treatment of low-grade dysplasia in the setting of ulcerative colitis
A case-based discussion, with invited quick review of the relevant literature, audience polling and participation, and discussion of risks benefits and caveats by an expert panel in the medical and surgical management of inflammatory bowel disease.
Objectives
At the conclusion of this session, participants should be able to:
- Discuss the clinical scenarios where two-stage pouch procedures would be preferable to three-stage operations, and vice versa
- Explore the nuances in perioperative management of immunosuppression in steroid dependent patients: is active disease at the time of surgical intervention associated with worse outcomes than active immunosuppression?
- Evaluate if a total proctocolectomy is essential in all CUC patients with low-grade dysplasia; is there any role of surveillance in the era of image-enhanced endoscopy?
Co-Directors
Syed Husain, MD, Columbus, OH
Sharon Stein, MD, Cleveland, OH
Introduction
Syed Husain, MD, Columbus, OH
Sharon Stein, MD, Cleveland, OH
Three-stage Procedure for Chronic Ulcerative Colitis is Preferable to Two-stage Procedures
Karen Zaghiyan, MD, Los Angeles, CA
Two-stage Procedure for Chronic Ulcerative Colitis is Preferable to Three-stage Procedures
Hiroko Kunitake, MD, Boston, MA
Case Presentation and Panel Discussion
Syed Husain, MD, Columbus, OH
Sharon Stein, MD, Cleveland, OH
Preoperative Cessation of Immunosuppression is Necessary in Steroid Dependent Crohn’s Patients Before Semi-Elective Surgeries
Lisa Cannon, MD, Rochester, NY
Preoperative Cessation of Immunosuppression is Not Necessary in Steroid Dependent Crohn’s Patients Before Semi-Elective Surgeries
Stefan Holubar, MD, Cleveland, OH
Case Presentation and Panel Discussion
Syed Husain, MD, Columbus, OH
Sharon Stein, MD, Cleveland, OH
Low-grade Dysplasia is an Absolute Indication for Total Proctocolecotmy in Chronic Ulcerative Colitis Patients
Samuel Eisenstein, MD, La Jolla, CA
Not All Chronic Ulcerative Colitis Patients with Low-grade Dysplasia Require Total Proctocolectomy
Karen Zaghiyan, MD, Los Angeles, CA
Case Presentation and Panel Discussion
Syed Husain, MD, Columbus, OH
Sharon Stein, MD, Cleveland, O
Adjourn