Collin C. Barker

Sustained Remission of Pediatric Bowel‐Associated Dermatosis‐Arthritis Syndrome With Risankizumab

Kylie E. Peake, Harman Toor, Marie-Christine Jean, Collin C. Barker et autres

Bowel-associated dermatosis-arthritis syndrome (BADAS) is a rare neutrophilic dermatosis characterized by recurrent fever, arthralgias, and skin eruptions, most commonly occurring in patients with inflammatory bowel disease. We report the case of a 17-year-old female with Crohn's disease who developed BADAS and achieved …

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Direct‐stick embolization to treat hematochezia secondary to rectally metastatic sacral neuroblastoma

Anand Dhatt, Leandro Cardarelli‐Leite, Ravjot Dhatt, Collin C. Barker et autres

Neuroblastoma is a malignant tumor that is typically treated with a combination of surgery, radiation therapy, chemotherapy, and immunotherapy. However, minimally invasive embolization and chemoembolization present promising new treatment modalities. We present the case of a 6-year-old patient who initially presented with …

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Total colonic supply via the inferior mesenteric artery

Anand Dhatt, Leandro Cardarelli‐Leite, Ravjot Dhatt, David B. Dix et autres

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Percutaneous Management of Neonatal Choledocholithiasis with Stent-Retriever Technique

Anand Dhatt, A.C. Hernández-Villegas, Ravjot Dhatt, Leandro Cardarelli‐Leite et autres

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Colonoscopy Quality Assurance and Maintenance of Competency Among Pediatric Gastroenterology Staff Members: A Canadian Center Experience

Meshari A. Alaifan, Collin C. Barker

Introduction Colonoscopy quality indicators and maintenance of competency skills are relatively well established in the adult literature as compared to the pediatric gastroenterology. One of the suggested quality assurance measures is cecal intubation rate, which is suggested to be >90% in all …

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A189 INFLAMMATORY BOWEL DISEASE IN PEDIATRIC PATIENTS POST RENAL TRANSPLANT:A CASE SERIES

Aruna Sethuraman, Orlee R. Guttman, Collin C. Barker, Andrew C. Skinn

Abstract Background Diarrhea in renal transplant recipients may be due to infection, medication induced colitis and post-transplant lymphoproliferative disease. Uncommonly a subset of these children develop denovo inflammatory bowel disease (IBD), despite being already immunosuppressed. Paucity of literature in the pediatric population …

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A179 AUTOLOGOUS BONE MARROW TRANSPLANT FOR REFRACTORY CROHN’S DISEASE: A CASE SERIES

J Buttar, Naeem Akhtar, Daud H. Akhtar, Collin C. Barker et autres

Abstract Background Crohn’s disease (CD), a form of inflammatory bowel disease (IBD) is a chronic, immune mediated condition characterized by gastrointestinal inflammation. Approximately 25% of CD patients have pharmacologically refractory disease, in which stem cell therapy has been shown to play a …

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The Experience of a Gluten-free Diet in Children with Type 1 Diabetes and Celiac Disease

Rohan Kakkar, Alex C. W. Fung, Collin C. Barker, Alice Foster et autres

Abstract Objective This study examined overall self-reported adherence to gluten-free diet (GFD) in children with type 1 diabetes and celiac disease (T1DCD) compared to children with celiac disease (CD). Secondary objectives included gaining insight into self-reported symptoms, barriers to adherence, and experience …

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A56 CLINICAL AND BIOCHEMICAL EFFICACY ARE NOT AFFECTED BY SWITCH FROM INFLIXIMAB ORIGINATOR TO RENFLEXIS IN PEDIATRIC INFLAMMATORY BOWEL DISEASE PATIENTS.

Kaie Rosborough, Guan Yu Yu, Collin C. Barker, Kevan Jacobson et autres

Abstract Background Increased infliximab (IFX) utilization has generated higher drug expenditures and cost burden to the healthcare system. The expiration of the IFX originator Remicade patent led to the addition of biosimilar agents to the drug market that may reduce drug expenditures. …

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A150 INFLIXIMAB INDUCED EOSINOPHILIC PNEUMONITIS IN AN ADOLESCENT

E Carrión-Jaramillo, Mark A. Chilvers, Collin C. Barker

Abstract Background Infliximab is used to induce and maintain remission of inflammatory bowel disease (IBD). Pulmonary abnormalities in IBD are rare, but comprise airway, parenchymal and interstitial lung complications. Pulmonary adverse effects reported after Infliximab include tuberculosis reactivation, invasive aspergillosis, interstitial pneumonitis, …

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Role of transient elastography and APRI in the assessment of pediatric cystic fibrosis liver disease

Jessica P. Woolfson, Richard A. Schreiber, Shraavan Raveendran, Mark A. Chilvers et autres

Background: Diagnosis and monitoring of cystic fibrosis liver disease (CFLD) is challenging. Transient elastography (TE) is a rapid, non-invasive method for assessing liver fibrosis. Its role in detecting fibrosis in CFLD has only begun to be explored. The aspartate aminotransferase to platelet …

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Accelerated Idioventricular Rhythm in Inflammatory Bowel Disease: When the Gut Takes Charge

Sakethram Saravu Vijayashankar, Collin C. Barker, Shubhayan Sanatani

Accelerated idioventricular rhythm (AIVR) is an uncommon but benign rhythm, seen most commonly in children. It is associated with reperfusion injury after myocardial infarction in adults. In children, it is usually seen as an idiopathic finding in the absence of heart disease. …

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