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TTSS for low anastomosis in IBD patients10th S-ECCO IBD Masterclass
Year: 2021
Authors: Antonino Spinelli
Summary content

An innovative technique to overcomne the actual technical limitations of pouch surgery

Tumours in IBD - Clinician6th H-ECCO IBD Masterclass
Year: 2021
Authors: James Lindsay
Summary content

Appreciate the scope of issues relating to malignancy in IBD including malignancy related to disease and to medication
Consider the strategies used to mitigate risk of malignancy
Review screening protocols for malignancy in IBD

UC cases presentation: A) New diagnosed UC B) Persistent active UC1st ECCO Postgraduate Course in IBD
Year: 2021
Authors: Sophie Restellini
Summary content

Educational objectives:
1. To discuss the diagnosis and management of newly diagnosed ulcerative colitis
2. To determine when and how to switch from one treatment to another to optimize management of ulcerative colitis
3. To examine anti-TNF drug and antibody levels to optimize dosing
4. To discuss preconception counseling to achieve favourable maternal and neonatal outcomes and understand the conditions under which treatments should or should not be stopped during pregnancy and lactation


We present here a case of newly diagnosed ulcerative colitis and will discuss with experts the management strategies in case of persistent disease activity, including the interest of combination therapy and therapeutic drug monitoring to guide management decision.
Preconception counseling to achieve favourable maternal and neonatal outcomes, safety of treatment during pregnancy and lactation, and management of a flare during pregnancy will also be discussed.

UC Management12th N-ECCO School
Year: 2021
Authors: Mark Samaan
Summary content

1. To review the therapeutic goals and patient needs in UC
2. To confer different treatment strategies in UC
3. To discuss therapeutic options in UC
4. To emphasize the advantage of tight disease control

Urinary fistula10th S-ECCO IBD Masterclass
Year: 2021
Authors: Gianluca Matteo Sampietro
Summary content

Educational Objective: to review the incidence, the diagnosis, the optimisation of the patient, and the treatment of entero-urinary fistulas in Crohn’s disease.

Historically, abdominal fistulas had an incidence of 35% in Crohn’s Disease (CD) patients. In recent series from Referral Centres, the incidence reported has been as high as of 56% for small bowel locations, and 61% in colonic disease. Urinary fistulas, involving the bladder and the ureter, have a reported incidence of 8-20%. However, in the last decade, the prevalence in large population studies, is inferior to 2%, and it is typical of male gender (75%). In the CD – Clinical Auditing and Research Database (CD-CARD) of “Luigi Sacco” University hospital, among the 1272 patients with 2249 intestinal locations, 908 enteric fistulas were identified, 42 of which were entero-urinary. 86% were entero-vesical and 14% entero-ureteral fistulas. 69% were treated by laparoscopic, and 31% by open surgery, with a cumulative incidence of 5%. Diagnosis of entero-urinary fistulas is based on cross-sectional imaging. Gastro-intestinal Ultrasonography (GI-US), CT scan, and MRI has a sensitivity of 75-80%, that rise to 97% if GI-US is combined with CT scan or MRI. Medical therapy, based of Anti-TNFa is indicated in the presence of inflammatory pattern, with a 45% rate of fistula closure. Surgical treatment is based on the postpone-and-optimize strategy: urine culture and target antibiotic therapy, abscess drainage if present, nutritional improvement, and drug tapering. Preoperative ureteral stenting is indicated when the fistula involves the ureter or the vesical trigon or neck. Laparoscopic approach is indicated whenever technically feasible.
What dose and what route of mesalazine in UC? A network meta-analysisJCC Podcast
Year: 2021
Authors: Brigida Barberio

So many 5-ASA trials, so many guidelines - but what is the best dose and route we should be prescribing? According to Dr. Brigida Barberio and colleagues, network meta-analysis supports many aspects of current international guidelines, but highlights a key role for higher doses of oral 5-ASA for induction of remission in more extensive disease.

What histology can tell us: Are we speaking the same language? (Tandem Talk)ECCO'21 Virtual
Year: 2021
Authors: Roger M. Feakins; Fernando Magro
Summary content

1. Should the target be histology?
2. Basic histology and definitions
3 Standardization - scoring
4. Histological remission and response
5. Usefulness of histology
6. Possible solutions and improvements

What is GRADE? An introduction to the methodology2nd Guideline Methodology and GRADE Workshop
Year: 2021
Authors: Stefanos Bonovas
Summary content

This talk aims to help developers of clinical practice guidelines learn how to use the GRADE (Grading of Recommendations Assessment, Development and Evaluation) approach to frame health care questions, select and rate the importance of outcomes, grade the quality of evidence, create Summary of Findings Tables, and move from evidence to making recommendations.

What is new in the IBD treatment?15th N-ECCO Network Meeting
Year: 2021
Authors: Britta Siegmund
Summary content

Educational Objectives:
1. To understand the way of dosing and administration of ustekinumab in UC
2. To understand dosing, efficacy, side-effects of Tofacitinib 
3. To be familiar with the sc administration of Vedolizumab
4. To be familiar with the sc Administration of infliximab

When do we really know the safety profile of a drug?ECCO'21 Virtual
Year: 2021
Authors: Jean-François Rahier
Summary content

safety and benefit of drug 
risk and knowledge about a drug 
timing for safety evaluation 

When it is not IBDECCO'21 Virtual
Year: 2021
Authors: Guillaume Bouguen
Summary content

To assess differential conditions mimicking the perianal Crohn's disease
To review and recognize proctological lesions not related to inflammatory bowel disease
To have an overview over the main principles of their management
To assist patients with perianal complains


The literature on perianal Crohn's disease lesion focuses mainly on primary lesions, ulcerations, fistulae and strictures. However, patients with IBD may present similar proctological conditions as the general population, which will need to be diagnosed and managed in a way that is appropriate to the general disease. Among these lesions, the diagnosis of common proctological lesions will often be easy, but their management, particularly surgery, will have to be carried out with caution and with a drastic selection of patients. Among the alternative perianal lesion, hydradenitis suppurativa, frequently associated with Crohn's disease, is probably the most difficult to diagnose and its management remains complex. Finally, the management of patients with Crohn's disease should not be limited to the treatment of anatomical lesions, but should also take into account the functional complaints that may largely alter the quality of life of these patients.

Will emerging diets replace medical therapy in IBD? (Tandem Talk)6th D-ECCO Workshop
Year: 2021
Authors: Mark Samaan, Emma Halmos
Summary content

1. To review the relative benefits and limitations of drug therapy versus dietary intervention for the treatment of IBD 
2. To understand circumstances in which one may consider using drug therapy, dietary intervention or combine the two
3. To consider how treatment paradigms may change in the future to include increased emphasis on the role of dietary interventions

3rd Edition of Top Strategy TrialsTalking Heads
Year: 2020
Authors: Krisztina Gecse, Johan Burisch
AdalimumabEducational Audio Podcast
Year: 2020
Authors: Pierre Ellul
Adherence11th N-ECCO School
Year: 2020
Authors: Susanna Jäghult
Advanced dysplasia characterisation and therapeutic management : How deep can I go to resect2nd ECCO-ESGAR Basic Imaging Workshop
Year: 2020
Authors: Ralf Kiesslich
AntibioticsEducational Audio Podcast
Year: 2020
Authors: Iris Dotan
Appendiceal pathology in IBD and other circumstances5th H-ECCO IBD Masterclass
Year: 2020
Authors: Robert Riddell
Birth defects and maternal IBD: The definitive study?JCC Podcast
Year: 2020
Authors: Nathalie Auger and Marianne Bilodeau-Bertrand

Nathalie Auger and Marianne Bilodeau-Bertrand describe their absolutely enormous epidemiological study of 3 decades of data from Quebec, Canada identifying birth-defects for offspring of almost 22,000 mothers with IBD.