Alex Elford
@AlexElford3
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I'm a passionate Tasmanian academic gastroenterologist with a keen interest in improving patient care, conducting research, and providing education :)
Hobart, Tasmania
Joined June 2022
#ECCO consensus on diet in #IBD Malnutrition is common in IBD, here is an algorithm for when to undertake a nutritional assessment The consensus also critiques the methods to measure body composition in IBD Full paper👉🏽 https://t.co/rhUzgRbPng
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#ECCO consensus on diet in #IBD Summary of evidence for SUPPLEMENTS in IBD 🟩Recommend 🟨Can be considered 🟥Not recommended 🟦Not enough evidence Evidence for supplements in IBD almost completely lacking. Where done, sometimes shows not to recommend. https://t.co/rhUzgRbPng
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The #ECCO consensus on diet in #IBD We considered evidence in five areas 1⃣Diet to induce remission 2⃣Diet to maintain remission 3⃣Diet for specific situations 4⃣Nutritional optimisation 5⃣Diet to prevent IBD Made 4⃣8⃣ statements for practice Paper👉🏽 https://t.co/rhUzgRcncO
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Diet advice should be tailored based on clinical scenarios that patients with #IBD encounter 🗣 Tips and tricks from @JHashashMD ✅During flare-up: 🔸Individualize (all-formula diet, partial enteral nutrition) 🔸Consider a specific carbohydrate diet 🔸Mediterranean diet as
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New research - Vedolizumab in early and late Crohn's disease (LOVE-CD): a phase 4 open-label cohort study https://t.co/0bti9TqUag
#GITwitter #MedTwitter
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#ACG2025 Future of #IBD care @DrCoreySiegel The problems 📈1/100 ppl by 2035 👎🏼<20% pts get effective Rx 🤝No resources for MultiD & chronic dis. care 🚗Access to IBD center 📸Solutions for ✅Sustainable IBD care 🙃upside down referral pattern ⭕️#RADIUS program👇🏽
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Great talk by Emma Flanagan @icius Congress - more reliable than FC and symptoms for adverse neonatal outcomes - feasible for colonic disease through pregnancy, can have difficulties with TI in 2nd trimester and beyond
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Great talk from Simon Ghaly at #icius Congress - nice algorithm for post-operative monitoring - needs validation before prime time - could save significant colonoscopy resources
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Nice talk by Julien Schulberg #icius regarding IUS and strictures - IUS stricture resolution associated with long term response - SICUS improves detection - interest in water bolus prior to IUS with nice case presented
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Nice talk from Bram Verstockt #icius Congress - IUS and histology clearly demonstrate that UC is a transmural disease - exciting future for delineating inflammatory va fibrosis stricture - submucosal layer predicts treatment response in UC
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Great abstract of merit @icius Congress - almost $500,000 cost savings per annum at a tertiary hospital... not including MRI and histology - carbon footprint much superior - will free up space for bowel cancer screening :)
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Nice summary of consensus statements for IUS by Jakob Begun @icius Congress - greater uptake of IUS in clinical practice is needed - informs treatment response - more affordable and tolerable than other modalities - remission=BWT<3mm and no colour doppler
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Great talk, Dr. krisztina gecse #icius Congress - transmural healing better target than mucosa healing - appendiceal diameter predictive of response to appendicectomy - early response predicts long term response - IUS is truly changing the game
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Excited to announce our latest consensus paper. This collaborative effort provides guidance on how to integrate intestinal ultrasound as an objective and reproducible endpoint in IBD trials.
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Our work on post-operative #crohns: Biopsies from the ileum, anastomosis and colon: Inflammation at the anastomosis is the same as inflammation in the colon/ileum, it is not hypoxia! should we treat? @JeanFredericCo1 @Bealoquebea @IBDimmunology
https://t.co/LIP9E7rnIi
academic.oup.com
AbstractBackground and Aims. Most patients with Crohn’s disease (CD) who have undergone ileocolonic resection experience recurrent inflammation within 1 ye
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New review - Age-related changes of the gastrointestinal tract https://t.co/wBq1ym455M
#GITwitter #MedTwitter
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Oral semaglutide for weight loss and liver fibrosis in overweight and obesity: A randomized controlled trial @RakeshKalapala1 @miNitinjagtap @DrDNReddy
https://t.co/uAFPWo9POQ
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Publication by my registrar Ritesh and I on microscopic colitis https://t.co/Ocx0sggz1K
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