Inflammatory Bowel Disease
Everything in the library about inflammatory bowel disease — built automatically from the recorded discussions that name it
Educational content from recorded physician discussions — not medical advice. Always talk to your child's care team about your child's situation.
Content of this collection
Evidence & Research
2 items
Journal of Pediatric Surgery Article Review: May 2023, CAPS Issue
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We’re featuring Journal of Pediatric surgery articles to bring you some of the latest news!
This week we are discussing 3 articles from May 2023, the CAPS issue, with editor Dr. Sonia Butterworth and authors Drs. Jacob Langer, Reto Baert
podcast11:17 · Aug 2023
Quick Literature Updates Episode 15
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We’re back with fifteenth episode of "Quick Literature Updates" the podcast series that delivers the latest updates in pediatric surgery literature in a quick and digestible format. In each episode, we review articles covering the most inte
video4:12 · Jan 2024
Case-Based Learning
1 item
Colorectal Quiz Episode 26: Perianal Crohn's Disease
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In this week's episode, Dr. Levitt and Dr. Frischer discuss perianal Crohn's disease with Dr. Lisa McMahon, director of the IBD center at Phoenix Children's Hospital and pediatric surgery fellow, Dr. Cristine Velazco.
We'll go over how to a
podcast23:58 · Jan 2022
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Every expert statement below comes from the recorded discussions, with its speaker and moment.
Journal of Pediatric Surgery Article Review: May 2023, CAPS Issue
The Hirschsprung-associated IBD study was retrospective, looked at data from 2000 to 2021 at 17 institutions
clinicalCecilia Gigena1:33 ↗
55 patients were included in the Hirschsprung study, 50% had long segment disease
clinicalCecilia Gigena2:05 ↗
Enterocolitis was reported in 68% of Hirschsprung patients after pull-through
clinicalCecilia Gigena2:05 ↗
The most common presentation was colonic or small bowel inflammation resembling IBD
clinicalCecilia Gigena2:17 ↗
Three risk factors for Hirschsprung-associated IBD: trisomy 21, history of enterocolitis following surgery, and long segment disease
clinicalJacob Langer2:24 ↗
Biologic therapy is powerful and most likely to be effective for Hirschsprung-associated IBD
clinicalSonia Butterworth2:33 ↗
Hirschsprung-associated IBD is very poorly defined and presents in a number of different ways
clinicalJacob Langer3:05 ↗
Hirschsprung enterocolitis that persists past age 5 or is unresponsive to typical treatment under age 5 should prompt consideration of this diagnosis
clinicalSonia Butterworth3:18 ↗
The COVID-19 study assessed patients from February 2018 to June 2019 as pre-pandemic control and mid-February 2020 to June 2021 as COVID period
epidemiologicalEm Tombash4:32 ↗
1100 patients total: 44% in pre-pandemic group, 56% in COVID-19 group
epidemiologicalEm Tombash4:55 ↗
A larger proportion of complicated appendicitis occurred during COVID-19 compared to pre-pandemic period
epidemiologicalEm Tombash4:55 ↗
Complicated appendicitis was defined as: perforated appendicitis, clear purulent peritonitis, or small bowel obstruction from appendicitis
clinicalGreta Bercher5:18 ↗
Symptom duration at presentation and length of stay were not significantly different between pre-pandemic and COVID groups
epidemiologicalEm Tombash5:28 ↗
Median symptom duration was 1 day pre-COVID and 2 days during pandemic, though not statistically significant
epidemiologicalSonia Butterworth5:55 ↗
There was a clinically significant difference in symptom duration despite lack of statistical significance
opinionSonia Butterworth6:18 ↗
Increased rate of perforation occurred during pandemic versus pre-pandemic
epidemiologicalSonia Butterworth6:56 ↗
Patients during pandemic stayed in hospital longer and had increased risks of complications
epidemiologicalSonia Butterworth7:03 ↗
Ontario government made it mandatory that all patients below 18 years of age had to be treated at a pediatric hospital during pandemic
guidelineGreta Bercher7:08 ↗
The button battery study evaluated if implementation of a clinical algorithm shortened time from diagnosis to removal
clinicalCecilia Gigena7:54 ↗
The algorithm was based on the national database algorithm and implemented in October 2019
clinicalCecilia Gigena8:09 ↗
The institution already had a CART (critical airway response team) that activated all stakeholders except gastroenterology
clinicalKaterina Dukleska8:20 ↗
Time from chest X-ray to button battery removal was shortened from 73 to 35 minutes after implementing the protocol
clinicalCecilia Gigena8:45 ↗
Even 73 minutes was a very impressive target before protocol implementation
opinionSonia Butterworth9:10 ↗
Button battery ingestions are not common events
epidemiologicalKaterina Dukleska9:45 ↗
Anticipated decrease in major complications for button battery patients with faster removal times
opinionKaterina Dukleska9:45 ↗
Quick Literature Updates Episode 15
The Hirschsprung-associated IBD study was retrospective, gathering patients from 2000 to 2021 at 17 institutions
epidemiologicalCecilia Gigena0:59 ↗
The study identified 55 Hirschsprung patients, with 50% having long segment disease
epidemiologicalCecilia Gigena1:14 ↗
68% of the Hirschsprung patients had Hirschsprung-associated enterocolitis
epidemiologicalCecilia Gigena1:19 ↗
10% of the Hirschsprung patients had trisomy 21
epidemiologicalCecilia Gigena1:19 ↗
Long segment disease, Hirschsprung-associated enterocolitis, and trisomy 21 are potential risk factors for IBD-like symptoms in Hirschsprung patients after pull through
clinicalCecilia Gigena1:19 ↗
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