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ASGE Interventional IBD: Management of Complicatio ...
Biological Therapy for Crohn's Disease Fistula: En ...
Biological Therapy for Crohn's Disease Fistula: Endoscopic Ultrasound Will Guide You
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Video Transcription
Video Summary
In this video, David Schwartz, a professor of medicine and director of the IBD Center at Vanderbilt University Medical Center, discusses the use of endoscopic ultrasound (EUS) to optimize outcomes for patients with Crohn's perianal fistulas. He explains that perianal fistulas are common in patients with Crohn's disease and can lead to poor outcomes and high healthcare costs. EUS is a useful tool for assessing fistula anatomy and monitoring healing, as it provides a clear visualization of the fistula tracts. Schwartz shares the results of several studies, which demonstrate the accuracy of EUS in evaluating fistulas and guiding therapy. He explains that the key to successful management is establishing adequate drainage of abscesses and controlling fistula healing. Schwartz recommends the use of EUS and cetons (tubes placed into the fistula tracts) to achieve and monitor healing. He concludes by stating that using EUS guidance may improve outcomes for patients with Crohn's perianal fistulas.
Asset Subtitle
David A. Schwartz, MD
Keywords
endoscopic ultrasound
Crohn's perianal fistulas
IBD Center
Vanderbilt University Medical Center
fistula anatomy
monitoring healing
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