Telemedicine in IBD: MyIBDCoach

Marjo Campmans-Kuijpers, D-ECCO Chair

Marjo Campmans-Kuijpers 

During the recent COVID-19 outbreak, telemedicine was helpful in ensuring the continuation of regular care and reducing the need for outpatient visits. To optimise the treatment of Inflammatory Bowel Disease (IBD), recent guidelines recommend strict long-term monitoring of the mucosal inflammation and timely optimisation of treatment during a disease flare [1]. In traditional practice, such monitoring requires many visits to outpatient clinics by patients, which they can experience as stressful. This regular monitoring increases the workload and administration during outpatient visits and can lead to longer waiting lists. In order to address some of these issues and continue to provide patients with good and qualitatively safe care, the multidisciplinary team (MDT) together with the Dutch patient association (CCUVN) developed the telemonitoring tool MyIBDCoach. In the Netherlands, there are currently about 90,000 patients with IBD [2] and 10% of these patients are using MyIBDCoach.

Posted in ECCO News, Committee News, D-ECCO, Volume 15, Issue 3


The role of the dietitian in the Inflammatory Bowel Disease Multidisciplinary Team

Dearbhaile O'Hanlon, D-ECCO Member

Dearbhaile O'Hanlon 

D-ECCO is committed to promoting the essential role of dietitians within the Inflammatory Bowel Disease Multidisciplinary Team (IBD MDT). Specialist IBD dietitians in IBD units are integral to the MDT, but not all IBD units have a specialist dietitian. Dietetic services and clinical roles are likely to differ slightly from country to country, but the core roles will remain the same. The European Federation of the Associations of Dietitians (EFAD) has adopted the International Congress of Dietetic Associations (ICDA) definition of the role of the dietitian: “A person with a qualification in Nutrition & Dietetics recognized by national authority(s). The dietitian applies the science of nutrition to the feeding and education of groups of people and individuals in health and disease.”

Posted in ECCO News, Committee News, D-ECCO, Volume 15, Issue 2


Report on the 5th D-ECCO Workshop at ECCO'20

Eytan Wine, D-ECCO Member

Eytan Wine 

D-ECCO, the Dietitians of ECCO, held its 5th Workshop as part of the 15th ECCO Congress in Vienna in February 2020. I will describe some of the highlights and main messages of the Workshop, which was attended by 104 registered delegates.

Posted in ECCO News, Committee News, Congress News, ECCO'20, D-ECCO, Volume 15, Issue 1


Collaborative ECCO Topical Review: Perioperative dietary therapy in IBD

Catherine Wall, D-ECCO Member

Catherine Wall

Definition of collaboration (noun): 1. the action of working with someone to produce something or 2. traitorous cooperation with an enemy!6.

Collaborative projects, such as topical reviews, are excellent opportunities to increase communication between ECCO Members and encourage clinicians and researchers from across disclipines to work together to achieve a common goal. Furthermore, collaborative working, in clinical practice and research, allows us to appreciate and utilise the specialised perspectives of our peers. Clinical collaboration (a multidisclipinary team) provides a structured setting where cross-discipline discussion of complex clinical cases can occur. A multidisclipinary Inflammatory Bowel Disease (IBD) model of care is recommended [1] and can be effective [2, 3]; however, the structure of the team will likely vary by site depending on the aim and expertise of each IBD service [2–4].

Posted in ECCO News, Committee News, D-ECCO, Volume 14, Issue 4


Nutritional management in patients after pouch surgery

Lihi Godny, D-ECCO Member

Lihi Godny 2019
Lihi Godny

Total proctocolectomy with ileal pouch anal anastomosis (IPAA) is the surgery of choice for patients with refractory Ulcerative Colitis (UC). Following the first-year post operatively the pouch is adapted to the ileal content efflux and most patients have 5-8 bowel movements a day and one nocturnal. Stool and gas incontinence, episodic nocturnal soiling and use of anti-diarrheal medications are common1–4. Since patients often relate symptoms to food (especially fruit and vegetable, dairy products and spicy foods), food avoidance is prevalent in up to 70% of the patients5. Therefore, patients after pouch surgery should be routinely assessed and treated by a dietitian within the setting of a multidisciplinary team6.

Nutritional deficiencies including iron, vitamin B12 and vitamin D are common and should be monitored and addressed7. Fluids and electrolytes imbalances are common in patients with increased number of bowel movements and need to be managed in order to avoid dehydration.

Posted in ECCO News, Committee News, D-ECCO, Volume 14, Issue 3


Future of D-ECCO

Marjo Campmans-Kuijpers, D-ECCO Chair

Marjo Campmans KuijpersMarjo Campmans-
Kuijpers © ECCO

The importance of nutrition in IBD Management is increasingly recognised. Of course, the best evidence that nutrition deserves a place in IBD Treatment is the fact that exclusive enteral nutrition (EEN) is the primary treatment in children with active Crohn’s Disease (CD). In addition, some dietary patterns are associated with the outcomes in IBD, and recently it was shown that partial enteral nutrition, accompanied by a special CD exclusion diet, is as effective as EEN and brings into remission even those patients who fail on biologics.

Posted in ECCO News, Committee News, D-ECCO, Volume 14, Issue 2


Report on the 4th D-ECCO Workshop at ECCO'19

Dearbháile O’Hanlon, D-ECCO Member

Dearbhaile O'Hanlon 2019Dearbháile O’Hanlon 

As a new member of the D-ECCO Committee it is a pleasure to review the 4th D-ECCO Workshop at the 14th Congress of ECCO. This year we had an excellent attendance of 140 attendees from across the multidisciplinary areas, including dietitians, nurses, physicians and clinical researchers.

The programme was divided into three sessions.

Posted in ECCO News, Committee News, Congress News, ECCO'19, D-ECCO, Volume 14, Issue 1


Obesity in IBD

Marjo Campmans-Kuijpers, D-ECCO Member

Marjo Campmans KuijpersMarjo Campmans-Kuijpers

Although Inflammatory Bowel Disease (IBD) has been historically associated with underweight and malnutrition, rates of obesity have been rising in patients with IBD, as in the general population. Nowadays, 15%–40% of adults with IBD are obese, and an additional 20%–40% are overweight [1]. Obesity is independently associated with higher disease burden and costs of hospitalisation in patients with IBD [2].

Posted in Committee News, D-ECCO, Volume 13, Issue 4


Nutrition screening tools in IBD

Catherine Wall, D-ECCO Member

Catherine Wall wrc 2018
Catherine Wall 

Nutrition screening tools are commonly used in clinical practice to identify patients who may be at nutrition risk. Patients identified as being at nutrition risk should be referred for nutritional assessment prior to implementation of a food and nutrition intervention as required. The use of nutrition screening tools can identify those patients most likely to benefit from a dietitian's input and can assist with the allocation of scarce dietetic resources. 

Posted in ECCO News, Committee News, D-ECCO, Volume 13, Issue 3


Update on elimination diets

Rotem Sigall-Boneh, D-ECCO Chair

Rotem Sigall Boneh
Rotem Sigall-Boneh

In recent years, there has been increasing evidence that diet has an important role in Inflammatory Bowel Diseases and their management, from the pathogenesis of disease through to treatment and supportive therapy. Exclusive enteral nutrition (EEN) is a well-established dietary therapy that leads to induction of remission and also is associated with mucosal healing in patients with Crohn’s Disease (CD), especially in children. However, adherence to this therapy is low and it is difficult to maintain EEN for a long period. The mechanism by which EEN works is still elusive but several possibilities have been suggested. Accordingly, many groups have sought different dietary strategies to treat patients with CD or UC with several goals: Induction of remission, maintenance of remission and management of gastrointestinal symptoms.

Posted in ECCO News, Committee News, D-ECCO, Volume 13, Issue 2