Ulcerative Colitis Clinical Case Review

Michael Dolinger, MD, an assistant professor of pediatric gastroenterology at the Icahn School of Medicine and Mount Sinai Kravis Children's Hospital, discusses the case:

Editor’s note: The following is an automatically generated transcript of the above video.

“So when we talk about how we use ultrasound and how we use all of our tests, especially in our patients who are transitioning and undergoing multiple life changes all at once, it's really important to manage IBD quickly and not let them go for tests that take weeks or months, and they have to travel back and forth from school or from other states to get this done among different providers.

So transitions, college, living independently, new life stressors, for teenagers are a really challenging times to manage inflammatory bowel disease, and we have to use tools to make decision making and treatments easier for our patients to obtain and faster, and this is where ultrasound can be used as a point of care tool to make these quick decisions, provide the reassurance that we're on the right path, and intestinal ultrasound can really be used in the toolkit of things that we have for our patients to ensure this transition readiness and give them a shared understanding about their disease activity and give that information to a provider that's objective.

When we transition her to a local adult gastroenterologist at her college, that provider knows now that we've used ultrasound to monitor her disease activity, she no longer has extensive left sided colitis, but she has pan colitis, and we've actually now healed that on ultrasound, and so this is how we use this in the context of ulcerative colitis, a flare, and transition readiness all at once in a patient example that is very common for our clinic."