ASGE Interventional IBD: Management of Complications | March 2022-Biological Therapy for Crohn's Disease Fistula: Endoscopic Ultrasound Will Guide You

Biological Therapy for Crohn's Disease Fistula: Endoscopic Ultrasound Will Guide You

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