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

Video Transcription

Video Summary

The video features Tonya Kaltenbach, Director of Endoscopy at the VA Medical Center, discussing endoscopy in inflammatory bowel disease (IBD). She highlights that patients with IBD commonly undergo colonoscopy for disease staging and surveillance due to increased risk of complications such as colorectal cancer, fistulas, and strictures. Kaltenbach emphasizes the importance of using a common nomenclature to describe endoscopic features for effective management and surveillance. She also discusses different scoring systems for IBD, such as the Mayo Endoscopic Scoring System for ulcerative colitis and the Simple Endoscopic Score for Crohn's disease. Kaltenbach explains endoscopic management approaches for fistulas and strictures, including techniques like endoscopic fistulotomy, clipping, and balloon dilation. She recommends the use of chromoendoscopy for dysplasia surveillance in IBD patients, citing its superiority in detecting dysplasia compared to random biopsy. Kaltenbach concludes that endoscopic treatment should be attempted before considering colectomy for dysplasia, and emphasizes the feasibility and positive outcomes of endoscopic resection in IBD patients.

Asset Subtitle

Tonya Kaltenbach, MD, MS, FASGE

Keywords

endoscopy

inflammatory bowel disease

colonoscopy

fistulas

strictures