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Procedures and surgery

Resection, ostomy, J-pouch, strictureplasty, fistula, abscess, and other procedure-related updates.

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A Solitary Rectal Retention Polyp in an Adult Patient with Ulcerative Colitis: A Case Report
Case Reports in Clinical Practice

A Solitary Rectal Retention Polyp in an Adult Patient with Ulcerative Colitis: A Case Report

Surveillance colonoscopies in IBD are meant to detect dysplasia or cancer; this report shows some solitary polyps may be benign retention polyps. Correct endoscopic removal and pathology spare patients from unnecessary...

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Diagnostic strategies for differentiating Crohn’s disease from intestinal tuberculosis: a systematic review of clinical, endoscopic, radiological, histopathological and microbiological features
The Egyptian Journal of Internal Medicine

Diagnostic strategies for differentiating Crohn’s disease from intestinal tuberculosis: a systematic review of clinical, endoscopic, radiological, histopathological and microbiological features

Distinguishing Crohn’s disease from intestinal tuberculosis can change treatment (immune suppression versus anti‑tubercular therapy) and outcomes. This review summarizes which findings have tended to favor one diagnosis...

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NOV-ERA - A Clinical Trial to Assess the Efficacy and Safety of Ontunisertib Compared to Placebo in Patients With Fibrostenosing Crohn's Disease
ClinicalTrials.gov

NOV-ERA - A Clinical Trial to Assess the Efficacy and Safety of Ontunisertib Compared to Placebo in Patients With Fibrostenosing Crohn's Disease

People with Crohn's disease who develop symptomatic intestinal strictures currently often need endoscopic dilation or surgery. This trial tests an investigational oral drug (ontunisertib) aiming to improve...

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Clinical trajectories after preoperative traditional Chinese medicine in biologic-refractory surgery- intended acute severe ulcerative colitis: an exploratory retrospective case series
Frontiers in Immunology

Clinical trajectories after preoperative traditional Chinese medicine in biologic-refractory surgery- intended acute severe ulcerative colitis: an exploratory retrospective case series

This paper explores whether individualized integrative management including traditional Chinese medicine might influence outcomes in patients with biologic‑refractory, surgery‑intended acute severe ulcerative colitis — a...

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Mesalazine enteric-coated tablets combined with retention enema for symptom alleviation in mild to moderate E2-type active ulcerative colitis: A retrospective comparative cohort study
Pakistan Journal of Pharmaceutical Sciences

Mesalazine enteric-coated tablets combined with retention enema for symptom alleviation in mild to moderate E2-type active ulcerative colitis: A retrospective comparative cohort study

Adding a mesalazine retention enema to oral mesalazine improved short-term symptom relief and endoscopic signs of mucosal healing in mild-to-moderate left-sided ulcerative colitis in this retrospective study. That could...

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Water-triggered in-situ gelling phospholipid oil enema for enhanced budesonide delivery and mucosal healing in ulcerative colitis
International Journal of Pharmaceutics X

Water-triggered in-situ gelling phospholipid oil enema for enhanced budesonide delivery and mucosal healing in ulcerative colitis

A formulation that keeps budesonide at the colon surface longer and protects the mucosa could enhance topical treatment for ulcerative colitis and improve mucosal healing compared with standard enemas.

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P1.050. Esophageal Ulceration in Suspected Gastrointestinal Behçet Disease: A Diagnostic Challenge
Diseases of the Esophagus

P1.050. Esophageal Ulceration in Suspected Gastrointestinal Behçet Disease: A Diagnostic Challenge

Unexplained mid‑esophageal ulcers with recurrent oral ulcers can reflect rare systemic inflammatory diseases such as gastrointestinal Behçet disease, and they often need broad testing to exclude infections, malignancy,...

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Ultrasound Features Associated with Activity of Perianal Fistulas in Pediatric Patients with Crohn's Disease.
Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine

Ultrasound Features Associated with Activity of Perianal Fistulas in Pediatric Patients with Crohn's Disease.

Perianal fistulas are a common and morbid complication of Crohn's disease in children; a reliable, less burdensome imaging tool could help assess severity and monitor response to therapy more often than MRI.

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AUF1-Engineered Intestinal Organoids Enhance Epithelial Barrier Repair and Mucosal Regeneration in Experimental Colitis
openRxiv

AUF1-Engineered Intestinal Organoids Enhance Epithelial Barrier Repair and Mucosal Regeneration in Experimental Colitis

The work links a specific post-transcriptional regulator (AUF1) to barrier dysfunction in UC and demonstrates that AUF1-restored organoids can enhance mucosal repair in mice, suggesting a possible new regenerative...

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Inflammatory bowel disease treatment: Mechanisms to clinical translation (Review).
International journal of molecular medicine

Inflammatory bowel disease treatment: Mechanisms to clinical translation (Review).

The article reviews current and emerging IBD treatments and the biological reasons they may work — useful for patients wanting to understand treatment options and future directions. It highlights therapies beyond...

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Coccidioidomycosis in patients with inflammatory bowel disease receiving advanced therapy: An observational study from an endemic tertiary center.
Inflammatory bowel diseases

Coccidioidomycosis in patients with inflammatory bowel disease receiving advanced therapy: An observational study from an endemic tertiary center.

People with IBD on biologics or small molecules who live in or travel to areas where Coccidioides is endemic face a measurable risk of coccidioidomycosis. How the infection is classified (proven/probable/possible)...

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Synchronous collagenous and ulcerative colitis: A case report and review of the literature.
Revista espanola de patologia : publicacion oficial de la Sociedad Espanola de Anatomia Patologica y de la Sociedad Espanola de Citologia

Synchronous collagenous and ulcerative colitis: A case report and review of the literature.

Coexistence of ulcerative colitis and collagenous colitis is rare but can change diagnosis and management. Stool calprotectin and biopsies helped identify and monitor disease activity, and adjusting mesalazine coincided...

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Tacrolimus Bridging and Combination Therapy Following Infliximab and JAK Inhibitor Failure in Ulcerative Colitis: A Case Series.
JGH open : an open access journal of gastroenterology and hepatology

Tacrolimus Bridging and Combination Therapy Following Infliximab and JAK Inhibitor Failure in Ulcerative Colitis: A Case Series.

Patients with UC who fail both anti-TNF and JAK inhibitor therapies have limited options. This report suggests tacrolimus can be used as a short-term bridge or in combination to reach another maintenance drug, with many...

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Continued concomitant antibiotic or immunosuppression therapies reduce the risk of pouchitis among patients with ileal pouch-anal anastomosis and primary sclerosing cholangitis.
Crohn's & colitis 360

Continued concomitant antibiotic or immunosuppression therapies reduce the risk of pouchitis among patients with ileal pouch-anal anastomosis and primary sclerosing cholangitis.

Patients with ulcerative colitis and PSC face higher risk of pouch inflammation after IPAA. The study reports fewer pouchitis events among the small group who received antibiotics or immunosuppression, which could...

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Linoleic acid-based pH-sensitive 5-ASA nanocubosome pellets for colon targeting in ulcerative colitis: in vitro and in vivo comparison with non-pH-sensitive and conventional formulations.
Drug development and industrial pharmacy

Linoleic acid-based pH-sensitive 5-ASA nanocubosome pellets for colon targeting in ulcerative colitis: in vitro and in vivo comparison with non-pH-sensitive and conventional formulations.

Improving colon-targeted delivery of mesalamine could increase drug concentrations at inflamed tissue and reduce release in the stomach and small intestine, which may improve effectiveness and reduce off-target exposure.

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Incidence and Risk Factors for Persistent Perineal Sinus After Proctectomy in Crohn Disease: A Single-center Retrospective Cohort Study.
Annals of surgery

Incidence and Risk Factors for Persistent Perineal Sinus After Proctectomy in Crohn Disease: A Single-center Retrospective Cohort Study.

Persistent perineal sinus is a common and impactful complication after proctectomy for Crohn disease that can prolong recovery and require further care. Knowing rates of healing and risk factors can help patients and...

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Ingestible Hydrogel-Encapsulated Optogenetic Yeast Controlled by Wearable Electronics Enables Programmable IL-10 Delivery for Inflammatory Bowel Disease Therapy.
ACS applied materials & interfaces

Ingestible Hydrogel-Encapsulated Optogenetic Yeast Controlled by Wearable Electronics Enables Programmable IL-10 Delivery for Inflammatory Bowel Disease Therapy.

This work explores a novel, programmable way to deliver anti-inflammatory protein therapy (IL-10) directly in the gut using engineered yeast and wearable electronics. If further developed and translated, it could offer a...

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Sustained drug-free remission of refractory ulcerative colitis following rituximab therapy for Epstein-Barr virus-positive mucocutaneous ulcer.
Gastroenterology report

Sustained drug-free remission of refractory ulcerative colitis following rituximab therapy for Epstein-Barr virus-positive mucocutaneous ulcer.

Cure8 found this source from Gastroenterology report, but the page could not be read reliably yet. It is tagged for Ulcerative colitis, Inflammatory bowel disease, and Procedures and surgery. Open the original article...

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Evolving role of intestinal ultrasound in the evaluation of Crohn's disease: A clinical- radiological perspective
European Journal of Radiology Open

Evolving role of intestinal ultrasound in the evaluation of Crohn's disease: A clinical- radiological perspective

Intestinal ultrasound is increasingly used to evaluate Crohn’s disease because it’s noninvasive, repeatable, and can detect activity and some complications—potentially reducing reliance on more invasive tests. Wider...

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Use of an Oral Nutritional Supplement Containing Calcium Beta-Hydroxy-Beta-Methylbutyrate (CaHMB), L-arginine, and L-glutamine May Have Helped Avoid Surgery That Could Have Led to Short Bowel Syndrome: A Case Report.
Cureus

Use of an Oral Nutritional Supplement Containing Calcium Beta-Hydroxy-Beta-Methylbutyrate (CaHMB), L-arginine, and L-glutamine May Have Helped Avoid Surgery That Could Have Led to Short Bowel Syndrome: A Case Report.

Someone with Crohn’s disease and limited remaining small intestine may face high-risk surgical choices. This case report suggests a specialized oral supplement used with conservative care was associated with fistula...

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Comparative risk of postoperative complications in ulcerative colitis patients following preoperative advanced therapies: a network meta-analysis with meta-regression.
Journal of Crohn's & colitis

Comparative risk of postoperative complications in ulcerative colitis patients following preoperative advanced therapies: a network meta-analysis with meta-regression.

This study addresses whether being on biologic or small‑molecule IBD drugs before colorectal surgery affects short‑term postoperative complications — a practical concern for patients and clinicians planning surgery.

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Beyond Clinical Toxicity: Repositioning the Truelove and Witts Criteria in the Treat-to-Target Era of Acute Severe Ulcerative Colitis
Gastroenterology Insights

Beyond Clinical Toxicity: Repositioning the Truelove and Witts Criteria in the Treat-to-Target Era of Acute Severe Ulcerative Colitis

The T&W criteria are still used to define severe UC on admission, but relying on them alone may delay recognition of steroid non‑response and escalation decisions. Integrating biomarkers, endoscopy, and imaging can help...

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Periodontal ligament stem cells ameliorate experimental colitis by restoring macrophage mitochondrial homeostasis associated with PINK1/Parkin-related mitochondrial quality control.
Biochimica et biophysica acta. Molecular basis of disease

Periodontal ligament stem cells ameliorate experimental colitis by restoring macrophage mitochondrial homeostasis associated with PINK1/Parkin-related mitochondrial quality control.

This preclinical study links periodontal ligament stem cells to reduced colitis severity in mice by restoring macrophage mitochondrial function and activating PINK1/Parkin-associated mitophagy, suggesting a possible new...

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Short-term psychiatric outcomes after ostomy vs nonostomy surgery in biologic-treated IBD patients.
Inflammatory bowel diseases

Short-term psychiatric outcomes after ostomy vs nonostomy surgery in biologic-treated IBD patients.

Short-term mental health problems (depression, anxiety, adjustment disorders) appear more common after ostomy creation than after nonostomy IBD surgery among biologic-treated adults. Awareness may help patients and...

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in vitro in vivo Linoleic acid-based pH-sensitive 5-ASA nanocubosome pellets for colon targeting in ulcerative colitis:andcomparison with non-pH-sensitive and conventional formulations.
Drug development and industrial pharmacy

in vitro in vivo Linoleic acid-based pH-sensitive 5-ASA nanocubosome pellets for colon targeting in ulcerative colitis:andcomparison with non-pH-sensitive and conventional formulations.

A colon-targeted 5-ASA pellet could improve delivery of mesalamine to the diseased colon while reducing release in the stomach; that might increase effectiveness or reduce systemic exposure compared with standard...

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Metabolic glycoengineered exosomes enable in situ PD-L1-Fc assembly for targeted immunotherapy in ulcerative colitis
Journal of Nanobiotechnology

Metabolic glycoengineered exosomes enable in situ PD-L1-Fc assembly for targeted immunotherapy in ulcerative colitis

This study presents a targeted immunotherapy approach designed to concentrate an immune‑modulating protein (PD‑L1‑Fc) in the inflamed colon, which could in future reduce systemic side effects of biologic immunomodulators...

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A Study of Vedolizumab Intravenous (IV) and Adalimumab or Vedolizumab and Ustekinumab in Adults With Crohn's Disease
ClinicalTrials.gov

A Study of Vedolizumab Intravenous (IV) and Adalimumab or Vedolizumab and Ustekinumab in Adults With Crohn's Disease

Patients and clinicians are interested in whether combining two targeted biologic therapies can induce stronger endoscopic healing for people with difficult-to-treat Crohn's disease, and whether benefit can be maintained...

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Functional Outcomes in Ulcerative Colitis Patients With Ileal Pouch Anal Anastomosis Treated With High Intensity Focused Electromagnetic Stimulation
ClinicalTrials.gov

Functional Outcomes in Ulcerative Colitis Patients With Ileal Pouch Anal Anastomosis Treated With High Intensity Focused Electromagnetic Stimulation

People with an ileal pouch after UC/IBDU often struggle with fecal incontinence and reduced quality of life. This trial is testing a noninvasive device (Emsella chair) aimed at improving incontinence and patient-reported...

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