Jeremy Adler, MD, MSc retweeted
Wonderful hosting @JeremyAdlerMD @UMich and @GPerminow Oslo University at the annual Pediatric #IBD meeting in #Örebro #Sweden. We need more research on IBD in kids.
Thank you @ludvigsson for inviting me speak at the Pediatric IBD meeting in Örebro, Sweden.
I had a wonderful time meeting so many amazing pediatric gastroenterologists from throughout Sweden and Norway. gastro.barnlakarforeningen.s…
Thank you @ludvigsson for inviting me speak at the Pediatric IBD meeting in Örebro, Sweden.
I had a wonderful time meeting so many amazing pediatric gastroenterologists from throughout Sweden and Norway. gastro.barnlakarforeningen.s…
Jeremy Adler, MD, MSc retweeted
STRIDE-III is a long, careful review. Its core fits on one figure and one table, so here it is on two cards.
The big idea is a good one. Targets are now sorted by what you do when you miss them.
• Actionable targets (clinical response and remission, CRP and calprotectin, endoscopic remission) justify a change of treatment once the current one has been properly optimised.
• Adjunctive targets guide optimisation and closer monitoring, but are not on their own a reason to switch.
• Patient-centred targets (quality of life, disability and fatigue) are handled by shared decision.
That sorting gets a lot right.
• Calprotectin gets sharper numbers (STRIDE-II said 100–250 µg/g): under 200 µg/g is the acceptable range, under 100 µg/g goes with transmural remission in Crohn's and histological remission in UC, and 100 to 200 is a grey zone, so test serially.
• Endoscopic remission in UC is now Mayo 0, with Mayo 1 accepted as an interim target. Histology in UC and transmural healing in Crohn's become adjunctive long-term targets, which fits the evidence, VERDICT included, and histology is not a target in Crohn's at all.
• Urgency is new: no urgency (NRS 2 or less) is a short-term target, but an adjunctive one, so missing it means optimise, not switch.
• In resource-limited settings the targets stay the same and only the tools change.
Card 2 is the one to keep in clinic: how long each drug should take to reach response, remission and normal biomarkers, as windows to reassess rather than hard failure points.
Note: STRIDE-III covers medically managed luminal disease, not perianal disease, pouchitis, extraintestinal manifestations or postoperative care.
The final paragraph is noteworthy. Future versions could move beyond a simple yes or no on hitting a target, towards longitudinal, multidomain approaches, with AI tools and multi-omics biomarkers in the mix. That's where I think the next big questions are: how we hold these targets over a lifetime, and how we deliver them for whole populations, not one patient at a time.
And that’s a great introduction to our work, with much more to come.
Jeremy Adler, MD, MSc retweeted
A true privilege to represent the @AmerGastroAssn w AGA President @BCryer & review Best of #IBD of #DDW26 at @my_ueg
✅FUZION
✅DUET-CD
✅ARTEMIS-UC
✅COMPARE-IBD
✅MIMIMISE
✅Summary 👇🏽
Congrats @joostphdrenth @schattenbergJ for a fabulous #UEGWeek w 🌟research & faculty🌟
Jeremy Adler, MD, MSc retweeted
Can ultrasound tell early if a biologic works? In our Super Sonic study of 44 kids with ileal Crohn disease, a ≥18% drop in bowel wall thickness by week 8 predicted endoscopic remission (AUROC 0.99), beating PCDAI and CRP. #IBD #PedsIBD #NASPGHAN2026
doi.org/10.1093/ecco-jcc/jja…
Jeremy Adler, MD, MSc retweeted
STRIDE-III is out, with key calprotectin + IUS updates for #IBD care:
FC <200 μg/g = acceptable range; actionable at 4-6 mo
FC <100 μg/g = transmural remission in CD (histologic in UC)
100-200 = grey zone; repeat before acting
1/3 #IBD #T2T #PedsIBD
thelancet.com/journals/langa…
Prof Dan Turner discussing (delays in) drug approval for pediatric IBD.
Excellent joint @NASPGHAN @ESPGHANSociety paper on extrapolation for pediatric approval led by Dr. Turner. pubmed.ncbi.nlm.nih.gov/4147… #UEGWeek #uegweek2026
Jeremy Adler, MD, MSc retweeted
Updated treatment targets in inflammatory bowel disease (STRIDE-III) @DignassAxel #IOIBD @LancetGastroHep sciencedirect.com/science/ar…
Jeremy Adler, MD, MSc retweeted
Taking it up a notch w #STRIDE-III @my_ueg
🔺What changes from STRIDE-II to III 👇🏽
🔺Separate actionable 🎯 which need Rx change after optimization vs patient centered 🎯
⏳Timeline to achieve 🎯
⚠️Avoid under & over treatment
#UEGweek @DignassAxel
Jeremy Adler, MD, MSc retweeted
Replying to @Bealoquebea @fgomollon @DCharabaty @JosephHabibi_MD @ibdseb @IBDimmunology @ShomronH @drvishal82 @ign76 @sepdigestiva @aegastro
Great resource! For #PedsIBD colleagues, the NASPGHAN TDM position paper (Felipez et al, JPGN 2025) addresses children’s faster clearance: higher starting doses, BSA-based dosing <40 kg, and earlier levels in high-risk kids. pmc.ncbi.nlm.nih.gov/article…
Widespread variation in antibiotic use for perianal Crohn’s disease. What’s the optimal use?
Preliminary data from the SETON collaborative.
Antibiotics may be more important for symptomatic relief than for healing.
#UEGweek #UEGweek26 @SamirGadepalli @UMchear
I am excited to be attending #UEGWeek for the first time.
Children with Crohn’s and colitis shouldn’t have to suffer on drugs we already know won’t work before their insurer covers the treatment we prescribe.
In @lenaweenews, I urge @RepWalberg to pass the #SafeStepAct: bit.ly/4dF5xb4
Jeremy Adler, MD, MSc retweeted
“Therapeutic Drug Monitoring in Adolescents and Children With Inflammatory Bowel Disease” by Samantha Saul, MD, MS, John J. DeCaro III, MD, and Jeremy Adler, MD, MSc gastroenterologyandhepatolog… #IBD @JeremyAdlerMD @umichmedicine
Jeremy Adler, MD, MSc retweeted
👏 to @SMCH_IBD_Celiac faculty @patelperseus @JonathanMoses77, & lead auth @JeremyAdlerMD on their @AGA_CGH pub: inappropriate 5-ASA use in peds #CrohnsDisease is associated with ⬆️ steroid use and ⬇️ biologic durability. @sabpeds @DrPasternak_IBD cghjournal.org/article/S1542…
📄New from @JeremyAdlerMD
💊 Early 5-ASA for peds Crohn
📈 More steroids
⏰ Delay anti-TNF start
🔥 4x ⬆︎ future biologic discontinuation
🚫 Prevent strictures or fistulas
✅ Biologic-first = better long-term outcomes
🔗sciencedirect.com/science/ar…
@UM_IHPI @MottDocs @AGA_CGH
Jeremy Adler, MD, MSc retweeted
Aminosalicylate use Increases Corticosteroid Exposure and Decreases Bi... sciencedirect.com/science/ar… by the “BISCUIT Study team” @JeremyAdlerMD @patelperseus @DrPasternak_IBD @JonathanMoses77 DavidSuskind CharlesSamson JessKaplan
How can we support a successful transition from Paediatric to Adult GI care? 🧭
Drawing on our insightful webinar, we've created expert-reviewed digital resources highlighting the key takeaways from our discussion. 📚
Check out the full resource here: saia-gi.org/resources/suppor…
Jeremy Adler, MD, MSc retweeted
Spending time outside this holiday weekend? Whether that’s a hike or a cookout, remember to monitor for ticks. Tick bites are rising and can cause alpha-gal syndrome, an allergic reaction with GI symptoms, specifically to red meat. 🥩 Learn more: ow.ly/xQ4z50ZjjXp.






































