So, through the little incision that I make on the side where I'm taking the slipping ribs out, I just put the probe a little bit more lateral to where, um, usually I plate. So where the plates are kind of just a little bit more laterally on the ribs and cryo there externally.
Remicade (infliximab) has the most literature on healing perianal disease; Humira also has good evidence but less literature; Stelara and vedolizumab are sometimes used with less information available.
Literature shows about a 10% response rate for perianal fistulas even without biologics if a seton is placed and removed, with much better outcomes with biologics.
clinicalIt is common to have perianal disease in Crohn's; this patient had a delay in diagnosis and had perianal disease for quite some time with multiple skin tags and fissures.↗
▶Ep 115 · 17:54
clinicalSetons should remain in place for at least 6 months to allow the inflammatory tract to become non-inflammatory.↗
▶Ep 115 · 18:45
clinicalFor recurrent patients requiring repeat seton placement, repeat imaging should be obtained before seton removal.↗
▶Ep 115 · 19:12
epidemiologicalLiterature shows about a 10% response rate for perianal fistulas even without biologics if a seton is placed and removed, with much better outcomes with biologics.↗
▶Ep 115 · 20:27
clinicalRemicade (infliximab) has the most literature on healing perianal disease; Humira also has good evidence but less literature; Stelara and vedolizumab are sometimes used with less information available.↗
Lisa's statements about Crohn's Disease5 statements
clinicalIt is common to have perianal disease in Crohn's; this patient had a delay in diagnosis and had perianal disease for quite some time with multiple skin tags and fissures.↗
▶Ep 8 · 17:54
clinicalSetons should remain in place for at least 6 months to allow the inflammatory tract to become non-inflammatory.↗
▶Ep 8 · 18:45
clinicalFor recurrent patients requiring repeat seton placement, repeat imaging should be obtained before seton removal.↗
▶Ep 8 · 19:12
epidemiologicalLiterature shows about a 10% response rate for perianal fistulas even without biologics if a seton is placed and removed, with much better outcomes with biologics.↗
▶Ep 8 · 20:27
clinicalRemicade (infliximab) has the most literature on healing perianal disease; Humira also has good evidence but less literature; Stelara and vedolizumab are sometimes used with less information available.↗
Lisa's statements about Inflammatory Bowel Disease5 statements
clinicalIt is common to have perianal disease in Crohn's; this patient had a delay in diagnosis and had perianal disease for quite some time with multiple skin tags and fissures.↗
▶Ep 1 · 17:54
clinicalSetons should remain in place for at least 6 months to allow the inflammatory tract to become non-inflammatory.↗
▶Ep 1 · 18:45
clinicalFor recurrent patients requiring repeat seton placement, repeat imaging should be obtained before seton removal.↗
▶Ep 1 · 19:12
epidemiologicalLiterature shows about a 10% response rate for perianal fistulas even without biologics if a seton is placed and removed, with much better outcomes with biologics.↗
▶Ep 1 · 20:27
clinicalRemicade (infliximab) has the most literature on healing perianal disease; Humira also has good evidence but less literature; Stelara and vedolizumab are sometimes used with less information available.↗
Lisa's statements about Primary Spontaneous Pneumothorax3 statements
Journal of Pediatric Surgery Article REview: August Issue 2023
▶Ep 4 · 11:28
quoteI'm Lisa McMahon. I'm a pediatric surgeon at Phoenix Children's. Obviously in Phoenix. I am the director. Of the chest wall clinic and I'm the surgical director of our IBD clinic.↗
▶Ep 4 · 12:53
quoteSo, through the little incision that I make on the side where I'm taking the slipping ribs out, I just put the probe a little bit more lateral to where, um, usually I plate. So where the plates are kind of just a little bit more laterally on the ribs and cryo there externally.↗
▶Ep 4 · 14:27
clinicalAbdominal wall laxity after T9 and T10 cryoablation was seen only once, in a pectus patient rather than a slipping rib patient↗
Lisa's statements about Slipping Rib Syndrome3 statements
Journal of Pediatric Surgery Article REview: August Issue 2023
▶Ep 2 · 11:28
quoteI'm Lisa McMahon. I'm a pediatric surgeon at Phoenix Children's. Obviously in Phoenix. I am the director. Of the chest wall clinic and I'm the surgical director of our IBD clinic.↗
▶Ep 2 · 12:53
quoteSo, through the little incision that I make on the side where I'm taking the slipping ribs out, I just put the probe a little bit more lateral to where, um, usually I plate. So where the plates are kind of just a little bit more laterally on the ribs and cryo there externally.↗
▶Ep 2 · 14:27
clinicalAbdominal wall laxity after T9 and T10 cryoablation was seen only once, in a pectus patient rather than a slipping rib patient↗
