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Northeast Florida Medicine
Vol. 66, No. 4 2015
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VOLUME 66, NUMBER 4
Inflammatory Bowel Disease
Winter 2015
EDITOR IN CHIEF
Sunil Joshi, MD
MANAGING EDITOR
Kristy Wolski
ASSOCIATE EDITORS
Ruple Galani, MD (Vice Chair)
James Altomare, MD
Megan Deacon-Casey, MD
Mark Fleisher, MD
Ali Kasraeian, MD
Joseph Sabato, Jr., MD
James St. George, MD
EXECUTIVE DIRECTOR
Bryan Campbell
DCMS FOUNDATION
BOARD OF DIRECTORS
President: Todd Sack, MD
Secretary: Allen Seals, MD
Treasurer: Malcolm Foster, MD
At Large Seat 1: Ruple Galani, MD
At Large Seat 2: Eli Lerner, MD
2015 FOUNDATION DONORS
Kevin M. McAuliffe, MD
William P. Bosworth, DO
William P. Clarke, MD
Philip P. Gaillard, MD
Larry S. Garsha, MD
Jack L. Greider, Jr., MD
Eli Lerner, MD
Russell D. Metz, MD
Todd Sack, MD
Duke H. Scott, MD
W. Cannon Simpson, MD
N. H. Tucker, III, MD
William R. Wainwright, MD
MBB Radiology
Anonymous
C
ontents
Winter 2015
Please note: Editorial and contents of this magazine reflect the records of the Duval County Medical Society (DCMS). The DCMS has done their best to provide useful and accurate information, but please
take into account that some information does change. E&M Consulting, Inc., publishers and the DCMS take no responsibility for the accuracy of the information printed, inadvertent omissions, printing
errors, nor do they endorse products and services. We take no responsibility regarding representations or warranties concerning the content of advertisements of products/services for a particular use, including
all information, graphics, copyrighted materials, and assertions included in the advertisements. The reader is advised to independently check all information before basing decisions on such information.
From the Editor’s Desk From the President’s Desk From the Executive Vice President’s Desk Residents’ Corner Patient PageWinter CME
Departments
The Role of a Primary Care Physician in the Management of Inflammatory Bowel Disease By Bharat K. Misra, MDPrimary Care Physicians (PCPs) play an
important role in the management of
patients with IBD. They should know
when to suspect and refer patients with
IBD, how to screen and treat for bone loss,
update all vaccinations, screen and treat for
depression and anxiety, when to consider
screening for self-image, and how to
monitor and treat nutritional deficiencies.
They should also understand the role of
NSAIDs, smoking and Clostridium difficile
infections. PCPs are critical to optimizing
patient care and outcomes.
55 20 7 6 8 22Features
Advances in Inflammatory Bowel Disease By Mark Fleisher, MD Guest Editor Advanced Endoscopy and Inflammatory Bowel Disease: Beginning of a New Era By Ali Lankarani, MD Out with the Old and In with the New? The Changing Approach to Colorectal Cancer Surveillance in Ulcerative Colitis By Michael F. Picco, MD, PhD, FACG Vaccination Recommendations for Patients with Inflammatory Bowel Disease By Anhtung Chau, MD The Extraintestinal Manifestations of Inflammatory Bowel Disease By John M. Petersen, DO, FACG, FACP Surgical Management of Crohn’s Disease By Anand S. Gupta, MD Pancreatic Diseases in Patients with Inflammatory Bowel Disease By Martha Arévalo, MD and Jose M. Nieto, DO, FACP, FACG, AGAF 23 19 32 37 71 50 40