#ecuimres transcript

Healthcare Social Media Transcript

From: Fri Nov 30 0:00:00 PST 2012
To: Fri Nov 30 8:00:00 PST 2012

What is #ecuimres? Who were the influencers during this time period? #ecuimres analytics


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ecuimchiefs
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Join us for #ecuimres #grandrounds this morning. Dr. Matarese presents: Intestinal Failure: Salvaging the Remnant Bowel
ecuimchiefs
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#ecuimres #grandrounds Short Bowel Syndrome = most common form of intestinal failure
ecuimchiefs
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#ecuimres #grandrounds Treatment of SBS: Parenteral & Enteral Nutrition vs Intestinal Rehab. Dr Matarese to focus on advantages of latter
ecuimchiefs
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#ecuimres #grandrounds Complications of Parenteral Nutrition: reduced qual of life, catheter sepsis, vasc thrombosis, liver dz, bone dz
ecuimchiefs
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#ecuimres #grandrounds TPN is also very COSTLY.
ecuimchiefs
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#ecuimres #grandrounds Prognosis for PN avoidance declines based on retained bowel (see image) http://t.co/CbTZHYbg
ecuimchiefs
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#ecuimres #grandrounds "Intestinal Adaptation" - Morphological changes causing functional changes leading to increased intestinal absorption
ecuimchiefs
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#ecuimres #grandrounds Intestinal Rehab: comprehensive management http://t.co/3u1MfNXB
ecuimchiefs
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#ecuimres #grandrounds Do not give 'Gatorade' type oral rehydration to short gut patients bc there is not enough sodium in these solutions.
ecuimchiefs
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#ecuimres #grandrounds Inappropriate Dietary Choices in SBS pts: simple sugars (soft drinks, candies, etc.)
ecuimchiefs
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#ecuimres #grandrounds Nutrient Intake in Patients with SBS http://t.co/qinf3LL5
ecuimchiefs
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#ecuimres #grandrounds Adjunctive Medical Mgmt for SBS: http://t.co/bPOiEELZ
ecuimchiefs
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#ecuimres #grandrounds No data supporting use of pancreatic enzyme supplementation, but it is sometimes used.
ecuimchiefs
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#ecuimres #grandrounds Dr. Matarese cautions use of Octreotide in these pts.
ecuimchiefs
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#ecuimres #grandrounds Hormonal Therapy may "revolutionize therapy in SBS" - Dr. Matarese.
ecuimchiefs
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#ecuimres #grandrounds Growth Hormone (Zorbtive) and Teduglutide (Gattex) are the 2 up and coming therapies.
ecuimchiefs
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#ecuimres #grandrounds Growth Hormone and SBS studies: Dr. Seguy et al http://t.co/R9aFdsH0
ecuimchiefs
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#ecuimres #grandrounds Glucagon-like peptide 2 (GLP-2) has several physiologic properties that would help pts with SBS to enhance absorption
ecuimchiefs
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#ecuimres #grandrounds Supporting evidence for GLP-2 agonist: http://t.co/qdzIKJTB
ecuimchiefs
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#ecuimres #grandrounds Follow-up phase 2 trial (Teduglutide): http://t.co/Kl17AYD7
ecuimchiefs
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#ecuimres #grandrounds Phase 3 trial: http://t.co/EyzgkhKR
ecuimchiefs
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#ecuimres #grandrounds Another therapeutic option is Surgical Augmentation, ie: Bianchi Procedure (primarily peds model) and STEP Procedure
ecuimchiefs
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#ecuimres #grandrounds STEP Procedure creates a zigzag channel from dilated bowel loops -->lengthening small bowel length
ecuimchiefs
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#ecuimres #grandrounds Therapeutic Algorithm for #SmallBowelSyndrome (image) http://t.co/9qUrKDXO

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