Coronavirus and Patients With Inflammatory Bowel Disease: Management Strategies for the Practicing Clinician

Technological advances now permit self-management strategies using mobile applications which could greatly benefit patient care. The purpose of this study was to investigate whether the use of the inflammatory bowel disease (IBD) digital health monitoring platform, HealthPROMISE, leads to better quality of care and improved health outcomes in IBD patients. IBD patients were recruited in gastroenterology clinics and asked to install the HealthPROMISE application onto their smartphones. Patient satisfaction, quality of care, quality of life, patient symptoms, and resource utilization metrics were collected throughout the study and sent directly to their healthcare teams. Patients with abnormal symptom/SIBDQ scores were flagged for their physicians to follow up. After one-year, patient outcome metrics were compared to baseline values. Overall, out of 59 patients enrolled in the study, 32 patients (54%) logged into the application at least once during the study period. The number of IBD-related ER visits/hospitalizations in the year of use compared to the prior year demonstrated a significant decrease from 25% of patients (8/32) to 3% (1/32) (p = 0.03). Patients also reported an increase in their understanding of the nature/causes of their condition after using the application (p = 0.026). No significant changes were observed in the number of quality indicators met (p = 0.67) or in SIBDQ scores (p = 0.48). Given the significant burden of IBD, there is a need to develop effective management strategies. This study demonstrated that digital health monitoring platforms may aid in reducing the number of ER visits and hospitalizations in IBD patients.

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Endoscopy in inflammatory bowel disease: advances in disease management

Gastrointestinal Endoscopy ◽

10.1016/j.gie.2017.08.034 ◽

2017 ◽

Vol 86 (6) ◽

pp. 952-961 ◽

Cited By ~ 2

Author(s):

Elizabeth A. Scoville ◽

David A. Schwartz

Keyword(s):

Inflammatory Bowel Disease ◽

Disease Management ◽

Bowel Disease ◽

Inflammatory Bowel

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‘It’s about willpower in the end. You’ve got to keep going’: a qualitative study exploring the experience of pain in inflammatory bowel disease

British Journal of Pain ◽

10.1177/2049463719844539 ◽

2019 ◽

Vol 13 (4) ◽

pp. 201-213 ◽

Cited By ~ 1

Author(s):

Louise Sweeney ◽

Rona Moss-Morris ◽

Wladyslawa Czuber-Dochan ◽

Laure Belotti ◽

Zoe Kabeli ◽

...

Keyword(s):

Inflammatory Bowel Disease ◽

Pain Management ◽

Qualitative Study ◽

Bowel Disease ◽

Management Strategies ◽

Emotional Impact ◽

Management Interventions ◽

Inflammatory Bowel ◽

Behavioural Therapies ◽

Physical Impact

Background: Pain is a widely experienced symptom of inflammatory bowel disease (IBD), which has significant psychological and functional impacts on patients. Understanding the aetiology and management of chronic pain is a poorly understood area of IBD research. This qualitative study aimed to explore the experiences of individuals with IBD and pain, the pain management strategies they use and any needs for future pain management interventions. Methods: In all, 14 individuals with IBD were purposively recruited and interviewed (face-to-face or telephone) using a topic guide. Interviews were transcribed and analysed using inductive thematic analysis. Results: Themes identified were ‘vicious cycles’, ‘findings solutions’ and ‘attitudes’. The experience and impact of pain were rarely viewed in isolation, but rather within the context of a cycle of IBD symptoms. Other ‘vicious cycles’ identified included anxiety, avoidance and inactivity, and poor understanding and communication. Pain management included short- and long-term strategies. Searching for a solution for pain had an emotional impact on individuals. There were contrasting attitudes from participants, including defeat, tolerance and acceptance. Conclusion: This study provides an understanding of the experience of pain in IBD. The interaction of pain with accompanying IBD symptoms has an emotional and physical impact on individuals, and creates a barrier to adequate assessment, understanding and treatment of pain. Patients rely on their own experiences, and a trial and error approach to apply helpful strategies. Adjuvant behavioural therapies may be beneficial for patients experiencing pain and psychological distress, and to facilitate self-management.

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P008 IMPACT OF A MULTIDISCIPLINARY E-BOARD FOR COMPLEX INFLAMMATORY BOWEL DISEASE MANAGEMENT

Inflammatory Bowel Diseases ◽

10.1093/ibd/izy393.011 ◽

2019 ◽

Vol 25 (Supplement_1) ◽

pp. S5-S5

Author(s):

Kevin P Quinn ◽

Breanne Prothero ◽

Jennifer M Russell ◽

Ryan Hegge ◽

Alexander von Bormann ◽

...

Keyword(s):

Inflammatory Bowel Disease ◽

Disease Management ◽

Bowel Disease ◽

Inflammatory Bowel

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Bariatric Surgery and Its Complications in Inflammatory Bowel Disease Patients

Inflammatory Bowel Diseases ◽

10.1093/ibd/izz246 ◽

2019 ◽

Author(s):

Amandeep Singh ◽

Brian Koenen ◽

Donald F Kirby

Keyword(s):

Inflammatory Bowel Disease ◽

Bowel Disease ◽

Management Strategies ◽

Bacterial Overgrowth ◽

Small Intestinal Bacterial Overgrowth ◽

Underlying Disease ◽

Life Outcomes ◽

High Prevalence ◽

History Of ◽

Inflammatory Bowel

Abstract Recent data have suggested that bariatric procedures, especially laparoscopic sleeve gastrectomy (SG), are safe and effective weight loss measures in patients with inflammatory bowel disease (IBD). But most of the studies have looked at short-term outcomes, and there is a general lack of awareness of underlying disease processes and baseline comorbidities in IBD patients undergoing bariatric procedures. Postbariatric issues in IBD patients including diarrhea from dumping syndrome, choleretic diarrhea, a high prevalence of small intestinal bacterial overgrowth, gastroesophageal reflux disease, Barrett’s esophagus, stomal ulcerations, stenosis, and renal and gallstones can complicate the natural history of IBD. This could lead to unnecessary hospitalizations, change of medical therapy, and poor surgical and quality of life outcomes. In this review, we will discuss major complications after common bariatric procedures (SG, Roux-en-Y gastric bypass, and gastric banding) and suggest possible management strategies.

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