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Can Day 1 scores predict IV steroid failure in acute severe UC (#ASUC)? ๐ฅ
โOur new multicenter study in @JCrohnsColitis compares 3 admission scores (ROR, ADMIT-ASC, ACE) in 238 hospitalized patients.
โAll showed moderate discrimination (AUROC 0.66โ0.72; P=.17) ๐งต๐
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Key trade-offs at published thresholds:
โโข ADMIT-ASC & ACE: High specificity (~90%) but low sensitivity (~22%) โ great to rule in high risk
โข ROR: Higher sensitivity (82%) with lower specificity (49%)
โPerformance was similar in biologic-naive vs exposed patients.
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Take-home: Day 1 scores are valuable clinical adjuncts for early risk assessment in identifying steroid non-responders early โฑ๏ธ.
โ๐ doi.org/10.1093/ecco-jcc/jjaโฆ
โ#IBD #GITwitter #MedTwitter #UlcerativeColitis #ibdtwitter
Pradeep K Ramaswamy retweeted
๐ฉ Could a familiar GI biomarker help predict which patients with immune checkpoint inhibitor colitis won't respond to corticosteroids? ๐๐ฎ
This research in @FrontGastro_BMJ examines faecal calprotectin as a predictor of corticosteroid non-responsiveness in patients with immune checkpoint inhibitor colitis. ๐ฌ๐
Identifying non-response earlier could help inform treatment decisions in this increasingly important complication of cancer immunotherapy. ๐ฏ๐ฉบ
Explore the findings here ๐
fg.bmj.com/content/early/202โฆ
#Immunotherapy #Colitis #FaecalCalprotectin #CancerTreatment #Gastroenterology #Oncology #MedicalResearch #GITwitter
@BritSocGastro @my_UEG @AmCollegeGastro @DDWMeeting @ESGE_news @dr_aditi_kumar @OTavabie @DrJMKennedy @DunnePdj @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman
Pradeep K Ramaswamy retweeted
Dr. Naresh Bhat delivered a remarkable lecture on "Four Decades of IBD in India." There could not have been anyone more apt to tell this storyโhaving not only witnessed the journey but also played a pivotal role in shaping it. @Nareshbhat14 @drkrpradeep @ibdseb @vandana_midha @drvishal82 @sundar_s1955 @DrLakhtakia
Pradeep K Ramaswamy retweeted
๐ฉ Could a stool test predict steroid failure in ICI colitis?
Immune checkpoint inhibitor (ICI) colitis can be difficult to manage, with up to one-third of patients requiring escalation beyond corticosteroids.
This study found:
๐ Faecal calprotectin predicted steroid non-response
๐ฏ A threshold of >620 ฮผg/g identified patients more likely to require infliximab or vedolizumab
๐ฌ Endoscopic severity and histology were not predictive in this cohort
๐ fg.bmj.com/content/early/202โฆ
#FrontlineGastroenterology #IBD #Oncology #Immunotherapy #Calprotectin #MedEd
@PhilSmithIsBack @OTavabie @dr_aditi_kumar @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman @BSGtrainees @WorldGastroOrg @ulstergastro @SEEDendoscopia @AmCollegeGastro @Aegastro @SAGES_updates @WAGE_media @my_UEG @amergastroassn @NASPGHAN @UHSEndoscopy @ESGE_news @amergastroassn @BritSocGastro @ASGEendoscopy
Pradeep K Ramaswamy retweeted
Acute severe UC: can early markers predict who responds to second-line therapy? ๐จ๐ฉบ
The RESCUE-ASC study in @FrontGastro_BMJ shows how endoscopic severity and C-reactive protein can help predict initial and 12-month outcomes after rescue medical therapy in acute severe ulcerative colitis. ๐๐
Essential reading for IBD teams managing high-stakes inpatient UC decisions.
Read more: fg.bmj.com/content/early/202โฆ
#AcuteSevereUC #UlcerativeColitis #IBD #CRP #Endoscopy #FrontlineGastro #GItwitter #InflammatoryBowelDisease #IBDTreatment #ClinicalResearch @drkrpradeep @BritSocGastro @my_UEG @AmCollegeGastro @DDWMeeting @ESGE_news @dr_aditi_kumar @OTavabie @DrJMKennedy @DunnePdj @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman
Pradeep K Ramaswamy retweeted
Subcutaneous infliximab monotherapy in IBD: does it persist in the real world? ๐๐
In @FrontGastro_BMJ, this real-world study examines treatment persistence and efficacy of subcutaneous infliximab monotherapy in patients with inflammatory bowel disease. ๐งโโ๏ธ๐ฌ
Important data as IBD services consider convenience, adherence, drug levels and long-term treatment strategy.
Read more: fg.bmj.com/content/early/202โฆ
#IBD #Infliximab #SubcutaneousInfliximab #CrohnsDisease #UlcerativeColitis #FrontlineGastro #GItwitter #InflammatoryBowelDisease #IBDTreatment #ClinicalResearch @BritSocGastro @my_UEG @AmCollegeGastro @DDWMeeting @ESGE_news @dr_aditi_kumar @OTavabie @DrJMKennedy @DunnePdj @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman
Pradeep K Ramaswamy retweeted
A big shoutout to the winners of the ECCO-IBUS Research Grant 2025, announced during the IBUS Members Meeting in Stockholm, Sweden on Wednesday, February 18th โ Dr. Johanna Vos and Dr. Pradeep K. Ramaswamy ๐๐ป
Congratulations on this well-deserved recognition! ๐๐๐ป
Congratulations to Dr Subhaharan on the oral presentation at ECCO 2026,Stockholm! He presented our prospective study on Transperineal Ultrasound in identifying steroid non-response in ASUC - the TRANSPIRE study.
@BowelUltrasound
#ECCO2026
#ECCO26
#GItwitter
#IBDtwitter
Pradeep K Ramaswamy retweeted
S/C IFX - A REAL WORLD EXPERIENCE
โญ Original research - check out this retrospective observational cohort study! โญ
๐ง 101 adult patients on SC-IFX monotherapy - 57 (56.4%) CD, 44 (43.6%) UC
๐ Treatment persistence at 12 months was 91.1% (92/101) with maintenance or improvement of clinical, biochemical and endoscopic outcomes at 12 months
๐ Multivariate regression analysis identified prior ileal resection as an independent predictor of treatment discontinuation at 12โmonths
Check out the full paper here!! ๐ ๐ ๐
fg.bmj.com/content/early/202โฆ
@PhilSmithIsBack @OTavabie @dr_aditi_kumar @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman @JonnyBlackwell @alenkabrooks @DCharabaty @jennie_clough @rachelcooney7 @DisneyBen @bealoquebea @jklimdi @wingyanjoyce @Jonathansegal85
#IBD #IBDTwitter #IBDAwareness #myIBD #IBDChat #inflammatoryboweldisease
Pradeep K Ramaswamy retweeted
๐ฅ ASUC rescue therapy just got predictable.
Second-line medical rescue therapy responders can be identified early with:
๐น UCEIS <6
๐น CRP <22 mg/L on day 3
Near-zero colectomy risk in both cohorts.
๐ Read the RESCUE-ASC study: fg.bmj.com/content/early/202โฆ
Led by @drkrpradeep
#IBD #FGjournal #FGoriginalresearch #MedTwitter
@CrohnsColitisUK @BritSocGastro @Y_ECCO_IBD @my_ueg @CrohnsColitisFn @CrohnsColitisR
@PhilSmithIsBack @OTavabie @dr_aditi_kumar @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman
Our new publication in @FrontGastro_BMJ
Predictors of response to Medical rescue therapy in ASUC: RESCUE-ASC STUDY
- UCEIS < 6
- CRP on day 3 Post rescue <22mg/L
Identifies patients who avoid colectomy
doi: 10.1136/flgastro-2025-103253
#GITwitter
#IBDTwitter
#MedTwitter
Pradeep K Ramaswamy retweeted
๐ฉธ@FrontGastro_BMJ:
Patients with IBD have a 57% increased risk of venous thromboembolism (VTE) within 30 days post-discharge (OR 1.57).
๐ Risk after non-surgical admissions even higher (OR 1.70).
๐Should extended thromboprophylaxis be routine for our IBD patients?
๐ fg.bmj.com/content/early/202โฆ
Pradeep K Ramaswamy retweeted
.Proud to see my young colleagues shine at CCFI Kochi.Congratulations Kayal , Harshad and Gayathri Shivakumar. Gratifying to see bowel ultrasound ( which we pioneered in Asia in 2017 ) now occupying centre stage @drkrpradeep @Kayalvn @drvishal82 @UmaMahadevanIBD @IBD_Houston
Pradeep K Ramaswamy retweeted
Our new data highlights the usefulness of transperineal ultrasound as an immediate treatment target for ulcerative colitis!
Early Reduction in Rectal Wall Thickness on Transperineal Ultrasound Predicts Mucosal Healing in Ulcerative Colitis academic.oup.com/ecco-jcc/arโฆ
The risk of VTE in hospitalized IBD patients extends up to 30 days after discharge.
Our latest publication in @FrontGastro_BMJ
Should we consider extended thromboprophylaxis in all hospitalized IBD patients?
๐ bit.ly/3HiI0zC
#IBD #GItwitter #IBDtwitter
The risk of VTE in hospitalized IBD patients extends up to 30 days after discharge - 57% increased risk of VTE within 30 days post-discharge (OR 1.57). The risk is even higher in non-surgical admissions (OR 1.70).
@Nareshbhat14
@Kayalvn
@FrontGastro_BMJ
@nagar_anu1972
























