The increasing complexity of care for patients with Inflammatory Bowel Disease (IBD) has driven the need for multidisciplinary care.  This has led centres and practices to hold regular multidisciplinary team meetings (MDTs) at which specialists in gastroenterology, surgery, radiology and pathology discuss patients. It has also led to joint clinics where practice environments allow patients to be seen by specialists in both gastroenterology and surgery, and even in some cases by experts in stoma therapy, nutrition and psychology, all on the same day. This allows for greater cross-disciplinary dialogue and more consistent messaging to the patient, which improves the quality of care and overall patient experience.

As a D-ECCO Committee Member, it is my mission, along with my fellow D-ECCO’ers, to educate and train other dietitians and healthcare professionals in the field of IBD. Also, with dietary therapies and beliefs still growing and consolidating their place in the prevention and treatment of IBD, there is an emerging need for skilled dietitians to guide our patients in the different nutritional pathways throughout their disease. But what makes a dietitian skilled in the field of IBD?

General information

Name: Goedele Dewitte

Occupation: Nurse Consultant IBD

Observation period: 24–28 October, 2022

IBD location: St. Mark’s Hospital, Central Middlesex, London

Local Supervisor at St. Mark’s: Prof. Hart and ANP-IBD Nurse Madhoor Ramdeem

Supervisor at current IBD unit, Ghent University Hospital: Prof. Lobaton and Dr. Geldof

Goedele Dewitte © Goedele Dewitte

Background

St Mark's Hospital in London is the only hospital dedicated solely to gastrointestinal pathology. It includes a reference IBD unit, a world centre of excellence for endoscopy (Wolfson unit) and an intestinal failure/rehabilitation unit. Both the endoscopy and the intestinal rehabilitation unit work in harmony with the IBD unit to optimise the care for tertiary and complex IBD pathology.

This observational internship was intended to increase insight into the organisation of a tertiary, high-volume IBD reference centre from the nursing point of view.  

Torsten Kucharzik © ECCO

GuiCom has developed important and world-wide recognised guidelines on the Diagnosis and Management of IBD. In order to create standardised guidelines of the highest quality, regular rotation and recruitment of highly experienced candidates is crucial. It is my great pleasure to introduce Johan Burisch, who will become a new GuiCom Member at the beginning of 2024. Johan was selected from a large group of excellent applicants for this position.

Mariangela Allocca © ECCO

The 73rd ECCO Educational Workshop was held in Bucharest, Romania, on September 23, 2023. The workshop focused in the first session on specific clinical scenarios, including the management of acute severe ulcerative colitis, complicated Crohn's disease, and postoperative monitoring, and then addressed challenging and hot topics in the second session, such as treatment escalation and de-escalation and drug-associated side effects.  The interest of the topics covered stimulated several interactive discussions, providing a platform for networking and exchange of innovative ideas.

Natália Queiroz © ECCO

The 72nd ECCO Educational Workshop occurred in Cartagena, Colombia, on September 14th, 2023, uniting participants from Colombia, Ecuador and Peru. The workshop featured interactive discussions on different clinical scenarios emphasizing the multidisciplinary approach and state-of-the-art lectures on hot topics in IBD.

Pascal Juillerat  © ECCO

Dear ECCO Members,

Greetings to you and your families! I am sure you are all looking forward to the holidays and spending some quality time with all your loved ones.

Here is a recap to the changes made to the e-Learning platform this year: we have added new and exciting content for you to browse through, including the updated the e-Library with all the latest Abstracts and Presentations from the ECCO’23 Congress, and to check out a list of specially curated list recorded Educational Courses.

At the upcoming ECCO’24 Congress in Stockholm, the Epidemiological Committee (EpiCom) will hold its 7^th Workshop on Wednesday, February 21.

In the dynamic landscape of healthcare, patients are now assuming a pivotal role beyond their traditional status as care recipients. They are emerging as active partners, capable of contributing invaluable insights to medical research. The theme of the 7^th EpiCom Workshop will be "The patient as an Epidemiologist", and the workshop will aim to shed light on the empowering potential of patient involvement, underscoring the significance of utilising appropriate tools to assess clinically relevant outcomes. Moreover, it will emphasise the pivotal role of digital tools in enabling patients to directly contribute to the research process.

Shaji Sebastian  © ECCO

Murat Toruner © ECCO

In the past, IBD was believed to be predominantly a disease of the Western world. However, recent studies have shown a rapidly increasing incidence of IBD in newly developing areas such as the Middle East, South America and Asia. By the middle of this century, the prevalence of IBD in low and lower-middle income countries (LLMICs) and newly industrialised nations may surpass that in the West. At the same time, the compound prevalence in the Western world and increasing health care costs will add to the challenges in IBD care. As a result of these epidemiological trends, IBD is projected to be an increasing global health burden.

Alicja Ewa Ratajczak-Pawłowska © Alicja Ewa Ratajczak-Pawłowska

As a result of my D-ECCO Travel Award, I was able to spend time at the San Filippo Neri Hospital in Rome during January 2023. There I collaborated with a team at the IBD Unit, UOC Gastroenterology. During my stay, I summarised the studies on nutritional determinants of bone mineral density among patients with Crohn’s Disease and Ulcerative Colitis which my colleagues and I had conducted in the previous year. I collected data from food frequency questionnaires and laboratory tests, including with respect to calcium, vitamin D, folic acid and homocysteine levels. Additionally, I started planning future research on the impact of MTHFR gene polymorphism on folic acid and homocysteine status and on bone mineral density in patients suffering from IBD. I also had the opportunity to learn about the standard of care for IBD patients in Italy.