New UCLA multidisciplinary clinic assists patients with IBD, and their providers, through pregnancy (2024)
Women with inflammatory bowel disease who are either contemplating pregnancy or already have become pregnant face many uncertainties, as well as known risks. If their inflammation is uncontrolled, they are at increased risk of flares during pregnancy, which can lead to newborns who are small for gestational age, intrauterine growth restriction, preterm birth, and miscarriage. And, although many medications that are used to treat IBD are safe, providers and patients are often reluctant to continue with them during the pregnancy for fear of harming the fetus.
With that in mind, the UCLA Center for Inflammatory Bowel Diseases, in partnership with UCLA’s Department of Obstetrics and Gynecology, has established a multidisciplinary Preconception, Pregnancy, and Postpartum + IBD clinic, among the first of its kind. The clinic, which is co-led by an IBD physician, Nirupama Bonthala, MD, who specializes in women’s health and an OBGYN, Ilina Pluym, MD, who specializes in maternal-fetal medicine and high-risk pregnancies, collaborates with patients and their health care providers through preconception planning, pregnancy, and the postpartum period to address fears, dispel misconceptions, and maximize outcomes. Read more in UCLA Health News & Insights
Q&A: Avoidant/restrictive food intake disorders in Crohn’s disease and ulcerative colitis (2024)
“Patients with IBD often develop some form of food avoidance/restriction behaviors,” Berkeley Limketkai, MD, PhD, director of clinical research in the Center for Inflammatory Bowel Diseases explains. “The underlying drivers relate to several factors: conditioned fear of certain food types that are associated with aggravation of gastrointestinal symptoms, intentional avoidance of certain foods to ‘treat’ inflammation, recommendations to pursue exclusion diets, decreased appetite mediated by inflammation, and the development of an unhealthy relationship with food that is often also due to misconceptions gleaned from the Internet.” This behavior, depending on disease severity, can include empiric or overall food avoidance during IBD flares to reduce the risk for symptoms. Some patients may also attempt to use diet as a form of nutritional therapy. Read more in Physician’s Weekly
What to do for asymptomatic patients with IBD? A comprehensive study provides answers (2024)
It is appropriate to change therapy for asymptomatic patients with inflammatory bowel disease to achieve endoscopic healing in most clinical scenarios, but there are important exceptions where it should not be done, according to research presented at the 2024 Crohn’s & Colitis Congress. Berkeley Limketkai, MD, PhD, director of clinical research in the Center for Inflammatory Bowel Diseases, discusses better management across scenarios in this Gastroenterology & Endoscopy News article.
How to cope with shame related to ulcerative colitis (2024)
It’s not unusual for people with ulcerative colitis (UC) to experience stigma, shame and other challenging emotions. Taking steps to manage these feelings can help support their well-being. “Individuals may have concerns about being treated differently or worry about others’ perceptions about their condition if they need to cancel plans, modify activities or ask for help,” says Christina T. Gentile, PsyD, MA, ABPP, clinical health psychologist. Learn more about strategies that can help in this Healthline article
Here’s what alcohol does to the gut and the effect on the health of IBD patients (2024)
Tina Aswani-Omprakash vividly remembers the day that led her to give up drinking forever. Her inflammatory bowel disease (IBD) had been in remission for two months, and she felt like her life had gone back to normal. But that didn’t last long. At a work event, after just a couple drinks, she began to feel queasy and then started vomiting so violently that a friend took her to the emergency room. When the 23-year-old New Yorker asked her doctor about the experience, he suggested she cut back on drinking if it was making her symptoms worse. Wanting to protect her health, Tina decided to quit completely. In addition to its direct effect on the health of IBD patients, alcohol can have an impact on certain IBD medications. “There are a couple medications that alcohol can make less effective,” says Nirupama Bonthala, MD, director of Women’s Health in the Center for Inflammatory Bowel Diseases. “And it can cause lots of test abnormalities, especially with liver function tests. It can be hard to tell whether what we’re seeing on the tests is a medication issue, or the alcohol, or liver issues caused by the IBD.” Alcohol can also impact the body’s ability to make the most of the food people consume. That’s because it pushes everything through the gut quickly, so there’s less time for nutrients to be absorbed—which in turn magnifies what IBD patients are already experiencing.” Read more in Time Health
'Something you can't outwork': Lexie Brown opens up about WNBA break amid battle with Crohn's disease (2024)
In a recent appointment with Anne Y. Lin, MD, a colon and rectal surgeon at UCLA Health, Lexie asked what she can do to have a normal life again. The answer? Take some time to get better. "The basketball will take care of itself, because I work hard. But what can I do to make sure that [Crohn's] doesn't ruin my career and my life becomes just miserable?" she says. "I just don't want to get to that point." Read the story in Women's Health
Berkeley Limketkai, MD, PhD, elected vice-chair of Obesity, Metabolism & Nutrition section of the AGA (2024)
The mission of the American Gastroenterological Association (AGA) Institute Council Obesity, Metabolism and Nutrition Section (OMN) is to represent and support AGA members who have an interest in nutritional and metabolic disorders with programming that includes topics spanning the life cycle from pediatrics to adulthood to geriatrics. This programming includes both OMN-specific and cross-sectional invited speaker sessions, as well as abstract-based platform and poster research fora. The section continues to expand its cross-sectional programming in order to have broader impact and appeal. Dr. Limketkai is the director of clinical research for the UCLA Center for Inflammatory Bowel Disease. He is keenly interested in studying the relationship between [mal]nutrition and IBD, developing evidence-based frameworks for precision nutrition and analyzing large amounts of data on clinical outcomes and health services utilization.
The use of curcumin in ulcerative colitis: Current evidence and practical applications (2024)
Although pharmacologic agents (mesalamine, immunomodulators, biologics and small molecule inhibitors) have been established as safe and effective treatments for inflammatory bowel disease (IBD), patients with IBD report using nutraceutical supplements despite limited evidence on their safety and efficacy. Curcumin, a polyphenol derivative of the Curcuma longa rhizome, has received increasing attention due to its purported anti-inflammatory, antioxidant, anticarcinogenic and microbiome-altering effects. Dr. Limketkai, director of clinical research for the Center for Inflammatory Bowel Diseases, discusses the current evidence for the use of curcumin in ulcerative colitis, its mechanisms of action, bioavailability and safety data, as well as recommendations for use in clinical practice. Read Practical Gastro article
Berkeley Limketkai, MD, PhD, receives 2024 ACG Clinical Research Award
Each year, the Institute offers Clinical Research Awards in the amount of $50,000 for original clinical research. Dr. Limketkai, director of clinical research for the Center for Inflammatory Bowel Diseases, was funded for Clinical and Microbial Effects of Xylooligosaccharide Prebiotics for the Induction of Remission in Ulcerative Colitis. Learn more
What to know about Crohn’s disease pain (2024)
While most Crohn’s disease patients know that abdominal discomfort is a hallmark symptom of this form of inflammatory bowel disease (IBD), many still have questions about what Crohn’s pain feels like for others with the disease, how bad it can get, and what will make it go away. Nirupama N. Bonthala, MD, director of Women’s Health in Inflammatory Bowel Disease, provides expert commentary in this Health Central article.
Why anemia occurs in ulcerative colitis (2024)
Ulcerative colitis (UC) is marked by rectal bleeding, bloody diarrhea and abdominal pain and cramping, and can raise the risk for anemia, particularly if it isn't well-controlled. Nirupama N. Bonthala, MD, director of Women’s Health in Inflammatory Bowel Disease, provides expert commentary in this Health Central article.
Is ulcerative colitis taking a toll on your self-esteem? Take the quiz (2023)
Patients suffering from ulcerative colitis often feel frustrated with their bodies — especially when experiencing stomach pain or fatigue or when in the middle of a flare. Other complications of ulcerative colitis, such as the potential side effects of medication and body-altering surgeries, can also make life with inflammatory bowel disease (IBD) difficult. Stigma and misconceptions of it being a “bathroom disease” can make things even worse. Dr. Limketkai, director of clinical research for the Center for Inflammatory Bowel Diseases, provides expert commentary in this Everyday Health article
The Center for Inflammatory Bowel Diseases recognized with 2022 IBD Journal Awards (2023)
Each year published authors in Inflammatory Bowel Diseases are considered for the annual IBD Journal awards in both basic science and clinical research. Using article citations, usage, and Altmetric scores, top original research articles are chosen for consideration – five for basic science and five for clinical research. The following awards were received by the Center for Inflammatory Bowel Diseases and recognized at the Crohn’s & Colitis Congress for Dietary Patterns and Their Association with Symptoms Activity in Inflammatory Bowel Diseases:
- The Best of IBD Journal, Clinical Research
- Most Downloaded Paper Award
UCLA GI authors include Berkeley Limketkai, MD, PhD, director of clinical research for the Center for Inflammatory Bowel Diseases; Mohamed Hamideh; Rishabh Shah; Jenny Sauk, MD, director of clinical care for the Center for Inflammatory Bowel Diseases; and Nancee Jaffe, MD, RDN, lead GI dietitian.
Berkeley Limketkai, MD, PhD, quoted as commentor in GI & Hepatology News (2023)
Adult stem cells can heal intractable perianal Crohn’s fistulae was discuss at the recent Crohn’s & Colitis Congress. Dr. Limketkai, director of clinical research for the Center for Inflammatory Bowel Diseases, provided commentary for GI & Hepatology News for their conference coverage section.
Inflammatory bowel disease: How oxygen chambers, Apple watches may improve treatment for Crohn's, ulcerative colitis (2023)
Wearable devices and hyperbaric chambers are just some of the tools that may soon be used regularly in the treatment and management of inflammatory bowel disease (IBD). Dr. Limketkai, the director of clinical research at the UCLA Center for Inflammatory Bowel Diseases, says wearable devices could be useful in detecting flares early. Read more
Dietary interventions can support IBD treatment (2022)
Some solid foods may aid in the treatment of inflammatory bowel disease. Medscape interviewed Berkeley Limketkai, MD, PhD, director of clinical research for the Center for Inflammatory Bowel Diseases, based on his study published in Clinical Gastroenterology and Hepatology.
Berkeley Limketkai, MD, PhD, elected to the board of directors of the National Board of Physician Nutrition Specialists (2022)
The National Board of Physician Nutrition Specialists (NBPNS) is a credentialing body for physician nutritionists and maintains credentialing standards for assessment and certification of physicians seeking recognition as a Physician Nutrition Specialist (PNS)®. Certification as a Diplomate of the NBPNS indicates that a physician has achieved a high level of competency and understanding in scientifically sound, evidenced-based medical nutrition. Dr. Limketkai is director of clinical research for the UCLA Center for Inflammatory Bowel Diseases. The Limketkai Lab’s primary research focus encompasses the bidirectional relationship between nutrition and inflammatory bowel diseases (IBD). His team is interested in better understanding these effects on an individual and population level, while also investigating nutritional strategies to address gastrointestinal symptoms and inflammation.
Many IBD patients skipped or reduced medication doses during the COVID-19 pandemic (2021)
Everyday Health interviewed Berkeley Limketkai, MD, PhD, director of IBD clinical research for the Center for Inflammatory Bowel Diseases, and Christina Gentile, PsyD, MA, ABPP, clinical health psychologist for the Integrative Digestive Health and Wellness Program, on decreased clinical visits and check-ups during the pandemic.
Berkeley Limketkai, MD, PhD, special editor for Gastroenterology Clinics (2021)
Dr. Limketkai, director of clinical research for the Center for Inflammatory Bowel Diseases, was a guest editor for the special Gastroenterology Clinics issue on "Nutritional Management of Gastrointestinal Diseases." Read the full text
Is your ulcerative colitis-related stress under control? Take this assessment (2021)
Christina T. Gentile, PsyD, ABPP, GI health psychologist, and Berkeley Limketkai, MD, PhD, director of clinical research for the Center for Inflammatory Bowel Diseases, are quoted in this EveryDay Health article on how anxiety and stress can trigger – or aggravate – inflammation and colitis, and vice versa. You can take an assessment to find out if there’s more you could be doing to manage stress – and what you can do to improve your quality of life.
How the Western diet is wreaking havoc on our gut (2021)
Berkeley Limketkai, MD, PhD, director of IBD clinical research for the UCLA Center for Inflammatory Bowel Diseases, was quoted by Medium on the likelihood of toxins, pollutants or pesticides causing a rise in inflammation and IBD.
What you need to know about ulcerative colitis (2021)
Nimah Ather, MD, gastroenterologist at UCLA Health Torrance, was interviewed by The Healthy on treatment for ulcerative colitis.
Berkeley Limketkai, MD, PhD, Appointed Contributing Editor of the Journal Nutrition in Clinical Practice (2021)
Dr. Limketkai, director of clinical research, UCLA Center for Inflammatory Bowel Diseases, was recently appointed contributing editor of the journal Nutrition in Clinical Practice, one of the two flagship journals of ASPEN (American Society for Parenteral & Enteral Nutrition). His primary role is overseeing the review and publication of high-impact nutrition articles written by physician members of the ASPEN and their multi-disciplinary collaborators.
Crohn’s & Colitis Foundation funds first studies on brain-gut-microbiome signatures of stress-related IBD symptom flares (2020)
Emeran A. Mayer, MD, director of the G. Oppenheimer Center for Neurobiology of Stress and Resilience, was invited to be part of the Crohn’s and Colitis Foundation’s Challenges in IBD 2018 Initiative, which has focused on the role of environmental triggers in IBD pathophysiology. This initiative has identified factors believed to play a role in IBD, such as diet, psychological stress, viruses and smoking. Together with Jenny Sauk, MD, medical director of the Center for Inflammatory Bowel Diseases and Jonathan P. Jacobs, MD, PhD, director of the Microbiome Core in the UCLA Microbiome Center, he received funding for one of the first studies resulting from this initiative, Brain-Gut-Microbiome Signatures of Stress-Related IBD Symptom Flares. The purpose of this longitudinal study is to identify biomarkers within the brain-gut microbiome axis that characterize a subset of IBD patients at higher risk for stress-related IBD flares. Early data provides compelling evidence of the relationship between higher stress perception and frequency of flares, as well as a measurable indicator of that subset of patients.
Berkeley Limketkai, MD, PhD, awarded funding by the Crohn’s & Colitis Foundation to launch clinical trial
In a collaboration between the Center for Inflammatory Bowel Diseases and Center for Human Nutrition, Berkeley Limketkai, MD, PhD, director of clinical research for the Center for IBD, and Zhaoping Li, MD, PhD, chief of the Division of Clinical Nutrition, were recently awarded major funding by the Crohn's & Colitis Foundation to launch a clinical trial on the use of a UCLA-designed anti-inflammatory diet for the treatment of Crohn's disease. The multi-year study will also investigate the impact of diet on the innate immune profile, gut microbiome, bacterial metabolome, and microRNA signature of host-bacteria communication. Key UCLA investigators from the Center for Inflammatory Bowel Diseases include Harry Pothoulakis, MD, Jill Hoffman, PhD, Jonathan P. Jacobs, MD, PhD, and Jenny Sauk, MD.
6 things for IBD patients to keep in mind when it comes to medication, infusions, procedures and more
Inflammatory bowel disease, or IBD, is an umbrella term for two conditions that cause chronic inflammation of the digestive tract: Crohn’s disease and ulcerative colitis. Because IBD patients are often on an immune-suppressing medication to keep their disease in remission, many want to know if they are at increased risk for contracting SARS-CoV2 -- the virus that causes COVID-19 – or of having a severe course of the coronavirus disease. Article available on UCLA Health Connect blog
Berkeley Limketkai, MD, PhD, chosen as 2020-2021 UCLA biodesign fellow
The UCLA Biodesign Program has announced an accelerator track for entrepreneurs seeking advanced training in health care technology innovation. The program strives to provide participants with a stepwise process for identifying, assessing and de-risking meaningful health care technology opportunities and accelerate the development timeline. The cornerstone of the accelerator track is a series of monthly workshops with peers and industry mentors across the medical technology ecosystem. Topics will span the lifecycle of product development, from concept to commercialization. Dr. Limketkai, director of clinical research for the Center for Inflammatory Bowel Diseases, was one of 10 UCLA physicians to participate in this year-long program.
Ulcerative colitis may be linked to missing gut microbe
Emeran A. Mayer, MD, director of the G. Oppenheimer Center for Neurobiology of Stress and Resilience, was quoted in a Healthline article about a study finding that ulcerative colitis may be tied to a missing gut microbe.
If you really want to optimize your diet, focus on fiber
Berkeley Limketkai, MD, PhD, director of clinical research for the Center for Inflammatory Bowel Diseases, was quoted in an Elemental article about the importance of including fiber in your diet.
Berkeley Limketkai, MD, PhD, auoted on low-FODMAP diet
Dr. Limketkai, director of clinical research for the Center for Inflammatory Bowel Diseases, was quoted in JAMA stating, “Unfortunately, there is a lot of misinformation about what the FODMAP diet entails and how to implement it, even among gastroenterologists. A dietitian’s assistance is key for patients to precisely follow a low-FODMAP diet in its original intent.”
Berkeley Limketkai, MD, PhD, quoted in Time Health, Fall 2019
The lead article for the Fall 2019 issue of Time Health asked, “Are our guts getting worse?” There are many evidence-backed theories for why IBD is on the rise, but the broad adoption of the Western diet – replete with heavily processed, additive-laden and sugary foods – is one of the likeliest drivers, says Dr. Limketkai, director of clinical research for the UCLA Center for Inflammatory Bowel Diseases. “The standard American diet has a high inflammation profile, and we know it causes or contributes to a range of conditions, including obesity, diabetes and metabolic syndrome.
Levels of vitamin D are low after Crohn's disease is established not before - October 2019
Berkeley Limketkai, MD, PhD, director of clinical research, Center for Inflammatory Bowel Diseases, published a recent article, “Levels of Vitamin D are Low After Crohn's Disease is Established But Not Before,” that documents the largest study to directly measure vitamin D levels before and after diagnosis of Crohn's disease. Contrary to popular belief, low vitamin D levels were not associated with Crohn's disease before diagnosis, but were associated with Crohn's disease after diagnosis
The rewards and risks of probiotics - Summer 2019
Berkeley Limketkai, MD, PhD, director of clinical research, Center for Inflammatory Bowel Diseases, and Emeran A. Mayer, MD, director, G. Oppenheimer Center for Inflammatory Bowel Diseases were quoted in an article on The Rewards and Risks of Probiotics. The article ran in the Summer 2019 issue of Time Health.
UCLA docs take first step toward a chatbot for managing IBD - July 2019
Aria Zand, MD, under the supervision of Jenny Sauk, MD, clinical director of the UCLA Center for Inflammatory Bowel Diseases, was able to use natural-language processing (NLP) to successfully categorize large amounts of electronic messaging data from IBD patients and their providers. By collecting this data and using algorithms to categorize messaging in a reasonable number of categories, they demonstrated the feasibility of NLP in categorizing messaging data for potential use in a chatbot.<
Berkeley Limketkai, MD, PhD, joins UCLA Center for Inflammatory Bowel Diseases - April 2019
Dr. Limketkai earned his medical degree at the University of Cincinnati, where he was inducted into the Alpha Omega Alpha honor society. He subsequently completed his internal medicine residency, gastroenterology fellowship, and PhD education at Johns Hopkins University. Given his primary clinical and research interests in inflammatory bowel diseases (IBD) and nutrition, Dr. Limketkai pursued advanced training as the Theodore M. Bayless Fellow in Inflammatory Bowel Diseases at Johns Hopkins University and clinical nutrition training through the Nestlé Nutrition Institute. His doctoral dissertation explored the role of vitamin D in IBD pathogenesis and severity.
Prior to joining UCLA, Dr. Limketkai served on the clinical faculty at Stanford University and as IBD physician lead at the VA Palo Alto Health Care System. He also spearheaded the Gastrointestinal Nutrition Program and initiated the Fecal Microbiota Transplantation (FMT) Program at Stanford.
At UCLA, Dr. Limketkai and colleagues are working to further the Center for Inflammatory Bowel Diseases' outstanding patient care, high impact research and education. Their philosophy of care centers around the uniqueness of each IBD patient, addressing their multi-disciplinary and personalized needs.
As director of IBD clinical research, Dr. Limketkai strongly believes in exploiting the synergy between clinical care and research. He is keenly interested in studying microbiome manipulation as clinical therapy, including the use of prebiotics, probiotics and dietary interventions.
Dr. Limketkai's other research arm involves large data analyses of clinical outcomes and health services utilization. The primary goal of this endeavor is to better understand the factors that drive favorable or unfavorable outcomes in IBD. Through our multi-institution collaboration, he hopes to generate data that will help shape and improve the future care of IBD patients. Read more
IBD research expands to include brain-gut microbiome - June 2018
The Crohn's and Colitis Foundation of America Inc. awarded Emeran A. Mayer, MD, director of the G. Oppenheimer Center for Neurobiology of Stress and Resilience (CNSR), a three-year grant, with an annual budget of $300,000, to study "brain-gut-microbiome signatures of stress-related IBD symptom flares."" This is the first collaborative effort between Jonathan Jacobs, MD, PhD, Jenny Sauk, MD and CNSR focusing on IBD patients.
Your guide to tracking Crohn's symptoms - February 2018
Jenny Sauk, MD, health sciences assistant clinical professor of medicine in the Vatche and Tamar Manoukian Division of Digestive Diseases at the David Geffen School of Medicine at UCLA, was featured Feb. 6 in an Everyday Health article on how to be aware of Crohn's disease symptoms early and often.
$4 million gift from The Eli and Edythe Broad Foundation benefits research in stem cell science and digestive diseases - May 2014
Yahoo! News, Westside Today, News-Medical, Century City/Westwood Patch, Examiner, Digital Journal, Stem Cell News, City News Service, WN News.com, Health Medicine Network, Pluripotent: Stem Cell News, and websites for FOX-TV (Greenville, N.C.),WVNS-TV (Ghent, Va.), WAND-TV (Decatur, Ill.), KWTV-TV (Oklahoma City, Okla.), WGFL-TV (Gainesville, Fla.), WFSB-TV (Hartford, Conn.), KVVU-TV (Las Vegas, Nev.), WFLX-TV (West Palm Beach, Fla.), KFDA-TV (Amarillo, Texas), KQCW-TV (Tulsa, Okla.), WAVE-TV (Louisville, Ky.) and others May 8, Bioresearch Online May 13 and Canyon News May 15 covered two gifts from The Eli and Edythe Broad Foundation to UCLA totaling $4 million that will fund UCLA research. The gifts will benefit the Eli and Edythe Broad Center of Regenerative Medicine and Stem Cell Research at UCLA and the Center for Inflammatory Bowel Diseases at UCLA's Division of Digestive Diseases. Dr. Owen Witte, director of the Broad Stem Cell Research Center and Dr. Gary Gitnick, professor and co-chief of the Division of Digestive Diseases, and the Fran and Ray Stark Foundation Chair at the David Geffen School of Medicine at UCLA, were quoted.