ASGE Endo Hangout: Endo Surveillance in Inflammatory Bowel Disease

Video Transcription

Video Summary

The ASGE Endo Hangout for GI Fellows featured a webinar titled "Endoscopic Surveillance in Inflammatory Bowel Disease" with Dr. Shukla as the primary speaker, discussing the pivotal role of endoscopy in IBD management. Emphasizing the ascending prevalence of Crohn's disease and ulcerative colitis, she outlined the importance of endoscopy for IBD diagnosis, treatment response assessment, and dysplasia surveillance. This comprehensive session touched on crucial areas including chromoendoscopy techniques and risk factors such as primary sclerosing cholangitis, dense pseudopolyposis, and post-surgical assessments via the Rutgeert's score.<br /><br />Dr. Shukla elaborated on the STRIDE-2 guidelines, which stress incremental goals, from clinical remission to endoscopic healing, highlighting the vital role of mucosal healing in reducing complications like hospitalizations and colorectal cancer. Additionally, the webinar navigated the nuances of managing Crohn's postoperative patients, where endoscopic recurrence often precedes clinical recurrence, advocating for ileocolonoscopy within 6-12 months post-surgery. Endoscopic dilations and complications management in IBD, such as stricturotomy or addressing Crohn's-related fistulas, were also explored, showcasing the evolving landscape of endoscopic therapeutic interventions.<br /><br />Interactive components included case studies which shed light on the transition from inflammation to dysplasia and subsequent management protocols. The audience was encouraged to participate through questions, enriching the session's applicability. Participants were prompted to determine surveillance intervals, balancing individual patient risk profiles and the endoscopic findings discussed. Overall, the webinar underscored the dynamic role of endoscopy in optimizing IBD patient outcomes, integrating innovations, and reinforcing surveillance strategies tailored to patient-specific clinical scenarios.

Keywords

Endoscopic Surveillance

Inflammatory Bowel Disease

Crohn's Disease

Ulcerative Colitis

Chromoendoscopy

Primary Sclerosing Cholangitis

STRIDE-2 Guidelines

Mucosal Healing

Ileocolonoscopy

Endoscopic Therapeutic Interventions

Dysplasia Management