ASGE Annual Postgraduate Course: Endoscopy Around the World: Video Case-Based Pearls from the Masters (On-Demand)

Video Transcription

Video Summary

In this video, Tonya Kaltenbach, Director of Endoscopy at the VA Medical Center, discusses endoscopy in inflammatory bowel disease (IBD). She explains that patients with IBD undergo colonoscopy for disease staging and surveillance. IBD increases the risk of colorectal cancer, fistulas, and strictures, and endoscopic management can help reduce the need for surgery. Kaltenbach describes various endoscopic scoring systems for IBD and recommends using a common nomenclature to describe disease activity. She also discusses endoscopic management approaches for fistulas and strictures. Kaltenbach emphasizes the importance of chromoendoscopy for optimal dysplasia detection and recommends targeted biopsies over random biopsies. She discusses the use of endoscopic therapy for dysplastic lesions, highlighting the feasibility and success rates. Kaltenbach concludes by recommending standardized disease activity, treatment availability for fistulas and strictures, and the consideration of endoscopic resection for dysplasia. The video includes a question and answer portion.

Asset Subtitle

Tonya Kaltenbach, MD, MS, FASGE

Keywords

endoscopy

inflammatory bowel disease

colonoscopy

disease staging

chromoendoscopy