ASGE DDW Videos from Around the World | 2024-ENDOSCOPIC INCISIONAL THERAPY FOR GIANT BRIDGED PSEUDOPOLYPOSIS OF THE ESOPHAGUS IN A PATIENT WITH UPPER GASTROINTESTINAL CROHN'S DISEASE

ENDOSCOPIC INCISIONAL THERAPY FOR GIANT BRIDGED PSEUDOPOLYPOSIS OF THE ESOPHAGUS IN A PATIENT WITH UPPER GASTROINTESTINAL CROHN'S DISEASE

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Video Transcription

Video Summary

Endoscopic incisional therapy was utilized to treat a 38-year-old male with severe esophageal Crohn's disease and giant bridged pseudopolyps causing dysphagia. The procedure involved radial incisions to remove obstructive lesions, resulting in improved luminal patency and successful eradication of the pseudopolyps. The patient experienced early clinical improvement and was able to advance his diet. Further endoscopic incisional therapy was performed for false lumen takedown using a modified miniature needle knife due to equipment limitations. The procedures were successful in treating the complex esophageal Crohn's disease, highlighting the potential of this technique for managing advanced IBD phenotypes.

Asset Subtitle

World Cup
Authors: Sarang Gupta, Sechiv Jugnundan, Yusuke Fujiyoshi, Sam Seleq, Gary R. May, Jeffrey D. Mosko

Keywords

endoscopic incisional therapy

esophageal Crohn's disease

giant bridged pseudopolyps

dysphagia

luminal patency