RT @MondayNightIBD
3/#MondayNightIBD
#IBDPoll 1️⃣

➡️50-yo pt w 1y hx of SBS after multiple short bowel resections for stricturing Crohn’s
Labs show dehydration & nutrient deficiencies
U discuss initiating #ParenteralNutrition

➡️You focus on educating pt on which of the possible complications...

RT @MondayNightIBD
4/#ShortBowelSyndrome =most common cause of intestinal failure
⚖️Both SBS & #ParenteralNutrition are assc'd w significant complications
✳️Reqs complex, & lifelong, course of disease mgmt
⚠️Early appraisal & mgmt of CVC issues is vital for salvaging CVC & ⬆️QoL for the pt on PN

RT @MondayNightIBD
8/#MondayNightIBD #ShortBowelSyndrome

🏠Home #ParenteralNutrition & #EnteralNutrition
✔️Pt selection essential: acceptable home environment w support
✔️Pt/caregiver edu, routine monitoring essential to prevent/reduce complications
✔️Support groups provide support & networking

RT @MondayNightIBD
9/#MondayNightIBD

⚡️Essential that the MDT continues to engage in collaborative care even as pt initiates & responds to tx such as teduglutide
📊Monitor labs as pt weans from #ParenteralNutrition
🥪Adjust diet w changing nutrition needs
👨🏻‍🏫Educate & engage to optimize #adherence

RT @MondayNightIBD
17/#MondayNightIBD
#IBDPoll 1️⃣

➡️50-yo pt w 1y hx of SBS after multiple short bowel resections for stricturing Crohn’s
Labs show dehydration & nutrient deficiencies
U discuss initiating #ParenteralNutrition

➡️You focus on educating pt on which of the possible complications...

RT @MondayNightIBD
20/#ICYMI #MondayNightIBD #ShortBowelSyndrome #MedTweetorial
💡 Focus: #ParenteralNutrition

https://twitter.com/MondayNightIBD/status/1579581166860275712

20/#ICYMI #MondayNightIBD #ShortBowelSyndrome #MedTweetorial
💡 Focus: #ParenteralNutrition

---
RT @MondayNightIBD
1/📇Draw the rt cards #ParenteralNutrition #ShortBowelSyndrome w @valcohranmd @DCharabaty

#MNIBDTweetorial🧵
❤️PN Goals
♠️Dependence
♦️Complications
♣️Weaning, QoL +++

🏆#CME ℹ️http://bit.ly/3SZrpB4
Supported by an edu grant from @TakedaPharma

Where r u in your career?👇
https://twitter.com/MondayNightIBD/status/1579581166860275712

17/#MondayNightIBD
#IBDPoll 1️⃣

➡️50-yo pt w 1y hx of SBS after multiple short bowel resections for stricturing Crohn’s
Labs show dehydration & nutrient deficiencies
U discuss initiating #ParenteralNutrition

➡️You focus on educating pt on which of the possible complications...

9/#MondayNightIBD

⚡️Essential that the MDT continues to engage in collaborative care even as pt initiates & responds to tx such as teduglutide
📊Monitor labs as pt weans from #ParenteralNutrition
🥪Adjust diet w changing nutrition needs
👨🏻‍🏫Educate & engage to optimize #adherence

8/#MondayNightIBD #ShortBowelSyndrome

🏠Home #ParenteralNutrition & #EnteralNutrition
✔️Pt selection essential: acceptable home environment w support
✔️Pt/caregiver edu, routine monitoring essential to prevent/reduce complications
✔️Support groups provide support & networking

4/#ShortBowelSyndrome =most common cause of intestinal failure
⚖️Both SBS & #ParenteralNutrition are assc'd w significant complications
✳️Reqs complex, & lifelong, course of disease mgmt
⚠️Early appraisal & mgmt of CVC issues is vital for salvaging CVC & ⬆️QoL for the pt on PN

3/#MondayNightIBD
#IBDPoll 1️⃣

➡️50-yo pt w 1y hx of SBS after multiple short bowel resections for stricturing Crohn’s
Labs show dehydration & nutrient deficiencies
U discuss initiating #ParenteralNutrition

➡️You focus on educating pt on which of the possible complications...

10/#ICYMI #MondayNightIBD #ShortBowelSyndrome #MedTweetorial
💡 Focus: #ParenteralNutrition

---
RT @MondayNightIBD
1/📇Draw the rt cards #ParenteralNutrition #ShortBowelSyndrome w @valcohranmd @DCharabaty

#MNIBDTweetorial🧵
❤️PN Goals
♠️Dependence
♦️Complications
♣️Weaning, QoL +++

🏆#CME ℹ️http://bit.ly/3SZrpB4
Supported by an edu grant from @TakedaPharma

Where r u in your career?👇
https://twitter.com/MondayNightIBD/status/1579581166860275712

RT @valcohranmd
@MondayNightIBD @DCharabaty @BonumCe @TakedaPharma @US_FDA 7/Teduglutide FDA indication:
✅Approved in adult & pediatric patients (≥1 year of age) w/ #ShortBowelSyndrome who are dependent on #ParenteralNutrition
✅Approval in adults based on STEPS trial

#MondayNightIBD

RT @valcohranmd
@MondayNightIBD @DCharabaty @BonumCe @TakedaPharma @US_FDA 8/ Phase 3 STEPS trial: double-blind, randomized study
📝Evaluated if teduglutide⬇️reduces #ParenteralNutrition requirement in adult pts w SBS-IF

📋Eligibility criteria
✓≥12m PN dependency
✓Requiring ≥3x weekly to meet caloric, fluid, or electrolyte needs

#MondayNightIBD