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Procedures and surgery

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

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Inflammatory bowel disease-rheumatology: evaluation of a collaborative, multidisciplinary, patient-centred care model
Frontline Gastroenterology

Inflammatory bowel disease-rheumatology: evaluation of a collaborative, multidisciplinary, patient-centred care model

Many people with IBD also have inflammatory joint disease. This combined clinic model aimed to provide simultaneous gastroenterology and rheumatology assessment and shared decision-making, and the study reports frequent...

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Prospects of mesenchymal stem cell therapy in IBD: focus on the impact of autophagy
Stem Cell Research & Therapy

Prospects of mesenchymal stem cell therapy in IBD: focus on the impact of autophagy

MSC therapy and its interaction with autophagy could point to new ways to boost cell-based treatments for IBD. For people with Crohn's disease or ulcerative colitis, this could eventually lead to different therapeutic...

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Dual therapy with tofacitinib and steroids for acute severe ulcerative colitis: a randomized double-blind placebo-controlled trial.
Journal of Crohn's & colitis

Dual therapy with tofacitinib and steroids for acute severe ulcerative colitis: a randomized double-blind placebo-controlled trial.

People hospitalized with acute severe ulcerative colitis face a high risk of steroid failure and need for rescue therapy or colectomy. This trial explores whether adding the JAK inhibitor tofacitinib to corticosteroids...

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Risk factors for postoperative intra-abdominal abscess following minimally invasive ileocecal resection in children with Crohn's disease.
Surgical endoscopy

Risk factors for postoperative intra-abdominal abscess following minimally invasive ileocecal resection in children with Crohn's disease.

Postoperative intra-abdominal abscesses are a common, serious short-term complication after ileocecal surgery in children with Crohn’s disease and can lengthen hospital stay and delay restarting medical treatment.

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Waiting time for surgery and health-related quality of life in patients with inflammatory bowel disease
International Journal of Colorectal Disease

Waiting time for surgery and health-related quality of life in patients with inflammatory bowel disease

Long waits for IBD-related surgery were linked to poorer quality of life in this study, especially when waiting exceeded 1 year. That suggests delays could meaningfully affect daily functioning for people with Crohn’s or...

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Coacervate protocells-mediated mitochondrial transplantation restores gut epithelial energetic homeostasis in ulcerative colitis
Bioactive Materials

Coacervate protocells-mediated mitochondrial transplantation restores gut epithelial energetic homeostasis in ulcerative colitis

This study tests a novel method to deliver healthy mitochondria to the gut lining and reports improved cellular energy, barrier function, and decreased oxidative stress in a mouse model of ulcerative colitis—suggesting a...

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IL‐10‐secreting engineered macrophages alleviate DSS‐induced colitis with macrophage phenotypic modulation and gut microbiota remodeling in mice
PubMed Central

IL‐10‐secreting engineered macrophages alleviate DSS‐induced colitis with macrophage phenotypic modulation and gut microbiota remodeling in mice

This preclinical study describes a new cell‑based approach — macrophages engineered to secrete IL‑10 — that reduced inflammation and improved colon outcomes in a mouse colitis model, suggesting a potential avenue for...

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Postoperative monitoring in Crohn’s disease: A multimodal machine learning model for predicting early complications and endoscopic recurrence
Langenbeck s Archives of Surgery

Postoperative monitoring in Crohn’s disease: A multimodal machine learning model for predicting early complications and endoscopic recurrence

People with Crohn’s disease who have had, or will have, intestinal surgery may benefit from better tools to predict early complications and endoscopic recurrence. Predictive models could help tailor follow-up and...

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Clinical Outcomes of Patients With Inflammatory Bowel Disease After Liver Transplantation for Primary Sclerosing Cholangitis: A Systematic Review and Meta-analysis
Transplantation

Clinical Outcomes of Patients With Inflammatory Bowel Disease After Liver Transplantation for Primary Sclerosing Cholangitis: A Systematic Review and Meta-analysis

People with PSC who undergo liver transplant — especially those who have IBD at the time of transplant — remain at elevated risk for colorectal neoplasia, IBD flare or new-onset IBD, and for PSC recurrence. Knowing this...

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Laparoscopic surgery is associated with reduced long-term reoperation risk in Crohn's disease.
Techniques in coloproctology

Laparoscopic surgery is associated with reduced long-term reoperation risk in Crohn's disease.

Long-term risk of needing another intestinal surgery is a major concern for people with Crohn’s disease. This study suggests laparoscopic resection may be linked to lower long-term reoperation risk compared with open...

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Risk Factors for Early Intestinal Resection in Pediatric Crohn's Disease: A Nationwide Cohort Study.
The Journal of surgical research

Risk Factors for Early Intestinal Resection in Pediatric Crohn's Disease: A Nationwide Cohort Study.

Early intestinal resection is uncommon but important in pediatric Crohn’s disease. Identifying features linked to surgery soon after diagnosis can help families and clinicians monitor higher-risk children and plan care.

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Perianal fistulizing Crohn's disease: emerging biology, therapeutics, and roadmap for precision treatment.
Trends in pharmacological sciences

Perianal fistulizing Crohn's disease: emerging biology, therapeutics, and roadmap for precision treatment.

Perianal fistulizing Crohn's disease is a frequent, hard-to-treat complication; molecular and multiomic advances could lead to biomarkers that help choose better-targeted therapies and improve surgical–medical decision...

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Safety of Cultured Allogeneic Adult Umbilical Cord or Placental Derived Mesenchymal Stem Cell Intravenous Infusion for Crohn's Disease or Ulcerative Colitis
ClinicalTrials.gov

Safety of Cultured Allogeneic Adult Umbilical Cord or Placental Derived Mesenchymal Stem Cell Intravenous Infusion for Crohn's Disease or Ulcerative Colitis

This trial is testing a novel stem-cell infusion approach aimed at treating Crohn’s disease and ulcerative colitis, so people with IBD may be interested in emerging cell-therapy options and safety data. Phase 1 studies...

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The Impact of Multiple Biologic Failures on Surgical Outcomes: A Retrospective Cohort Study of Elective Subtotal Colectomy for Ulcerative Colitis
Journal of Clinical Medicine

The Impact of Multiple Biologic Failures on Surgical Outcomes: A Retrospective Cohort Study of Elective Subtotal Colectomy for Ulcerative Colitis

This study looks directly at whether failing multiple biologic drugs before elective subtotal colectomy affects short-term surgical outcomes for people with ulcerative colitis — information that can help patients and...

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Determination of the approach of Polish gastroenterologists and surgeons to the diagnosis and treatment of complex cases of Crohn's disease-related perianal fistulas.
Przeglad gastroenterologiczny

Determination of the approach of Polish gastroenterologists and surgeons to the diagnosis and treatment of complex cases of Crohn's disease-related perianal fistulas.

Perianal fistulas are a common, challenging Crohn's complication that often need combined medical and surgical care; understanding local practice patterns helps patients and clinicians anticipate typical treatments and...

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Colonic administration of baitouweng decoction alleviates ulcerative colitis via coordinated reprogramming of arginine and tryptophan metabolism.
Phytomedicine : international journal of phytotherapy and phytopharmacology

Colonic administration of baitouweng decoction alleviates ulcerative colitis via coordinated reprogramming of arginine and tryptophan metabolism.

The study suggests a colon-targeted herbal treatment altered metabolic and immune pathways and reduced inflammation in a rat model of ulcerative colitis, which could point to new therapeutic approaches to explore for UC...

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STOP-UC: De-escalation of Therapy in Patients With Ulcerative Colitis With Histological Remission
ClinicalTrials.gov

STOP-UC: De-escalation of Therapy in Patients With Ulcerative Colitis With Histological Remission

The study explores whether people with UC in deep histologic remission can reduce or stop maintenance medications without losing remission — a question many patients and clinicians face because of medication costs, side...

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Urgent subtotal colectomy for ulcerative colitis: a Modified Delphi e-consensus on behalf of the Italian Society of Colorectal Surgery (SICCR)
Techniques in Coloproctology

Urgent subtotal colectomy for ulcerative colitis: a Modified Delphi e-consensus on behalf of the Italian Society of Colorectal Surgery (SICCR)

Based on the title and source metadata, this appears to be a guideline related to Ulcerative colitis, Inflammatory bowel disease, and Colectomy. The original article is from Techniques in Coloproctology.

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Microbiology and Antimicrobial Resistance of Surgical Site Infection After Inflammatory Bowel Disease Surgery: Prophylaxis–Spectrum Discordance in a Retrospective Cohort from Saudi Arabia
Antibiotics

Microbiology and Antimicrobial Resistance of Surgical Site Infection After Inflammatory Bowel Disease Surgery: Prophylaxis–Spectrum Discordance in a Retrospective Cohort from Saudi Arabia

Surgical site infection is a common and serious complication after IBD surgery. The paper highlights that antibiotic-resistant bacteria (ESBLs, MRSA) were common in this Saudi cohort and that standard cephalosporin...

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Fecal Microbiota Transfer for Recurrent Clostridioides difficile Infection: A Retrospective Single-Center Analysis.
Zeitschrift fur Gastroenterologie

Fecal Microbiota Transfer for Recurrent Clostridioides difficile Infection: A Retrospective Single-Center Analysis.

FMT is shown here to be an effective option for treating recurrent C. difficile infection, including for patients who also have IBD — a group often vulnerable to recurrent infections and complications.

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PREDICT-UC, infliximab pharmacokinetics, and the pursuit of personalised rescue therapy in acute severe ulcerative colitis
Translational gastroenterology and hepatology

PREDICT-UC, infliximab pharmacokinetics, and the pursuit of personalised rescue therapy in acute severe ulcerative colitis

For people hospitalized with acute severe UC, the findings suggest that measuring early infliximab pharmacokinetics could help personalize rescue therapy and potentially reduce colectomy risk by identifying who may need...

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Reconsidering therapeutic strategies after biologic failure in ulcerative colitis: appendectomy versus Janus kinase inhibition
Translational gastroenterology and hepatology

Reconsidering therapeutic strategies after biologic failure in ulcerative colitis: appendectomy versus Janus kinase inhibition

Based on the title and source metadata, this appears to be an opinion or commentary related to Ulcerative colitis, Inflammatory bowel disease, and Tests and monitoring. The original article is from Translational...

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This is a Single-center, Prospective, Single-arm Clinical Study Designed to Evaluate the Efficacy and Safety of Oral Aeromonas sp. MTB Phage Therapy for Pouchitis in Patients With Ulcerative Colitis (UC).
ClinicalTrials.gov

This is a Single-center, Prospective, Single-arm Clinical Study Designed to Evaluate the Efficacy and Safety of Oral Aeromonas sp. MTB Phage Therapy for Pouchitis in Patients With Ulcerative Colitis (UC).

This early-phase trial explores a novel, targeted bacteriophage treatment for pouchitis linked to an Aeromonas-associated pathogen (MTB). For people with pouchitis after IPAA, a safe, effective phage therapy could...

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When Should Ileal Pouch-Anal Anastomosis Be Performed After Inpatient Total Abdominal Colectomy for Acute Medically Refractory Ulcerative Colitis? Experience of 274 Consecutive Patients.
Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract

When Should Ileal Pouch-Anal Anastomosis Be Performed After Inpatient Total Abdominal Colectomy for Acute Medically Refractory Ulcerative Colitis? Experience of 274 Consecutive Patients.

Decisions about when to build an ileal pouch after emergency colectomy matter to patients because timing could affect recovery, complications, and long-term pouch function. This study suggests timing within or after 6...

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Myofibroblast Derived Transglutaminase 2 Activity is Upregulated in Stricturing Crohn's Disease and its Inhibition Exerts Anti-Fibrotic Properties.
Gastroenterology

Myofibroblast Derived Transglutaminase 2 Activity is Upregulated in Stricturing Crohn's Disease and its Inhibition Exerts Anti-Fibrotic Properties.

TG2 produced by intestinal myofibroblasts may drive fibrosis and strictures in Crohn's disease independently of inflammation; blocking TG2 reduced fibrosis in lab and mouse models, pointing to a possible new...

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Long-term comparative effectiveness of first-line infliximab vs corticosteroids in ulcerative colitis: Remission and colectomy risk
World Journal of Gastroenterology

Long-term comparative effectiveness of first-line infliximab vs corticosteroids in ulcerative colitis: Remission and colectomy risk

The study suggests that using infliximab as first-line therapy (rather than IV corticosteroids) may produce more durable remission and reduce long-term colectomy risk in moderate-to-severe ulcerative colitis.

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An Open-Label Extension and Long-term Efficacy and Safety Monitoring Study of Patients With Crohn's Disease Previously Included in the Loss of RESponse to Ustekinumab Treated by Dose Escalation Study
ClinicalTrials.gov

An Open-Label Extension and Long-term Efficacy and Safety Monitoring Study of Patients With Crohn's Disease Previously Included in the Loss of RESponse to Ustekinumab Treated by Dose Escalation Study

This OLE study follows patients who lost response to ustekinumab every-8-week dosing and evaluates whether increasing to every-4-week dosing maintains efficacy and safety long-term. That question is directly relevant to...

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