Dr Barnes reviews a case-based discussion at the Crohn's & Colitis Congress on managing ulcerative colitis.

Edward Barnes, MD, is an assistant professor of medicine and gastroenterologist at the University of North Carolina at Chapel Hill.

TRANSCRIPT:

Edward Barnes, MD: I'm Ed Barnes from the University of North Carolina at Chapel Hill. I had the real pleasure to participate in a very interesting case-based discussion as part of the IBD A-Z as part of Crohn's & Colitis Congress today.

We went through a far-ranging series of case presentations that can occur in the management of patients with ulcerative colitis, and had a multidisciplinary approach to the management of patients with UC. Now I'd like to share with you just a few highlights of what we discussed.

We started with patients that had been doing quite well in the management of their ulcerative colitis, and then develop secondary loss of response. We went through how do you approach a patient that has secondary loss of response? How does this affect the next phase of treatment decisions?

We then moved through a patient that goes into clinical remission, and develops a complication that we often see within the hospital — up to a quarter of patients will develop acute severe ulcerative colitis.

We talked to a variety of different choices about how we manage acute severe ulcerative colitis, particularly if a patient has already failed multiple different therapies or better said, if those therapies have already failed that patient.

We then went into some of the multidisciplinary approaches to the management of ulcerative colitis, including the role of surgery. When is surgery appropriate, particularly in the management of acute severe ulcerative colitis but also how do we manage patients after they've had surgery, particularly those patients who have an ileal pouch ileoanal anastomosis.

If a patient develops inflammatory complications after they've had an ileal pouch ileoanal anastomosis, what's the role of a gastroenterologist? What's the role of a surgeon? How do we work together to improve outcomes for this patient after they've had these kinds of complications?

This is a far-ranging discussion as we work through the natural history of a patient with ulcerative colitis. I hope that you were able to tune in, and if you can't, I hope that you can catch this on the video recording because it's a great discussion.

I was happy to participate in this as part of the IBD A-Z, again, as part of Crohn's & Colitis Congress. Thanks so much for tuning in. I hope you're able to join this discussion.